| Objective: To study the basic status of bone mineral density and the prevalence of osteoporosis and osteopenia in southeast guizhou;to analyze the factors of bone loss and osteoporosis in the dong population,provide the prevention and treatment of bone abnormalities.Methods: in July 2018-March 2019 multistage sampling method was used in the permanent residential extract and dong people in guizhou,5792 as the research object,electronic questionnaires to collect research situation of history of diseases,and eating habits of life information,using nanjing industrial co.,LTD.Offers QSTEOKJ3 OOO type ultrasonic bone mineral density instrument detection of calcaneal bone strength and bone mineral density measure the bone mineral density T value,and the T value in accordance with the standards of the WHO will be the results of the bone mineral density can be divided into: bone mass normal: T value > 1 sd;Bone mass loss :-2.5SD Osteoporosis: T value≤-2.5SD.body weight was measured by ome-type electronic scale,and body height was measured by height meter.Then,BMI of survey subjects was calculated according to the measured height and weight,The data were input into the special database of the project team by double pairs.SPSS22.0 software was used for data analysis.The statistical description of measurement data was conducted by means of mean±standard deviation.The Z test is used for comparison between two groups and multiple groups;the count data(percentage)is used for statistical description,and the rank sum test is used for comparison between groups Multivariate logistic regression analysis was carried out.Results: 5322 people were enrolled,and the detection rate of bone mass loss in the dong population in southeast guizhou was33.84%,with males(45.67%)higher than females(27.75%).The detection rate of osteoporosis was 2.76%,with males(5.80%)higher than females(1.20%).The T value of BMD in male and female reached the peak value in 40-49,and thendecreased with age.After the bone mineral density decreased significantly in women,while it decreased steadily in men.The bone mineral density decreased significantly in women from 50 years old to 70.43% after 70 years old.Bone mass loss in men was stable with age.The detection rate of bone quality in different BMI groups of the general population and women is different,and the difference is statistically significant(p <0.05).The detection rate of bones in the general population is different in different education levels,living habits,occupation residents,history of hypertension and diabetes,and the differences are statistically significant(P<0.05).The detection rate of different types of men and whether they drink milk products is different(P<0.05);whether women have tea drinking,exercise habits,different cultural levels,occupation types,economic levels and marital status,menopausal status,age of menopause,The detection rate of menopausal years,whether or not suffering from hypertension is different(P<0.05);there is no statistically significant difference in the detection rate of other living habits and general characteristics of bone quality(P> 0.05).Logistic regression analysis showed that bone loss was more easily detected in older age(OR=1.063,95%Cl:1.055-1.07),males(OR=2.236,95%Cl:1.844-2.71),and junior middle school education(OR=1.462,95%Cl: 1.22-1.75).The risk of bone loss from retirement(OR=0.65,95%Cl: 0.484-0.872),manual labor(OR=0.742,95%Cl:0.628-0.877),overweight(OR=0.77,95%Cl: 0.669-0.885)and annual economic income below 12,000(OR=0.046,95%Cl: 0.649-0.996)was lower,Osteoporosis was more easily detected in older age(OR=1.073,95%Cl:1.051-1.096),males(OR=8.125,95%Cl:4.948-13.341),underweight(OR=2.993,95%Cl: 1.589-5.639),and obesity(OR=3.604,95%Cl: 2.139-6.071).The risk of osteoporosis was lower in married people(OR=0.148,95%Cl: 0.038-0.577)than in unmarried people.In men,the risk of osteopenia was lower in the elderly(OR =1.010,95% Cl: 1.000-1.020),the physical workers(OR=0.640,95%Cl:0.461-0.890)and the married(OR=0.176,95% Cl: 0.045-0.695),the elderly(OR=1.047,95% Cl: 1.024-1.069)and the government institutions(OR=3.246,95% Cl:1.028-10.247),The risk of osteoporosis in married population(OR= 0.176,95% Cl:0.045-0.695)was lower than that in unmarried population,Among females,theywere older(OR=1.084,95%Cl:1.070-1.098),underweight,junior middle school(OR=1.720,95%Cl : 1.305-2.267),high school education(OR=1.667,95%Cl:1.106-2.513),and menopause(OR=1.563,95%Cl:1.179-2.073)were more likely to detect bone mass loss.Overweight(OR=0.684,95%Cl:0.567-0.824),professional technicians(OR=0.490,95%Cl: 0.258-0.623),retired workers(OR=0.594,95%Cl:0.401-0.929)and manual workers(OR=1.779,95%Cl: 0.636-0.953)had a lower risk of bone mass loss.Osteoporosis was more easily detected in older age(OR=1.122,95%Cl: 1.070-1.175),underweight(OR=5.103,95%Cl:2.115-12.310)and menopausal status(OR=1.293,95%Cl: 1.094-1.915).Manual workers(OR=0.416,95%Cl:0.206-0.842)had a lower risk of osteoporosis.Conclusion: 1.The decrease of bone mass and the low detection rate of osteoporosis in Qiandongnan area of Guizhou Province,men was higher than women.2.There are many factors affecting abnormal bone mass.It is easier to detect abnormal bone mass in elderly people,males,underweight and obese people.Retired and manual workers,overweight,earning less than 12,000 a year,and being married have a protective effect on bone density.Including professional for manual workers in both men and women who have a protective effect on bone mineral density,men married people check out the bone had a lower risk of abnormal,women are overweight,retired people,professional and technical personnel,check out the risk of bone loss is low,elderly men and women in the crowd detection of abnormal bone risks are high,professional career for the authority of the male crowd a high risk of osteoporosis,women more than low weight,high school and college or university culture,menopausal status detection bone unusually high risk.Therefore,it is important to strengthen health education and maintain healthy weight for the prevention and treatment of abnormal bone mass. |
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