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1. 重庆医科大学附属第一医院妇产科
2. 重庆医科大学附属第一医院妇产科,重庆,400016
纸质出版日期:2007,
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[1]耿力,姚珍薇,骆建云,韩力力,卢起.重庆地区1435例成年女性腰椎峰值骨量分析[J].重庆医科大学学报,2007(04):376-380.
GENG Li, et al. Investigation of lumbar peak bone mass of 1435 female adults in Chongqing area[J]. Journal of Chongqing Medical University, 2007,(4):376-380.
目的:研究重庆地区成年女性腰椎峰值骨量及其影响因素
建立本地区腰椎骨密度参考数据库
为防治骨质疏松症提供科学依据。方法:采用美国NORLAND公司的XR-46系列双能X线骨密度仪测量1435例成年女性人群腰椎(L2~L4前后位)骨密度值
用8种回归模型拟合骨密度随年龄的变化
找出最佳拟合模型的方程
建立参考数据库。其中20~50岁者(631例)为峰值骨量研究组。结果:本地区女性腰椎前后位L2、L3和L2~L4峰值骨量出现在34~35岁
而L4在26~27岁;达到峰值骨量后骨密度均随年龄的增加而下降;且均以三次回归模型决定系数最高;身高、体重及体重指数均对峰值骨量有影响作用
体重影响最大。结论:本地区女性峰值骨量水平较国内相关研究结果偏低
骨峰值年龄也较早出现;三次回归是建立正常人群骨密度参考图的最优分析模型;合理的营养和保持适当的体型
有利于成年期较高峰值骨量的获得。
Objective:To investigate peak bone mass(PBM) of female adults in Chongqing area and PBM change of females’ lumbar vertebrae with age
bodyweight
height and body mass index(BMI)
to provide scientific basis for diagnosis and prevention of osteoporosis. Methods:There were 1435 female adults in Chongqing area randomly selected. The assessment of BMD in spine region was performed by NORLAND XR-46 dual-energy X-ray absorptiometer. BMD of lumbar spine with age-related changes was fitted in the whole healthy women population by eight kinds of regression models. Best model equations of fitting were found and the reference databases of BMD in women were established.Group aged from 20 to 50(n=631)was PBM research group. Results:The PBM of the second
third and total lumbar vertebrae occurred in the group aged from 34 to 35
while that of the forth lumbar vertebrae occurred during 26 to 27 and reduction began at the age of 28. BMD would gradually decrease with the advancing of age when it achieved PBM. R square of cubic regression curve was maximum. The research showed height?body weight and BMI could influence PBM values of lumbar vertebrae. The effect of body weight was the most significant among these influential factors. Conclusions:The PBM level of female adults in Chongqing area was lower than that of other related research results in domestic
and the age of PBM was earlier than that of the others. A cubic regression model was the better model to establish a normal BMD reference curve. Proper nutrition and suitable figure keeping could result in higher PBM value in human life.
成年女性峰值骨量三次回归模型双能X线骨密度仪
Female adultsPeak bone massCubic regression modelDual energy X-ray absorptiometer
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