The Osteoporosis Epidemic Status Investigation And Influence Factors Analysis Among Nanchang Community Residents Over40Years Old

Objective:To make certain of the epidemic status and analysis the influence factors of osteoporosis over40years old in Nanchang community,provideing basis information and scientific evidence for community intervention of osteoporosis.Methods:Using Quantitative Ultrasound System measured bone mineral density at calcaneus among10071people over40years old in NanChang community;All cases were conducted a questionnaire,and measured hepatic/renal function,fasting plasma glucose,postprandial glucose,serum triglycerides,high-density lipoprotein, low density lipoprotein,serum total cholesterol,glycated hemoglobin; And measured their blood pressure,height,weight,waist circumference and hip circumference. Selected the variables and performed univariate logistic analysis according to different gender respectively.Then carry on polytomous ordered logostic regression analysis.Results:l.The prevalence of osteoporosis over40years old was9.3%,(men7.1%,women10.8%).2.Univariate logistic regression analysis of osteoporosis among men showed that age, education, drinking, family history, body mass index, fasting plasma glucose, systolic pressure, serum triglycerides, waistline all had relationship with bone mineral density. In further polytomous ordered logostic regression analysis showed aging, a family history of osteoporosis,serum triglycerides were independence risk factors of osteoporosis and high education level,high body mass index and big waistline were independence protective factors of osteoporosis among men.3.Univariate logistic regression analysis of osteoporosis among women showed that age, marry status, milk intakes, parity, menopausal status, menopausal age, years since menopausal, oral contraceptive, fasting plasma glucose, sport, breastfeeding, serum total cholesterol, low density lipoprotein,waist-hip ratio all had relationship with bone mineral density. In further polytomous ordered logostic regression analysis showed aging,divorce or unmarried,multiple parturition,postmenopausal and long years since menopausal were independence risk factors of osteoporosis and often drinking milk, postmenopausal delay,do sports regularly, high body mass index were the independence protective factors of osteoporosis.Conclusion:1.The prevalence of osteoporosis over40years old in NanChang community was9.3%,(the male was7.1%and the female was10.8%).2. As he growth of the age and the increase of the serum triglycerides,the prevalence of osteoporosis increased among men over40years old. Among men with a family history of osteoporosis have a higher risk of osteoporosis.But along with the increase of the education level,body mass index and waistline,the prevalence of the osteoporosis reduced.3.As the growth of the age, the increase of the parity and the extension of the years of menopausal,the prevalence of osteoporosis increased among women over40years old. Among women unmarried or divorced or postmenopausal have a higher risk of osteoporosis.intakedmilk regularity,did exercise frequently,had higher body mass index or postmenopausal delay among women had a lower risk of osteoporosis.