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目的分析城市社区居民骨质疏松症患病的影响因素,为社区预防骨质疏松症提供依据。方法选择2013—2014年到江东区东柳街道社区卫生服务中心体检,年龄在40~89岁的居民为调查对象,开展常规体检、骨密度检测及基本情况问卷调查,并对骨质疏松症可能的危险因素进行多因素Logistic回归分析和多元线性回归分析。结果共检测368人,检出骨质疏松症82例,患病率为22.28%。女性患病率为34.09%,高于男性的4.73%(P<0.01);骨质疏松症患病率随年龄增大呈升高趋势(P<0.05)。多因素Logistic回归分析显示,高龄(OR=1.08,95%CI:1.04~1.12)、女性(OR=13.46,95%CI:5.87~31.82)是骨质疏松症的危险因素;高BMI(OR=0.91,95%CI:0.83~1.00)是骨质疏松症的保护因素。多元线性回归分析显示,鱼虾摄入量与骨密度呈正相关(P=0.021)。结论高龄、女性是骨质疏松症的危险因素,高BMI、增加鱼虾摄入量是保护因素。
Objective To analyze the influencing factors of the prevalence of osteoporosis in urban community residents and provide evidences for community prevention of osteoporosis. Methods From 2013 to 2014, we investigated the physical examination of Dongliu Community Health Service Center in Jiangdong District. The residents aged from 40 to 89 were investigated by routine physical examination, bone mineral density test and questionnaire survey. Multivariate Logistic regression analysis and multivariate linear regression analysis. Results A total of 368 people were detected, 82 cases of osteoporosis were detected, the prevalence was 22.28%. The prevalence of females was 34.09%, higher than that of males (4.73%) (P <0.01). The prevalence of osteoporosis increased with age (P <0.05). Multivariate Logistic regression analysis showed that the risk factors of osteoporosis were osteoporosis in elderly (OR = 1.08, 95% CI: 1.04-1.12) and in women (OR = 13.46,95% CI: 5.87-31.82) 0.91, 95% CI: 0.83 to 1.00) is a protective factor for osteoporosis. Multivariate linear regression analysis showed that there was a positive correlation between fish intake and BMD (P = 0.021). Conclusion Elderly and females are the risk factors of osteoporosis. High BMI and increased intake of fish and shrimp are the protective factors.