Abstract:Objective To explore the interactive effect of sex and high protein intake on fracture in Haikou youth population, and to provide a reference basis for prevention and treatment of fracture. Methods We selected 1,816 young and middle-aged adults at the age of 18-50 years in Haikou City to serve as the subjects of a questionnaire survey, and collected the general demographic characteristics, dietary frequency and previous fracture information. SPSS21.0 software was used to perform χ2 test and non-conditional logistic regression analysis of the impact of gender, high protein intake and their interaction effect on the fracture risk. Results There were 224 self-reported fracture subjects in the 1,816 respondents, with an incidence rate of 12.33%. The incidence rate of fracture in males and females was 17.15% (n=137) and 8.55% (n=87) respectively. The incidence rate of fracture in subjects with highprotein intakeper daywas 9.88% (n=81), and that in subjectswith lowprotein intakeper daywas 14.36% (n=143), showing a statistically significant difference (P<0.05). The results of multivariate logistic regression analysis revealed that after adjusting forfactors such asage, education background, economic situation, body mass index and diet, males (OR=2.233, 95%CI:1.674-2.980) and non-daily protein intake (OR=1.560, 95%CI:1.162-2.096) could increase the fracture risk in the young and middle-aged (P<0.05). Interaction effect analysis showed that there was a multiplication interaction effect between gender and daily protein intake on the fracture risk of the young and middle-aged (OR=2.412, 95%CI:1.794-3.242), but no additive effect was found. Conclusion This study finds that males and non-daily protein intake are risk factors for fracture in the young and middle-aged; moreover, sex and daily protein intake have a multiplicative interaction with the fracture risk in the young and middle-aged.
李洁洁, 陈育婵, 张云霄, 周静, 曹文婷. 海口青壮年人群性别及高蛋白摄入对骨折的交互作用[J]. 实用预防医学, 2023, 30(7): 806-809.
LI Jiejie, CHEN Yuchan, ZHANG Yunxiao, ZHOU Jing, CAO Wenting. Interaction effect of sex and high protein intake on fracture among young and middle-aged people in Haikou. , 2023, 30(7): 806-809.
[1] Ömeroğlu H. Basic principles of fracture treatment in children[J]. Eklem Hastalik Cerrahisi, 2018,29(1):52-57.
[2] Johnell O,Kanis J. Epidemiology of osteoporotic fractures[J]. Osteoporos Int, 2005,16(Suppl 2): S3-S7.
[3] 谢辉, 吴丽霞, 唐璐, 等. 儿童意外骨折损伤的相关并发症及其危险因素分析[J]. 实用预防医学, 2014,21(4):469-470.
[4] 张改, 陈玉梅, 李淑芳, 等.5 117例股骨颈骨折患者流行病学调查分析[J]. 天津护理, 2021,29(5):505-508.
[5] Wang Z, Tian S, Zhao K, et al. Neutrophil to lymphocyte ratio and fracture severity in young and middle-aged patients with tibial plateau fractures[J]. Int Orthop, 2020,44(12):2769-2777.
[6] 解丹丹, 盛志峰. 蛋白质营养与骨骼健康[J]. 中华骨质疏松和骨矿盐疾病杂志, 2021,14(4):425-433.
[7] Martíartínez-Ramamírez MJ, Delgado-Martínez AD, Ruiz-Balln M, et al. Protein intake and fracture risk in elderly people: a case-control study[J]. Clin Nutri, 2012,31(3):391-395.
[8] Wang Y, Wactawski-Wende J, Sucheston-Campbell LE, et al. Gene-hormone therapy interaction and fracture risk in postmenopausal women[J]. J Clin Endocrinol Metab, 2017,102(6):1908-1916.
[9] Kanis JA, Johansson H, Oden A, et al. A meta-analysis of the effect of strontium ranelate on the risk of vertebral and non-vertebral fracture in postmenopausal osteoporosis and the interaction with FRAX®[J]. Osteoporos Int, 2011,22(8):2347-2355.
[10] 张幸, 陈锐, 祝鑫. 海军陆战队军事训练致下肢应力性骨折发生率风险因素分析[J]. 解放军预防医学杂志, 2020,38(10):23-25.
[11] 叶夕霞, 朱之心, 陈明明, 等. 儿童与青少年血清维生素D水平与骨折风险相关性研究的meta分析[J]. 中国儿童保健杂志,2022,30(9):75-80.
[12] 邱宏, 余德新, 王晓蓉, 等. logistic回归模型中交互作用的分析及评价[J]. 中华流行病学杂志, 2008,29(9):934-937.
[13] Andersson T,Alfredsson L,KÄllberg H,et al. Calculating measures of biological interaction[J]. Eur J Epidemiol, 2005,20(7):575-579.
[14] 刘泽民, 吕欣, 刘晋元, 等. 髋部骨折2 342例流行病学分布特点的单中心分析[J]. 中国组织工程研究, 2020,24(32):5085-5091.
[15] 吕红芝, 王博, 郭家良, 等. 胫骨pilon骨折患者的流行病学特征分布研究[J]. 中华创伤骨科杂志, 2021,23(7):602-607.
[16] Albright JA, Rebello E, Kosinski LR, et al. Characterization of the epidemiology and risk factors for hand fractures in patients aged 1 to 19 presenting to United States emergency departments: a retrospective study of 21,031 cases[J]. J Pediatr Orthop, 2022,42(6):335-340.
[17] Dong Y, Peng R, Kang H, et al. Global incidence, prevalence, and disability of vertebral fractures: a systematic analysis of the Global Burden of Disease Study 2019[J]. Spine J, 2022,22(5):857-868.
[18] Weaver AA, Tooze JA, Cauley JA, et al. Effect of dietary protein intake on bone mineral density and fracture incidence in older adults in the health, aging, and body composition study[J]. J Gerontol A Biol Sci Med Sci, 2021,76(12):2213-2222.
[19] Langsetmo L, Shikany JM, Cawthon PM, et al. The association between protein intake by source and osteoporotic fracture in older men: a prospective cohort study[J]. J Bone Miner Res, 2017,32(3):592-600.
[20] Liu ZM, Huang Q, Li SY, et al. A 1:1 matched case-control study on dietary protein intakes and hip fracture risk in Chinese elderly men and women[J]. Osteoporos Int, 2021,32(11):2205-2216.
[21] Bonjour JP. The dietary protein, IGF-I, skeletal health axis[J]. Horm Mol Biol Clin Investig, 2016,28(1):39-53.
[22] Lv C,Liu S,Xia J,et al. The mechanism of dietary protein modulation of bone metabolism via alterations in members of the GH/IGF axis[J]. Curr Protein Pept Sci, 2019,20(2):115-124.