广西少数民族成年女性骨密度的差异及年龄变化特点

doi:10.16098/j.issn.0529-1356.2018.05.021

摘要/Abstract

摘要：

目的探讨广西毛南族、仫佬族、瑶族和苗族成年女性骨密度和骨质疏松症患病率（POP）的差异及年龄变化规律。方法随机抽取广西毛南族、仫佬族、瑶族、苗族成年女性860例，通过定量超声骨密度仪测定其右侧跟骨的骨密度。结果毛南族、仫佬族和苗族女性间的骨质指数(BQI)、T 值和POP差异无统计学意义，而瑶族女性与以上3个民族女性间的差异显著(P<0.05)；随年龄增长，瑶族和毛南族的骨密度在35～45岁年龄段达到峰值后急剧下降，仫佬族和苗族在45岁之前，骨密度变化趋势平缓，在45岁后急剧下降；在45～55岁年龄段，瑶族女性的BQI和T值显著大于毛南族、仫佬族和苗族女性(P<0.05)；在45～55岁年龄段，瑶族女性的POP显著低于毛南族、仫佬族和苗族女性，而其他3个民族女性间的POP差异无统计学意义。结论广西成年女性的骨密度和骨质疏松症患病率各民族间的差异存在显著的统计学意义，瑶族女性的骨质状况较好。

关键词: 少数民族, 骨密度, 骨质疏松症患病率, 年龄变化, 测量, 女性

Abstract:

Objective To explore the differences of bone mineral density as well as prevalence of osteoporosis(POP) and their changes with age in Maonan, Mulam, Yao and Hmong females adults in Guangxi. Methods Totally 860 female volunteers from Maonan, Mulam, Yao and Hmong in Guangxi province were enrolled in this study, and bone mineral density was measured via quantitative ultrasonic bone densitometer on right calcaneus of participants. Results Obvious statistic differences of bone quality index(BQI), T-score and POP were not noticed among Maonan, Mulam and Hmong women but were found between Yao and the other three ethnicities (P<0.05). With aging, value of bone mineral density decreases markedly from its peak in age 35-45 group in Yao and Maonan. And value of bone mineral density in Mulam and Hmong keeps steady prior to age 45 years while declines sharply after age 45 years. And in age 45-55 group, BQI and T-scoreof Yao females were significantly higher than that of Maonan, Mulam and Hmong females (P<0.05). Furthermore, in age 45-55 group, the POP of Yao women was pronouncedly lower than that of Maonan, Mulam and Hmong women but no differences revealed among Maonan, Mulam and Hmong women. Conclusion The differences of bone mineral density and POP were noticed remarkably in different ethnic women in Guangxi, and Yao women showed the best bone quality among four minorities.

Key words: Minority, Bone mineral density, Prevalence of osteoporosis, Change with age, Measurement, Female

陈兴才李炎玉洪荣龚健古周丽宁龚继春徐林邓琼英. 广西少数民族成年女性骨密度的差异及年龄变化特点[J]. 解剖学报, 2018, 49(5): 683-687.

CHEN Xing-cai LI Yan YU Hong-rong GONG Jian-gu ZHOU Li-ningGONG Ji-chun XU Lin DENG Qiong-ying. Differences of bone mineral density and change with age among female adults of minorities in Guangxi[J]. Acta Anatomica Sinica, 2018, 49(5): 683-687.

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