本文關(guān)鍵詞： 仫佬族絕經(jīng)女性 體成分 骨密度 骨質(zhì)疏松癥　出處：《中國(guó)骨質(zhì)疏松雜志》2017年05期 　論文類型：期刊論文

【摘要】：目的研究仫佬族絕經(jīng)前與絕經(jīng)后女性體成分和骨密度的相關(guān)關(guān)系,探討體成分的變化對(duì)骨密度的影響。方法隨機(jī)選取廣西仫佬族成年女性200名,追溯其三代均為仫佬族,應(yīng)用TANITA-MC180人體成分分析儀測(cè)定其肌肉量、脂肪量等體成分指標(biāo),采用SONOT3000超聲骨密度儀測(cè)定其右側(cè)跟骨的骨硬度指數(shù)。結(jié)果 (1)絕經(jīng)前女性的體重、去脂體重、肌肉量、皮下脂肪量、軀干脂肪量、四肢肌肉量、推定骨量、骨硬度指數(shù)和T值等均顯著高于絕經(jīng)后女性(P0.01);而絕經(jīng)前女性的內(nèi)臟脂肪面積、腰臀比顯著低于絕經(jīng)后女性(P0.01)。(2)絕經(jīng)前女性和絕經(jīng)后女性的骨質(zhì)疏松檢出率分別為6%和45%,差異具有統(tǒng)計(jì)學(xué)意義(P0.01)。(3)相關(guān)分析發(fā)現(xiàn)肌肉量、四肢肌肉量和軀干肌肉量與骨密度之間存在顯著的正相關(guān)關(guān)系(P0.01或P0.05),而當(dāng)控制年齡和絕經(jīng)狀態(tài)后體成分和骨密度之間沒(méi)有相關(guān)性;根據(jù)年齡分組后發(fā)現(xiàn),≥50歲組的肌肉量各指標(biāo)與骨密度存在較顯著的關(guān)聯(lián)(P0.05),而50歲組的體成分與骨密度不存在關(guān)聯(lián)性(P0.05)。(4)多重逐步回歸分析發(fā)現(xiàn)只有絕經(jīng)狀態(tài)、軀干肌肉量和內(nèi)臟脂肪量與骨密度相關(guān),而軀干肌肉量對(duì)骨密度影響最大。結(jié)論仫佬族絕經(jīng)后女性的骨質(zhì)疏松癥發(fā)生率顯著高于絕經(jīng)前女性;控制年齡和絕經(jīng)因素后,只有軀干肌肉量與骨密度較顯著相關(guān),結(jié)果可為骨質(zhì)疏松癥的預(yù)防和診斷提供理論依據(jù)。
[Abstract]:Objective to study the correlation between body composition and bone mineral density (BMD) in premenopausal and postmenopausal women of Mulao nationality, and to explore the effect of changes of body composition on BMD. Methods 200 adult women of Mulao nationality in Guangxi were randomly selected and their three generations were all of Mulao nationality. TANITA-MC180 body composition analyzer was used to measure the muscle mass, fat content and other body composition indexes, and the bone hardness index of the right calcaneus was measured by SONOT3000 ultrasound bone mineral density instrument. Results 1) the body weight, fat free body weight, muscle volume of premenopausal women were measured by SONOT3000 ultrasound absorptiometry. The subcutaneous fat volume, trunk fat volume, limb muscle volume, presumed bone mass, bone hardness index and T value were significantly higher than those of postmenopausal women (P 0.01), while the visceral fat area of premenopausal women was significantly higher than that of postmenopausal women. The prevalence of osteoporosis in premenopausal women and postmenopausal women was significantly lower than that in postmenopausal women (6% and 45, respectively, P < 0.01). There was a significant positive correlation between limb muscle volume and trunk muscle volume and bone mineral density (P 0.01 or P 0.05), but there was no correlation between body composition and bone mineral density (BMD) after control of age and menopausal status. There was a significant correlation between muscle mass and BMD in 鈮，

本文編號(hào)：1515682