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首页> 外文期刊>Gynecological endocrinology: the official journal of the International Society of Gynecological Endocrinology >Social and behavior factors related to aged Chinese women with osteoporosis.
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Social and behavior factors related to aged Chinese women with osteoporosis.

机译：与中国老年骨质疏松妇女相关的社会和行为因素。

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BACKGROUND: Women aged >or=65 years are screened routinely for osteoporosis in the developed world and identifying risk factors for osteoporosis should be highlighted in developing countries such as the People's Republic of China. In the present study, possible factors related to the occurrence of primary osteoporosis in aged Chinese women were explored. METHODS: On appointed attendance at a menopausal outpatient clinic, generally healthy Chinese women aged >or=65 years were requested to complete a self-administered questionnaire. Bone mineral density at the left femur region was assessed using dual-energy X-ray absorptiometry, by which subjects were categorized as osteoporotic (group A), osteopenic (group B) or normal (group C). If a prevalent spinal fracture was affirmed, patients in group B were reclassified into group A. Non-conditional logistic regression analysis was applied to the calculate odds ratio (OR) of being in group A against the other two groups in terms of social and behavior factors (including education, past occupation, work quality, marriage status, income, self-rated health status, amount of daily physical activity, cigarette smoking, time watching television, and consumption of milk, soy products and tea). RESULTS: Three hundred and twenty-four participants were eligible (77 in group A, 137 in group B, 110 in group C). There were significant differences in age, height, weight, menopausal age and years since menopause among groups. Compared with subjects with amount of daily physical activity <0.5 h in group A, the OR for women in group C was 0.357 (95% confidence interval (CI) 0.144-0.889) for 0.5-1 h, 0.314 (95% CI 0.126-0.780) for 1-2 h and 0.278 (95% CI 0.080-0.968) for >2 h of daily physical activity. When adjusted for age and weight, however, the difference was not significant. Other factors did not reach statistical significance. CONCLUSION: The development of osteoporosis in aged women was affected by both menopause and aging. The known related factors could help to identify susceptible subjects in aged Chinese women for either further assessment or treatment.
机译：背景：在发达国家，对年龄≥65岁的女性进行例行的骨质疏松症常规筛查，在诸如中国这样的发展中国家中，应着重确定骨质疏松症的危险因素。在本研究中，探索了与中国老年女性原发性骨质疏松症发生有关的可能因素。方法：在更年期门诊就诊时，一般要求年龄在65岁以上或65岁以上的健康中国女性填写一份自填问卷。使用双能X线骨密度仪评估左股骨区域的骨矿物质密度，按受试者的分类将其分为骨质疏松症（A组），骨质疏松症（B组）或正常（C组）。如果确定存在普遍的脊柱骨折，则将B组的患者重新分类为A组。应用非条件Logistic回归分析来计算A组与其他两组在社交和行为方面的优势比（OR）影响因素（包括教育程度，过去的职业，工作质量，婚姻状况，收入，自我评估的健康状况，日常体育活动量，吸烟，看电视的时间以及牛奶，豆制品和茶的消费）。结果：344名参与者符合条件（A组为77名，B组为137名，C组为110名）。各组之间的年龄，身高，体重，绝经年龄和绝经后的年数存在显着差异。与A组的日常体育活动<0.5 h的受试者相比，C组的妇女在0.5-1 h内的OR为0.357（95％置信区间（CI）0.144-0.889），在0.3-1小时内为0.314（95％CI 0.126-每天进行1-2小时的健身操时为0.780），每天进行2小时以上的健身活动为0.278（95％CI 0.080-0.968）。但是，如果根据年龄和体重进行调整，则差异并不明显。其他因素未达到统计学意义。结论：老年妇女骨质疏松的发展受绝经和衰老的影响。已知的相关因素可以帮助识别中国老年妇女中的易感人群，以便进一步评估或治疗。

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