【摘要】 目的研究长辛店地区老年男性骨质疏松症(OP)的影响因素。方法对随机选择的长辛店地区居住5年以上,无骨代谢相关性疾病的520例老年男性进行骨密度检测,同时进行问卷调查,回收合格问卷497份,了解研究对象的年龄、体重指数、慢性病史,每日运动强度、日照时间、每天饮用牛奶、补充钙剂、吸烟及饮酒情况、居住环境、睡眠时间、骨折病史等信息;对结果采用非条件Logistic多元回归进行分析。结果 497例调查对象患OP 157人,OP组的年龄大于对照组(P<0.01),每天规律锻炼的人数、每天日照时间大于2 h的人数、每日摄入奶制品及钙剂人数均少于对照组(P<0.05),而存在骨折史人数多于对照组(P<0.05),其他观察指标与对照组比差异无统计学意义(P>0.05)。经非条件Logisitic多因素回归分析,体育锻炼、日照时间长、饮牛奶及服用钙剂是老年人OP的保护因子(P<0.05)。而高年龄、低体重指数、嗜烟、嗜酒、饮茶及骨折史是OP的危险因子(P<0.05)。结论长辛店地区老年男性OP与年龄、体重指数、运动、钙奶摄入、日照时间、饮茶、烟酒嗜好及骨折史有关。更多还原

【Abstract】 Objective To investigate the influential factors for osteoporosis in elderly males in Changxindian area.Methods Five hundred and twenty elderly males were randomly selected from Changxindian area.The required criteria were: more than 5 years living in the area;with no bone metabolism-related diseases,such as hyperthyroidism,hyperparathyroidism,diabetes,etc;normal liver and kidney function and normal level of serum calcium and phosphorus;without history of staying in bed for 3 months and no history of hormone use.The bone mineral density was measured.Questionnaires were delivered and 497 qualified questionnaires were collected.Age,BMI,chronic disease history,daily exercise,sun exposure time,daily consumption of milk,calcium supplement,smoking and drinking status,living environment,sleeping time,and history of bone fracture were recorded.The results were statistically analyzed using logistic multiple regression method.Results One hundred and fifty-seven osteoporosis patients were diagnosed among 497 surveyed cases.Compared with control group,the osteoporosis group had higher age(P<0.01),less cases of daily exercise,less cases of daily sun exposure time over 2 hrs,less daily consumption of milk and calcium(P<0.05),but more cases of bone fracture history(P<0.05).The differences of other influential factors were not statistically significant compared with the control group(P>0.05).Logistic multiple regression revealed that exercise,sun exposure,milk and calcium uptake were protective factors for osteoporosis(P<0.05).However,elder age,lower BMI,smoking,drinking,tea drink,and history of fracture were risk factors for osteoporosis in aged people(P<0.05).Conclusion Osteoporosis in elderly males in Changxindian area was related to age,BMI,exercise,sun exposure,milk and calcium uptake,smoking,drinking,tea drink,and history of bone fracture.更多还原