Abstract Objective To analyze the prevalence and related influencing factors of osteopenia in the community elderly in Bengbu City. Methods A total of 1076 elderly people who underwent physical examinations in Dongfeng and Yan’an communities in Bengbu City from February 2019 to February 2021 were selected as the research subjects, the general information of the patients was collected, and relevant physical examinations were carried out. According to the T-value of calcaneal bone mineral density measured by ultrasound absorptiometry, the subjects were divided into three groups: 474 people with normal bone mass, 515 cases with osteopenia, and 87 cases with osteoporosis. Logistic regression was used to analyze the influencing factors of osteopenia in the elderly in the community. Results There were 515 elderly people with osteopenia in the community, including 194 males and 321 females, aged (69.58±6.01) years old. The detection rate of osteopenia was 47.86%. Univariate analysis showed that gender, age, smoking, physical activity, cardiovascular disease, diabetes, body weight, body water, inorganic salt, muscle mass, ankle-brachial index, diastolic blood pressure, and growth index were significantly different (P ＜ 0.05). Logistic regression analysis showed that gender (OR = 2.300), body weight (OR = 0.976), ankle-brachial index (OR = 0.255), inorganic salts (OR = 1.117), cardiovascular disease (OR = 1.448), diabetes (OR = 0.722) and physical activity (OR = 0.824) were the main influencing factors for osteopenia (P ＜ 0.05). Conclusion Elderly people in the community should pay attention to their chronic diseases, avoid low body weight, increase physical activity, and prevent and delay the occurrence of osteopenia.
ZHANG Ruixin XIE Hui CAI Weiwei LI Yanling LI Qiyu. Analysis of the prevalence and influencing factors of osteopenia among the elderly in the community#br#[J]. 中国医药导报, 2022, 19(6): 52-55,84.
[1] 施麟俊，方荣华.社区老年慢性病人群“互联网+全科团队”健康管理服务的困境及应对策略[J].护士进修杂志，2021，36（14）：1272-1275.
[2] R?覬nn SH，Harsl?覬f T，Oei L，et al. The effect of vitamin MK-7 on bone mineral density and microarchitecture in postmenopausal women with osteopenia，a 3-year randomized，placebo-controlled clinical trial [J]. Osteoporos Int，2021，32（1）：185-191.
[3] Johnston CB，Dagar M. Osteoporosis in Older Adults [J]. Med Clin North Am，2020，104（5）：873-884.
[4] 沈自雄，傅松波，汤旭磊，等.兰州市1498名居民骨密度调查结果分析[J].中国地方病防治杂志，2019，34（5）：517-520.
[5] 程晓光，卢艳慧.男性骨质疏松：一个长期被忽视的问题[J].山东大学学报：医学版，2021，59（6）：5-9.
[6] Harding AT，Weeks BK，Lambert C，et al. A Comparison of Bone-Targeted Exercise Strategies to Reduce Fracture Risk in Middle-Aged and Older Men with Osteopenia and Osteoporosis：LIFTMOR-M Semi-Randomized Controlled Trial [J]. J Bone Miner Res，2020，35（8）：1404-1414.
[7] Yu PA，Hsu WH，Hsu WB，et al. The effects of high impact exercise intervention on bone mineral density，physical fitness，and quality of life in postmenopausal women with osteopenia：A retrospective cohort study [J]. Medicine （Baltimore），2019，98（11）：e14898.
[8] Macgregor CB，Meerkin JD，Alley SJ，et al. Osteoporosis and low bone mineral density （osteopenia） in rural and remote Queensland [J]. Aust J Rural Health，2018，26（5）：369-374.
[9] Passos-Soares JS，Vianna MIP，Gomes-Filho IS，et al. Association between osteoporosis treatment and severe periodontitis in postmenopausal women [J]. Menopause，2017， 24（7）：789-795.
[10] 夏梦嘉，顾巧萍，赵晓燕.绝经后女性骨密度调查及骨质疏松危险因素分析[J].中国妇幼保健，2021，36（10）：2331-2333.
[11] 周必强，刘靖，滕国召，等.深圳市健康体检人群骨密度影响因素分析[J].深圳中西医结合杂志，2021，31（7）：9-11.
[12] 苏晓燕，郑伟平，李爱婷，等.高踝臂指数与腹膜透析患者心血管事件的相关分析[J].中国血液净化，2018，17（5）：304-307.
[13] 韩栋，卢晓栋.骨质疏松症相关危险因素分析[J].继续医学教育，2019，33（6）：73-75.
[14] Qu Z，Yang F，Hong J，et al. Parathyroid Hormone and Bone Mineral Density：A Mendelian Randomization Study [J]. J Clin Endocrinol Metab，2020，105（11）：dgaa579.
[15] 丁霏，陈彦丽，廖静，等.甲状旁腺素、25-羟维生素D及血清钙磷与原发性骨质疏松症的相关性分析[J].国际检验医学杂志，2020，41（6）：648-651.
[16] 李丽，陈琳，潘凌，等.合并不同疾病的男性骨量异常患者骨代谢、骨密度及骨折情况研究[J].中国骨质疏松杂志，2021，27（2）：238-243.
[17] 孙晓明，邹祖琴，曹永蓓.南京市鼓楼区中老年女性人群骨密度现状及影响因素研究[J].华南预防医学，2021， 47（5）：583-587.
[18] 高开茜，雷建华，徐春鹏，等.老年女性冠心病人群骨质疏松的患病率及相关因素分析[J].中国骨质疏松杂志，2021，27（2）：252-256.
[19] Li KH，Liu YT，Yang YW，et al. A positive correlation between blood glucose level and bone mineral density in Taiwan [J]. Arch Osteoporos，2018，13（1）：78.
[20] 刘宇，刘敏，沈冲，等.江苏省句容市农村地区60岁以上老年人骨质疏松流行情况及影响因素研究[J].实用老年医学，2020，34（6）：580-584.
[21] 宗欣，石秀娟，徐艳艳，等.青岛市城阳区老年体检者骨质疏松症流行情况及相关因素调查[J].应用预防医学，2020，26（3）：227-229，231.
[22] Min C，Yoo DM，Wee JH，et al. High-Intensity Physical Activity with High Serum Vitamin D Levels is Associated with a Low Prevalence of Osteopenia and Osteoporosis：A Population-Based Study [J]. Osteoporos Int，2021， 32（5）：883-891.
[23] Alkahtani S，Aljaloud K，Yakout S，et al. Interactions between Sedentary and Physical Activity Patterns， Lean Mass， and Bone Density in Arab Men [J]. Dis Markers，2019：1-6.
[24] Jain RK，Vokes T. Physical activity as measured by accelerometer in NHANES 2005-2006 is associated with better bone density and trabecular bone score in older adults [J]. Arch Osteoporos，2019，14（1）：29.
[25] Pinheiro MB，Oliveira J，Bauman A，et al. Evidence on physical activity and osteoporosis prevention for people aged 65+ years：a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour [J]. Int J Behav Nutr Phys Act，2020，17（1）：150.
[26] Kemmler W，Kohl M，Jakob F，et al. Effects of High Intensity DynamicResistance Exercise and Whey Protein Supplements on Osteosarcopenia in Older Men with Low Bone and Muscle Mass. Final Results of the Randomized Controlled FrOST Study [J]. Nutrients，20205，12（8）：2341.
[27] Ng CA，McMillan LB，Humbert L，et al. Feasibility，safety and effectiveness of a pilot 16-week home-based， impact exercise intervention in postmenopausal women with low bone mineral density [J]. Osteoporos Int，2021，32（5）：893-905.
