Epidemiological characteristics and related risk factors of elderly osteoporosis in Xining City

中国综合临床 Pub Date : 2019-11-01 DOI:10.3760/CMA.J.ISSN.1008-6315.2019.06.018

Wenxue Ma

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引用次数: 0

Abstract

Objective To investigate the epidemiological characteristics and related risk factors of elderly patients with osteoporosis. Methods The basic data of 900 elderly people in Xining City from February 2015 to February 2018 were investigated.The proximal femur and L2~4 bone mineral density were measured by dual-energy X-ray absorptiometry.Osteoporosis was diagnosed and its epidemiological characteristics and risk factors were analyzed. Results Among the 900 elderly people in Xining, 276 had osteoporosis, 624 did not have osteoporosis, and the prevalence rate was 30.67%.There were significant differences in gender, body mass index, smoking, alcoholism, family history of osteoporosis between elderly people with osteoporosis and those without osteoporosis (all P<0.05). The incidence of osteoporosis was 26.63% (192/721), 47.41% (64/135) and 45.45% (20/44) in the elderly of Han nationality, Tibetan nationality and Hui nationality, respectively.The average bone density of femoral trochanter, bilateral femoral neck, Ward's triangle and L2~4 in the elderly of different age groups in Xining city was 2.63% (192/721). The prevalence of femoral trochanter, bilateral femoral neck, Ward_s triangle and L2~4 was lower in male elderly than in female elderly (all P<0.05). By logistic regression analysis, female(OR=2.573, 95%CI1.319~3.086), age growth(OR=3.076, 95%CI1.128~3.746), bad living habits(OR=1.796, 95%CI1.154~5.286) and family history of osteoporosis(OR=1.641, 95%CI1.128~4.376) were elderly in Xining.Risk factors of osteoporosis (all P<0.05). Conclusion The prevalence of osteoporosis in 900 elderly people in Xining City was 30.67%.With the increase of age, the bone mineral density of the elderly gradually decreased.The average bone mineral density of L2~4 was higher than that of proximal femur, and the average bone mineral density of females was lower than that of males.The occurrence of osteoporosis was attributed to females, age growth, bad living habits and family history of osteoporosis.Risk factors can provide reference for prevention and treatment of osteoporosis in the elderly in Xining. Key words: Osteoporosis; Elderly people; Epidemiology; Risk factors; Age; Gender; Ethnic group

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西宁市老年人骨质疏松症流行病学特征及相关危险因素分析

目的探讨老年骨质疏松症患者的流行病学特征及相关危险因素。方法对2015年2月至2018年2月西宁市900名老年人的基本资料进行调查。采用双能x线骨密度仪测定股骨近端及L2~4骨密度。诊断骨质疏松症并分析其流行病学特征及危险因素。结果西宁市900名老年人中，骨质疏松276人，无骨质疏松624人，骨质疏松患病率为30.67%。老年骨质疏松患者与非骨质疏松患者在性别、体质指数、吸烟、酗酒、骨质疏松家族史等方面差异均有统计学意义(P<0.05)。汉族、藏族、回族老年人骨质疏松发生率分别为26.63%(192/721)、47.41%(64/135)和45.45%(20/44)。西宁市不同年龄组老年人股骨粗隆、双侧股骨颈、Ward三角区和L2~4的平均骨密度为2.63%(192/721)。老年男性股骨粗隆、双侧股骨颈、Ward_s三角、L2~4的患病率低于老年女性(P<0.05)。经logistic回归分析，西宁市老年人主要为女性(OR=2.573, 95%CI1.319~3.086)、年龄增长(OR=3.076, 95%CI1.128~3.746)、不良生活习惯(OR=1.796, 95%CI1.154~5.286)、骨质疏松家族史(OR=1.641, 95%CI1.128~4.376)。骨质疏松的危险因素(均P<0.05)。结论西宁市900名老年人骨质疏松症患病率为30.67%。随着年龄的增加，老年人的骨密度逐渐下降。L2~4平均骨密度高于股骨近端，女性平均骨密度低于男性。骨质疏松症的发生与女性、年龄增长、不良生活习惯和骨质疏松家族史有关。危险因素可为西宁市老年人骨质疏松症的防治提供参考。关键词:骨质疏松症;老年人;流行病学;风险因素;年龄;性别;少数民族

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来源期刊

中国综合临床

CiteScore

0.10

自引率

0.00%

发文量

16855

期刊介绍： Clinical Medicine of China is an academic journal organized by the Chinese Medical Association (CMA), which mainly publishes original research papers, reviews and commentaries in the field. Clinical Medicine of China is a source journal of Peking University (2000 and 2004 editions), a core journal of Chinese science and technology, an academic journal of RCCSE China Core (Extended Edition), and has been published in Chemical Abstracts of the United States (CA), Abstracts Journal of Russia (AJ), Chinese Core Journals (Selection) Database, Chinese Science and Technology Materials Directory, Wanfang Database, China Academic Journal Database, JST Japan Science and Technology Agency Database (Japanese) (2018) and other databases.