Study On Influential Factor With Postmenopausal Osteoporosis

ObjectiveTo explore the influencing factors included Chinese Medicine Constitutional Type of Postmenopausal Osteoporosis in postmenopausal women in Guangzhou community,explore the controllable factors in the development of osteoporosis and formulate effective preventive strategies to provide scientific basis for the prevention and control of postmenopausal women with Postmenopausal Osteoporosis has important clinical significance.MethodsThis study is a cross-sectional survey of large samples.By means of convenient sampling,postmenopausal women living in two representative communities of Guangzhou for more than 5 years were selected as subjects.Self-designed questionnaire and traditional Chinese medicine constitution questionnaire were used for the investigation.The survey mainly included the characteristics of social population,diseases of immediate family members,gynecology and obstetrics,chronic diseases,the physical condition of traditional Chinese medicine,and the measurement of bone mineral density by bone densitometer.Bone mineral density was measuredby bone mineral density meter.According to different bone mineral density levels,normal bone mass group,low bone mass group and osteoporosis group were compared with those of normal bone mass group,low bone mass group and osteoporosis group,and compared with normal bone mass group,low bone mass group and osteoporosis group,and compared with normal bone mass group,low bone mass group and osteoporosis group,respectively.The related influencing factors were analyzed.The chi-square test was used to compare the counting data between the two groups,and one-way ANOVA was used to compare the measured data of the two groups in accordance with the normal distribution.Mann-Whitney U test was used for quantitative data and grade data which did not accord with normal distribution,and according to the results of single factor,the influencing factors were evaluated by binary Logistic regression analysis.Results1.Among 746 postmenopausal women,301(40.3%)had osteopenia,274(36.7%)had osteoporosis and 746(746)postmenopausal women had decreased bone mass(40.3%)and osteoporosis(36.7%),and bone loss(40.3%)had been found in 746 postmenopausal women.The traditional Chinese medicine constitution of postmenopausal women was mainly composed of calm quality(26.1%),qi deficiency quality(20.1%),yang deficiency quality(19.6%)and yin deficiency quality(12.1%).2.The results of chi-square test and variance analysis showed that the weight of postmenopausal women,the history of diabetes mellitus in directfamily members,the history of hypertension,the age of menopause,the physique and quality of traditional Chinese medicine,qi deficiency and yang deficiency.The 8 characteristic indexes of phlegm wet quality were related to the decrease of bone mass in postmenopausal women(P < 0.05).Taking the decrease of bone mass in postmenopausal women as dependent variable,eight factors with statistical significance in chi-square test and ANOVA were used as independent variables,and binary Logistic regression analysis was carried out.The results showed that body weight,menopause age,and age of menopause were used as independent variables.Pinghe quality,Qi deficiency and phlegm dampness in traditional Chinese medicine constitution are the main effects of bone mass reduction in postmenopausal women.Factors(P<0.05).3.The results of chi-square test and variance analysis showed that the age,weight,education level,cardiovascular disease,diabetes mellitus,history of tumor,menopause age,number of births,history of hypertension,physique-qi deficiency and yang deficiency of Chinese medicine were found in postmenopausal women.The 14 characteristic indexes of phlegm-dampness,damp-heat and blood stasis were related to osteoporosis in postmenopausal women(P < 0.05).Taking postmenopausal women with or without bone mass reduction as dependent variables,14 postmenopausal women were tested by Chi-square test and statistically significant factors were used as independent variables.The results of binary Logistic regression analysis showed that age,body weight,Menopause age,Menopause age,qi deficiency,yang deficiency and phlegm dampness in traditional Chinese medicine constitution were themain influencing factors of osteoporosis in postmenopausal women(P<0.05).Conclusion1.The prevalence of PMOP and bone mass reduction in postmenopausal women in Guangzhou were high,which were similar to those in other areas of China.Community health care workers should pay attention to the reduction of PMOP and bone mass in postmenopausal women,and some preventive measures should be taken before the beginning of perimenopause.2.Age and estrogen deficiency is an important risk factor in the reduction of bone volume and PMOP in postmenopausal women in Guangzhou.The occurrence of bone loss is earlier than that before perimenopause,and the prevention and control measures should be carried out as early as possible.3.Low body weight is one of the risk factors of bone loss and PMOP in postmenopausal women in Guangzhou.Although a higher BMI reduces the risk of PMOP,obesity can also cause other chronic diseases.Therefore,for high-risk women with low weight,we should control their diet,improve energy intake and avoid the occurrence of PMOP.For those who with normal weight and overweight,PMOP should be prevented by reasonable exercise.4.The traditional Chinese medicine constitution of the postmenopausal women in Guangzhou is mainly mild,and the first three digits of the partial constitution are Qi-deficiency,Yang-deficiency and Yin-deficiency.Among them,the quality of peace is the protection of theamount of bone,the quality of Qi-deficiency is the risk of osteopenia and PMOP,and the deficiency of yang is the dangerous body of PMOP.The aim of this paper is to improve the control level of PMOP in China.