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纸质出版:2009
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王建,王斌,糜漫天,舒芙蓉,冉莉,徐静.重庆市绝经后妇女骨质疏松症的危险因素研究[J].陆军军医大学学报(原第三军医大学学报),2009,31(21):2150-2153.
WANG Jian,WANG Bin,Mi Man-tian,SHU Fu-rong,RAN Li,XU Jing.Postmenopausal osteoporosis in Chongqing region: a risk factors analysis[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(21):2150-2153.
目的 调查影响重庆市绝经后妇女骨质疏松症发生的危险因素,为骨质疏松的防治提供依据。 方法 采取病例-对照的研究方法,对重庆地区绝经后妇女开展标准化问卷调查,通过非条件Logistic回归模型进行绝经后妇女骨质疏松症的危险因素分析。 结果 多因素分析显示,与绝经后妇女骨质疏松症发生呈显著正相关的因素有髋部骨折家族史(OR=8.567
95%CI=3.463~12.620)、低身体质量指数(OR=3.081
95%CI=1.344~5.632)和多产次(OR=2.539
95%CI=1.263~4.175),而常运动(OR=0.276
95%CI=0.152~0.730)、常饮茶(OR=0.354
95%CI=0.209~0.764)和绝经年龄晚(OR=0.621
95%CI=0.327~0.942)与之呈显著负相关。 结论 髋部骨折家族史、低身体质量指数和多产次是影响重庆市绝经后妇女骨质疏松症发生的重要危险因素,而经常运动、饮茶以及保持适当的雌激素水平有助于预防绝经后骨质疏松的发生。
Objective To investigate the risk factors of postmenopausal osteoporosis (PMOP) in Chongqing region
and provide the theoretical basis for osteoporosis prevention and treatment. Methods A hospital-based case-control study was conducted and standardized questionnaire was applied in this project. All patients were informed of the purpose of this study and signed an informed consent form. The protocol and consent form were approved by the Ethics Committee of Third Military Medical University. Non-conditional logistic model was used to estimate the association between risk factors and PMOP. Results After adjustment for some potential confounding factors
multivariate non-conditional logistic regression analysis indicated that family history of hip fracture (OR=8.567
95%CI 3.463 to 12.620)
lower body mass index (OR=3.081
95%CI 1.344 to 5.632)
and parities (OR=2.539
95%CI 1.263 to 4.175) were significantly positive correlated with the incidence of PMOP. However
frequently exercise (OR=0.276
95%CI 0.152 to 0.730)
tea drinking (OR=0.354
95%CI 0.209 to 0.764) and older at menopause (OR=0.621
95%CI 0.327 to 0.942) were significantly negative correlated with it. Conclusion Family history of hip fracture
lower body mass index and higher parities are the risk factors of PMOP in Chongqing region. Besides
frequent exercise
tea drinking and proper endogenous estrogen level are the protective factors.
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