Abstract：Objective To analyze the occurrence, development and variation of osteoporosis and its key influencing factors among the community elderly through following-up the monitoring Results of bone mineral density of the elderly aged 65 years and above in a community in Shanghai Municipality from 2015 to 2016, and to provide references for prevention, control and management of osteoporosis among the community elderly. Methods A questionnaire survey (including general situation and lifestyle) and bone mineral density test were conducted among 4,624 elders who participated in the community health examination on two successive years (during the years of 2015-2016) in a community in Shanghai Municipality. SPSS 23.0 software was used for statistical data analysis. Paired-samples t-test was used for analyzing the changing differences in the T value of bone mineral densityof the elderly on two successive years. Symbols Wilcoxon rank test was used for analyzing the changing differences in the grades of osteoporosis of the elderly on two successive years. Generalized estimating equation was established to analyze the effects of general situation and lifestyle on osteoporosis of the elderly. Results The effective data about 4,227 cases were collected during this study,with the effective rate being 91.41%. Among the 4,227 elders, males and females accounted for 43.46% (1,837/4,227) and 56.55% (2,390/4,227) respectively. The T-value of bone mineral density in the community elderly during 2015-2016 reduced 0.03, while the proportion of osteoporosis increased 0.97%. Further analysis showed that the T-value of bone mineral density in the female elderly was significantly declined ((-2.18±1.11) vs. (-2.24±1.11)), while the changes in the grading of osteoporosis were significantly increased (39.12% vs. 41.17%), both showing statistically signficant differences (paired-t=6.699, P<0.001; paired-Z=3.04, P=0.002). No statistically signficant differences were found in the changes in the T-value of bone mineral density (paired-t=-1.212, P=0.226) and the grading of osteoporosis (paired-Z=-0.663, P=0.507) among the male elderly. 6.91% (292/4,227) of the community elderly suffered from aggravating osteoporosis, of which the females and males accounted for 7.74% (185/2,390) and 5.82% (107/1,837) respectively. The Results of generalized estimating equation analysis based on different genders showed that the risk factors for osteoporosis in the elderly were advanced age (females: OR=1.078, 95%CI:1.063-1.094, P<0.001; males: OR=1.023, 95%CI:1.006-1.040, P=0.006) and big waist circumference (females: OR=1.017, 95%CI:1.003-1.031, P=0.016; males: OR=1.023, 95%CI:1.003-1.043, P=0.026).The protective factors for osteoporosiswere smoking cessation (compared with smoking, OR=0.195, 95%CI:0.043-0.880, P=0.033), tall height (OR=0.978, 95%CI: 0963-0.993, P=0.005) and heavy body weight (OR=0.971, 95%CI:0.956-0.987, P<0.001) in the females, andnever smoking (compared with smoking, OR=0.815, 95%CI:0.668-0.993, P=0.042) and heavy body weight (OR=0.969, 95%CI:0.951-0.988, P=0.001) in the males. Conclusions On the whole, there was a small increase in the proportion of osteoporosis among the community elderly in Shanghai Municipality from 2015 to 2016, and it mainly reflected in the female elderly. It is worth noting that nearly 8% of the female elderly suffer from aggravating osteoporosis. Age, weight, waist circumference and smoking play the important roles in the occurrence and development of osteoporosis. Therefore, special attention should be paid to the female elderly during the process of osteoporosis prevention and treatment; meanwhile, targeted health education should be conducted among smokers and obese elders so as to effectively prevent and cure osteoporosis.
宋徽江, 封蕾, 瞿红国, 杨丽萍. 2015-2016年上海市某社区老年人骨质疏松追踪调查[J]. 实用预防医学, 2018, 25(2): 147-151.
SONG Hui-jiang, FENG Lei, QU Hong-guo, YANG Li-ping. Follow-up of osteoporosis among the elderly in a community in Shanghai Municipality, 2015-2016. , 2018, 25(2): 147-151.
2018, Vol. 25 
