电网男职工骨质疏松症现状调查及危险因素分析
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摘要
目的调查电网男职工人群骨质疏松症(OP)的患病现状,分析影响骨质疏松症的危险因素,为骨质疏松症的健康管理与治疗干预提供基础医疗资料。方法 352例电网男职工,采用DX系列双能X线骨密度诊断仪进行骨密度测量,并通过问卷调查获得年龄、性别、生活方式相关因素及骨质疏松危险因素等。采用多因素Logistic回归分析电网男职工骨质疏松症的危险因素。结果 (1)电网男职工骨质疏松症患病率为8.5%。≥41岁受检者骨质疏松症患病率明显高于年龄≤40岁受检者,差异具有统计学意义(P<0.05)。骨质疏松症发生随年龄升高呈增加趋势。(2)单因素分析显示:年龄、饮酒、体质量指数、日饮用牛奶、文化程度、咖啡、骨质疏松家族史、锻炼与电网男职工骨质疏松症可能相关(P<0.1)。二分类Logistic回归分析显示:年龄高、骨质疏松家族史、饮酒为电网男职工骨质疏松症的可能高危因素;文化程度高、日饮用牛奶多、锻炼多为电网男职工骨质疏松症的可能保护因素。以年龄、文化程度、饮酒、日饮用牛奶、锻炼和骨质疏松家族史为自变量,骨质疏松症为因变量进行多因素的Logistic回归分析,变量赋值为年龄高、日饮用牛奶少、锻炼少、骨质疏松家族史赋值1,相反赋值0。结果显示经常日饮用牛奶和经常锻炼是骨质疏松症发生的保护因素,年龄高和骨质疏松家族史是发生骨质疏松症的危险因素(P<0.05)。结论电网男职工骨质疏松症的发生随着增龄而增加。影响电网男职工骨质疏松症的主要危险因素是骨质疏松家族史和年龄高,增加牛奶饮用量和保持良好规律的运动锻炼习惯是骨质疏松症的可能保护因素。医疗人员应该加大宣传对骨质保护的保健知识,降低骨质疏松症的患病率。
Objective To investigate the prevalence of osteoporosis(OP) in power grid workers, analyze the risk factors of osteoporosis, and provide basic medical data for the health management and treatment of osteoporosis. Methods A total of 352 male power grid workers were measured by DX series dual-energy X-ray bone mineral density diagnostic instrument. Age, gender, lifestyle related factors and risk factors of osteoporosis were obtained by questionnaire survey. Results (1)The prevalence of osteoporosis in power grid workers was 8.5%. The prevalence of osteoporosis in patients ≥41 years old was significantly higher than that in patients ≤40 years old, and the difference was statistically significant(P<0.05). The incidence of osteoporosis increased with age.(2) Univariate analysis showed that age, alcohol consumption, body mass index, daily milk consumption, education level, coffee, family history of osteoporosis and exercise may be related to osteoporosis in male workers in power grid workers(P<0.1). Bicategorized Logistic regression analysis showed that age, family history of osteoporosis and alcohol consumption were the possible high risk factors for osteoporosis in male power grid workers. Higher education, more milk and exercise are the possible protective factors for osteoporosis among male power grid workers. High age, educational level, drinking, daily milk, exercise and family history of osteoporosis were taken as independent variables, and osteoporosis was taken as dependent variable for multivariate logistic regression analysis. High age, less drinking milk per day, less exercise, family history of osteoporosis assigned as 1, and opposite assigned as 0. The results showed that daily milk consumption and regular exercise were protective factors for the occurrence of osteoporosis. Age and family history of osteoporosis were risk factors for the occurrence of osteoporosis(P<0.05). Conclusion The incidence of osteoporosis in male power grid workers increases with age. Family history of osteoporosis and high age are the main risk factors affecting osteoporosis among male power grid workers. Increasing milk consumption and maintaining regular exercise habits are the possible protective factors for osteoporosis. Medical staff should increase the propaganda of health knowledge on bone protection to reduce the prevalence of osteoporosis.
Objective To investigate the prevalence of osteoporosis(OP) in power grid workers, analyze the risk factors of osteoporosis, and provide basic medical data for the health management and treatment of osteoporosis. Methods A total of 352 male power grid workers were measured by DX series dual-energy X-ray bone mineral density diagnostic instrument. Age, gender, lifestyle related factors and risk factors of osteoporosis were obtained by questionnaire survey. Results (1)The prevalence of osteoporosis in power grid workers was 8.5%. The prevalence of osteoporosis in patients ≥41 years old was significantly higher than that in patients ≤40 years old, and the difference was statistically significant(P<0.05). The incidence of osteoporosis increased with age.(2) Univariate analysis showed that age, alcohol consumption, body mass index, daily milk consumption, education level, coffee, family history of osteoporosis and exercise may be related to osteoporosis in male workers in power grid workers(P<0.1). Bicategorized Logistic regression analysis showed that age, family history of osteoporosis and alcohol consumption were the possible high risk factors for osteoporosis in male power grid workers. Higher education, more milk and exercise are the possible protective factors for osteoporosis among male power grid workers. High age, educational level, drinking, daily milk, exercise and family history of osteoporosis were taken as independent variables, and osteoporosis was taken as dependent variable for multivariate logistic regression analysis. High age, less drinking milk per day, less exercise, family history of osteoporosis assigned as 1, and opposite assigned as 0. The results showed that daily milk consumption and regular exercise were protective factors for the occurrence of osteoporosis. Age and family history of osteoporosis were risk factors for the occurrence of osteoporosis(P<0.05). Conclusion The incidence of osteoporosis in male power grid workers increases with age. Family history of osteoporosis and high age are the main risk factors affecting osteoporosis among male power grid workers. Increasing milk consumption and maintaining regular exercise habits are the possible protective factors for osteoporosis. Medical staff should increase the propaganda of health knowledge on bone protection to reduce the prevalence of osteoporosis.
引文
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[3]Briggs AM,Cross MJ,Hoy DG,et al.Musculoskeletal Health Conditions Represent a Global Threat to Healthy Aging:A Report for the 2015 World Health Organization World Report on Ageing and Health.Gerontologist,2016,56(Suppl 2):S243-S255.
[4]邱贵兴,裴福兴,胡侦明,等.中国骨质疏松性骨折诊疗指南(骨质疏松性骨折诊断及治疗原则).中华骨与关节外科杂志,2015,8(5):85-88.
[5]郭永智,王洋,徐宇航,等.老年骨质疏松性椎体压缩性骨折.北京医学,2017,39(2):126-128.
[6]宋敏,周灵通,刘小钰,等.消化系统疾病并发骨质疏松症与肠道菌群的关系探讨.中国骨质疏松杂志,2018,24(1):130.
[7]宋琴.新环境下电力企业中配电网的调度运行工作的研究.科技与创新,2017(8):45.
[8]印平,马远征,马迅,等.骨质疏松性椎体压缩性骨折的治疗指南.中国骨质疏松杂志,2015,21(6):643.
[9]齐莉,王晓非,方美云,等.辽宁省部分地区男性骨质疏松危险因素的病例对照研究.中国骨质疏松杂志,2012,18(5):460-464.
[10]李宁华,区品中,朱汉民,等.中国部分地区中老年人群原发性骨质疏松症患病率研究.中华骨科杂志,2001,21(5):275-278.
[11]Conde FA,Aronson WJ.Risk factors for male osteoporosis.Urol Oncol,2003,21(5):380-383.
[2]Kehler T.Epidemiology of osteoporosis and osteoporotic fractures.Reumatizam,2014,61(2):60-64.
[3]Briggs AM,Cross MJ,Hoy DG,et al.Musculoskeletal Health Conditions Represent a Global Threat to Healthy Aging:A Report for the 2015 World Health Organization World Report on Ageing and Health.Gerontologist,2016,56(Suppl 2):S243-S255.
[4]邱贵兴,裴福兴,胡侦明,等.中国骨质疏松性骨折诊疗指南(骨质疏松性骨折诊断及治疗原则).中华骨与关节外科杂志,2015,8(5):85-88.
[5]郭永智,王洋,徐宇航,等.老年骨质疏松性椎体压缩性骨折.北京医学,2017,39(2):126-128.
[6]宋敏,周灵通,刘小钰,等.消化系统疾病并发骨质疏松症与肠道菌群的关系探讨.中国骨质疏松杂志,2018,24(1):130.
[7]宋琴.新环境下电力企业中配电网的调度运行工作的研究.科技与创新,2017(8):45.
[8]印平,马远征,马迅,等.骨质疏松性椎体压缩性骨折的治疗指南.中国骨质疏松杂志,2015,21(6):643.
[9]齐莉,王晓非,方美云,等.辽宁省部分地区男性骨质疏松危险因素的病例对照研究.中国骨质疏松杂志,2012,18(5):460-464.
[10]李宁华,区品中,朱汉民,等.中国部分地区中老年人群原发性骨质疏松症患病率研究.中华骨科杂志,2001,21(5):275-278.
[11]Conde FA,Aronson WJ.Risk factors for male osteoporosis.Urol Oncol,2003,21(5):380-383.