Relationship Between Bone Mineral Density With Its Influence Factors And TCM Syndromes In Postmenopausal Women Of The Hui And The Han In Yinchuan Area

Objective This study collected the general information,diet,exercise,clinical symptoms and bone mineral density data etc.of the Hui and the Han postmenopausal women from Yinchuan area to explore the influence characteristics on bone mineral density of the various factors in the Hui and the Han,according to ethnic groups and diagnosis to make grouping comparison.Analyzed and compared TCM syndrome types of the different ethnic groups and bone mass level to provide the early basis for the research,the prevention,and the treatment of postmenopausal osteoporosis in Ningxia autonomous region.Methods According to the standards of inclusion and exclusion of people,collected the Hui and the Han postmenopausal women with a total of 240 who had bone mineral density testing in the physical examination center as well as the bone mineral density room of Ningxia Medical University General Hospital in October 2015 to January 2017,of which the Han who had normal bone mass are 60 persons,and 60 osteoporosis persons.The Hui who had normal bone mass are 60 persons,and 60 Hui osteoporosis persons.With MEDIX90X-ray dual-energy bone mineral density instrument measuring bone mineral density T value to make grouping diagnosis,the height and weight to be measured by SK-CK,the medical ultrasound machine.A graduate student to do the measurement of height,weight and investigate and register the research content,including the nation,habitual residence,past medical history,age,menopausal age,diet,outdoor exercise etc.By two doctors of traditional Chinese medicine(10 years clinical experience)to have TCM four diagnosis for the subjects,according to the clinical symptoms and the tongue condition to diagnose of syndromes of TCM,including kidney-Yang deficiency syndrome,liver and kidney Yin deficiency syndrome,spleen kidney Yang deficiency syndrome,blood stasis resistance winding peace of four types.Analyzed by SPSS 22.0 software,rate compared with ?2 test,measurement data using independent sample t test,one-way analysis of variance,with skewness and multiple factor related unconditioned logistic regression analysis to study the effect of content of BMD.Results1.FactorsThe age,age at menopause,postmenopausal years and BMD of the Han and Hui postmenopausal women had no statistical significance(P>0.05).Different diagnostic groups of age,menopause duration were statistically significant(P>0.05),the change trend of BMD with postmenopausal years,the BMD in postmenopausal women of the Hui and Han were significantly decreased after 51 years old.The decline of the Han was more obvious than the Hui.Different ethnic groups,different diagnostic groups outside event frequency had no statistical significance(?2=3.270,P>0.05).After classification comparison of week times,sport years to showed that BMD had nothing to do with the length of the campaign weeks(P>0.05),the Han postmenopausal women had 1 year to 5 years' exercise could raise the level of bone mineral density(P<0.05),but the Hui without this trend(P>0.05).Height,weight,BMI had no statistical significance between the Han and Hui(P>0.05),in different diagnostic groups had statistical significance(P<0.01),partial correlation analysis indicated that both overall height,weight,BMI and the variables of the Han and Hui ethnic groups were positively correlated with bone mineral density(P<0.01).Diagnosis of obesity according to the BMI,the Han and Hui obesity prevalence had no statistical significance(?2=3.107,P>0.05),there was more overweight in normal bone mass(slightly fat +obesity),the BMI level of the leaner people of the Hui higher than the Han.Overall,subjects mainly vegetarian,or had a balanced diet,while less non-vegetarianpeople,the diet types of different ethnic groups food had no statistical significance(?2 = 0.272,P>0.05),and the osteoporosis detection rate of different diet types also has no statistical significance(?2 =3.785,P>0.05).The performance between BMD and dietary patterns in the ethnic groups was: the Han: vegetarian > meat-eaters > a balanced diet,hui was: vegetarian >a balanced diet > meat-eaters.However,there were no statistical significance(P>0.05).Number of edible calcium supplements,Chinese wolfberry,sweet tea in different nationalities,different diagnosis group had no statistical significance(P>0.05).Sick or not,as the dependent variable,nationality,age,age at menopause,postmenopausal years,outdoor exercises,height,weight,diet type,whether the consumption of calcium,Chinese wolfberry,lycium barbarum,sweet tea to be used as independent variables for multivariate unconditional logistic regression analysis which showed that the postmenopausal years was a risk factor for osteoporosis,outdoor exercises and body weight were the protective factors for OP.2.Bone mineral density and TCM syndrome type2.1 In 240 subjects,TCM syndrome distribution characteristics showed as follows:kidney-Yang deficiency(52%)>spleen-kidney Yang-deficiency syndrome(22%)> liver-kidney Yin deficiency syndrome(16%)> blood stasis syndrome(10%).2.2 The syndromes of TCM for postmenopausal women of the Han and Hui had no statistical significance(?2=6.487,P=0.166>0.05),different levels of bone mass groups had no statistical significance(?2=3.666,P=0.453>0.05).2.3 In the Han and the overall data,the bone mineral density of the liver and kidney-Yin deficiency was higher than the Yang deficiency of spleen and kidney.Each syndrome type of bone mineral density of the Hui had no statistical significance(P<0.05).Conclusions1.In Yinchuan area,the bone mineral density of postmenopausal women of the Han was decreased obviously than the Hui,and the correlation of body weight,BMI and BMD washigher than that of the Hui.The postmenopausal years was a risk factor for osteoporosis in postmenopausal women in Yinchuan area,while outdoor exercise,weight were protection factors of the disease,and there was no difference between ethnic groups.2.There was no significant difference between diet and exercise of the postmenopausal women of the Hui and Han in Yinchuan region.The BMD of Han postmenopausal women could be influenced by sport years.3.Kidney-Yang deficiency was the main TCM syndrome manifestation of postmenopausal women in different ethnic groups and bone mass levels in Yinchuan.The liver and kidney Yin deficiency syndrome of bone mineral density of the Han was higher than other syndromes type.As the growth of the age of menopause,in addition to kidney-Yang deficiency,the types of other types of postmenopausal women in the Hui ethnic group were scattered,and the Han nationality was more concentrated.the syndromes types of the Hui and Han shows a different trend of performance.