Analysis Of Screening And Evaluating The Risk Factors Of Bone Mass Loss In Middle-aged And Aged Women In Urban Beijing

ObjectiveScreen out risk factors in elderly women bone mass in Beijing to develop asimple assessment of indicators applicable to middle-aged women. Provide theeffective and practical method for the secondary prevention of osteoporosis.Pave the way for the further high-risk screening assessment, but also provide areference of osteoporosis prevention, early diagnosis and intervention for middle-aged female in Beijing.MethodSurvey bone mineral density measurement with DXA of GE, USA, measured bonemineral density of lumbar spine, lower limbs and body. Scan to detect the1-4and2-4of lumbar spine bone mineral density.In order to design the questionnaire, I access to a large number of documents andcollection of risk factors for osteoporosis with WHO questionnaire. The osteoporosisrisk factors questionnaire consists of seven parts, including the general situation of thesubjects (height, age, body weight), the movement, menstrual history, lifestyle, disease,surgical history, drug history and family history. Make a face-to-face interrogation.The data were statistically analyzed using SPSS statistical software, and descriptivestatistics on the the BMD situation and prevalence, the use of single factor analysis ofvariance, using the binary Logistic regression analysis to screen risk factors.Usingdependent variable T value, independent variables of age,BMI, height loss, menopauseand other risk factors to List the regression equation as binary logistic regressionanalysis.ResultsThe bone mineral density decreased significantly with age. BMD of women in differentparts are of significant differences in the different ages. Women after the age of40, thevarious parts of the bone mineral density began to decline, the age of55-65years, theBMD decreased rapidly. Decrease slowly after65years of age.The bone mass reduction and the prevalence of osteoporosis is lower40-49femurosteoporosis prevalence was slightly higher than the lumbar spine. The prevalence ofosteoporosis increased significantly in the age of50than the40-year-old, after all agegroups prevalence gradually increased. Osteoporosis prevalence of the different parts ofthe50-59age group than the40-49age group did not show significant growth. In the60-69age group, the prevalence of reduced bone mass appears to reduce the prevalenceof osteoporosis is further increased, and different parts of the prevalence and the overall prevalence is basically the same. Elder women over the age of70have been lower bonemass or osteoporosis.For healthy middle-aged women, the main factors affecting their bone mineral density,including: menopause, long-term consumption of milk, muscle injury history, familyhistory of fracture, long-term exercise, fracture history, eat soy products, bone history,back pain history, pain history height decline. Middle-aged women suffering from otherdiseases (thyroid and parathyroid disease, diabetes, hypertension, heart disease, kidneyand adrenal gland disease, chronic liver disease, gastrointestinal disease, reproductivesystem disease, movement disorders), and taking other drugs (diuretics, anti-epilepsydrugs, fluoride treatment, corticosteroids, birth control pills, estrogen, calcitonin,parathyroid hormone, epinephrine, growth hormone), The main factors are years sincemenopause, long-term consumption of milk, tea, incontinence, family history of fracture,history of muscle damage, long-term exercise, coronary heart disease, bone history,height decreased, osteoarthritis and breast disease.Conclusions1. Different ages of women, the trend of decreased bone mineral density: women sincethe age of40, bone mass decline slow; Women of different ages of the lumbar spinedownward trend more obvious than the other parts. Female bone mass decreased withincreasing age, the prevalence of first increased and then decreased, the prevalence ofosteoporosis showing a continuous rising trend. Women for the same age, the trend ofthe body in different parts of decreased BMD are difference. Women before the age of60, the incidence of osteoporosis may be mainly a single site; after60years of age, twoor more parts (two parts) simultaneously the phenomenon of osteoporosis.2. Risk factors of leading the incidence of osteoporosis including years sincemenopause, long-term consumption of milk, muscle injury history, family history offracture, long-term movement, bone history, height decreased. Population of fourhealthy people with illness or medication, reduce bone mass and osteoporosis, theimpact of factors there is a big difference. The same class of people of different ages,different periods of decline in bone mass, the risk factors affecting bone mass are quitedifferent.