烏魯木齊天山區(qū)748例維吾爾族居民跟骨骨密度測(cè)定及相關(guān)因素探討
本文選題:骨質(zhì)疏松 + 跟骨骨密度; 參考:《新疆醫(yī)科大學(xué)》2017年碩士論文
【摘要】:目的:了解烏魯木齊天山區(qū)維吾爾族居民骨密度情況及其影響因素,為本社區(qū)骨質(zhì)疏松的預(yù)防和干預(yù)提供基本信息和依據(jù)。方法:測(cè)量烏魯木齊天山區(qū)773例18~82歲維吾爾族居民跟骨骨密度。比較不同性別各年齡段骨質(zhì)疏松發(fā)病率,同時(shí),檢測(cè)內(nèi)臟脂肪面積、體脂百分比、腰臀比、肌肉重量,計(jì)算肌肉率,并進(jìn)行問(wèn)卷調(diào)查,檢測(cè)空腹血糖、餐后2小時(shí)血糖、甘油三脂(TG)、高密度脂蛋白膽固醇(HDL-C)、低密度脂蛋白膽固醇(LDL-C)、總膽固醇(TC);計(jì)算其體質(zhì)量指數(shù)(BMI)、腰臀比;分析骨密度與各個(gè)測(cè)量指標(biāo)的相關(guān)性。結(jié)果:隨著年齡的增加,男、女骨質(zhì)疏松發(fā)病率均增加,在50歲左右女性骨質(zhì)疏松發(fā)病率增加較明顯,相同年齡段女性O(shè)P發(fā)病率高于男性,但差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05);貧w分析顯示,男性增齡、內(nèi)臟脂肪面積的增加為骨質(zhì)疏松可能的危險(xiǎn)因素,BMI的增大為其可能的保護(hù)因素;女性絕經(jīng)、增齡、腰臀比的增加為骨質(zhì)疏松可能的危險(xiǎn)因素,BMI增加、肌肉率的增大為其可能的保護(hù)因素。結(jié)論:烏魯木齊天山區(qū)維吾爾族居民,男性保持一定的BMI的同時(shí)應(yīng)低脂飲食、適當(dāng)運(yùn)動(dòng),減少內(nèi)臟脂肪面積以預(yù)防骨質(zhì)異常的發(fā)生、發(fā)展。女性應(yīng)盡可能避免人工絕經(jīng)、腹型肥胖,增強(qiáng)運(yùn)動(dòng)增加肌肉量,減低腹部脂肪量有助于預(yù)防骨質(zhì)疏松的發(fā)生、發(fā)展,從而預(yù)防骨質(zhì)疏松及骨質(zhì)疏松性骨折的發(fā)生。
[Abstract]:Objective: to investigate the bone mineral density (BMD) of Uygur people in Tianshan area of Urumqi, and to provide basic information and basis for prevention and intervention of osteoporosis in our community. Methods: calcaneal bone mineral density (BMD) was measured in 773 cases of 1882 years old Uygur nationality in Tianshan District of Urumqi. The incidence of osteoporosis in different age groups was compared. At the same time, the area of visceral fat, percentage of body fat, waist-to-hip ratio, muscle weight, muscle rate were measured, and fasting blood glucose (FBG) and postprandial blood glucose (2 hours postprandial blood glucose) were measured by questionnaire. The body mass index (BMI) and waist hip ratio (WHR) were calculated, and the correlation between bone mineral density (BMD) and various measurement indexes was analyzed. Results: with the increase of age, the incidence of osteoporosis increased in both males and females. The incidence of osteoporosis in females at the age of 50 was higher than that in males, but the difference was not statistically significant (P 0.05). Regression analysis showed that the increase of visceral fat area was the possible risk factor of osteoporosis and the increase of BMI was the possible protective factor for osteoporosis, and the increase of menopausal age and waist-to-hip ratio was the possible risk factor of osteoporosis. The increase of muscle rate is the possible protective factor. Conclusion: Uygur residents in Tianshan District of Urumqi, male should maintain certain BMI at the same time low fat diet, proper exercise, reduce the area of visceral fat to prevent the occurrence and development of bone abnormality. As far as possible, women should avoid artificial menopause, abdominal obesity, enhance exercise, increase muscle mass, reduce abdominal fat, and prevent the occurrence and development of osteoporosis, thus preventing osteoporosis and osteoporotic fracture.
【學(xué)位授予單位】:新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2017
【分類號(hào)】:R580
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