男性的骨骼也很重要,一项调查爱尔兰智力残疾男性骨骼健康的横断面研究。

Éilish A Burke, R. Carroll, Angela W. Ding, Melisa Yaman, J. Walsh, P. McCallion, M. McCarron
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引用次数: 0

摘要

在全球范围内,30-40%的骨质疏松性骨折发生在男性身上,其中四分之一的髋部骨折(骨质疏松症最严重的并发症)发生在男性身上。在50岁以上的男性中,骨质疏松性骨折的风险达到了惊人的20%。令人极为关切的是,与妇女相比,男子的相关死亡率更高。特别是髋部骨折,男性的死亡率是女性的两到三倍,这可能是因为骨质疏松症通常被认为是一种“女性疾病”。值得关注的是,对智力残疾男性的骨骼健康调查缺乏。在爱尔兰老龄化纵向研究的智力残疾补充中,使用定量超声测量了244名男性的客观骨骼状况。在主要工作人员/家属的协助下,参与者还自我报告医生对健康状况的诊断,包括骨质疏松症、药物和骨折史。该研究获得了三一学院健康科学学院和所有参与服务提供者的伦理批准。总体而言,70.9%的男性表现出骨骼健康状况不佳,57.8%的男性至少服用一种导致骨质疏松/骨质减少的药物。男性的骨折患病率很高(21.7%),尽管只有不到18%的人参加了骨骼健康筛查。鉴于这些发现,现在是时候关注男性的骨骼健康了,医疗保健专业人员也应该意识到智力残疾的男性患骨质疏松症的风险有多大。预测显示,与女性相比,男性的骨折风险持续增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Men's Bones Matter Too, a Cross Sectional Study Examining Bone Health among Men with Intellectual Disability in Ireland.
Globally between 30-40% of all osteoporotic fractures occur among men, with a quarter of all hip fractures, the most serious complication of osteoporosis, occurring in men. Among men of 50 years of age or older, osteoporotic fracture risk reaches an alarming 20%. What is of great concern is that associated mortality is greater among men when compared with women. For hip fractures specifically, mortality for men is two to three times that in women which may be attributed to the fact that osteoporosis is often considered a “women’s disease”. Of great concern is that there is a paucity of bone health investigation among men with intellectual disability. In the Intellectual Disability Supplement to The Irish Longitudinal Study on Ageing, objective bone status of 244 men was measured using a quantitative ultrasound. Participant’s also self-reported doctor’s diagnosis of health conditions including osteoporosis, medication and fracture history with the assistance of key workers/family. Ethical approval for the study was obtained from the Faculty of Health Sciences Trinity College and all participating service providers. Overall, 70.9% of men presented with poor bone health, with 57.8% taking at least one medication that contributed to osteoporosis/osteopenia. Men had a high prevalence of fracture (21.7%) despite this less than 18% had attended bone health screening. In light of these findings, it is time for the spotlight to focus on men’s bone health and for healthcare professionals to realise how ‘at risk’ of osteoporosis are men with intellectual disability. Projections place men on a trajectory of continuous increased risk of fracture in comparison to women.
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