云南红河地区哈尼族体质量、体质量指数与跟骨超声速度
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摘要
背景:国外学者报道人群骨量20%归于环境因素,80%归于遗传因素,骨密度的种族及民族差异是很明显的。目的:调查云南红河地区哈尼族跟骨定量超声测量,分析其与体质量及体质量指数之间关系。方法:采取随机整群抽样和调查者入户调查的方式对云南省红河地区哈尼族人群300名进行抽样调查,其中男109名,女性191名。现场访谈填写调查表并测量血压、身高、腰围、体质量等,同时均用Achilles Express跟骨定量超声测量仪测量被调查者的右侧跟骨超声速度,并进行相关性分析。结果与结论:被调查的人群体质量平均为(46.39±8.44)kg,体质量指数平均为(21.07±3.21)kg/m2,右跟骨定量超声传导速度值为(1512.38±36.77)m/s。相关分析显示,右跟骨定量传导速度值与跟骨密度T值相关性高,可以预测跟骨骨密度。跟骨定量超声传导速度值除与年龄呈负相关,与体质量及体质量指数均呈正相关,并均有显著性意义。提示云南省红河地区哈尼族中老年人的跟骨骨密度与体质量及体质量指数有显著的相关关系。
BACKGROUND: Foreign scholars have reported 20% bone mass attributed to environmental factors, and 80% attributed to genetic factors. The racial and ethnic differences in bone mineral density are obvious. OBJECTIVE: To investigate calcaneal quantitative ultrasound measurements of the Hani population from the Red River region of Yunnan Province, and to analyze the correlation of calcaneal quantitativee n ultrasound measurements with body mass and body mass index. METHODS: A random cluster sampling survey and household survey were applied in 300 respondents of Hani nationality who lived in the Red River region, Yunnan Province, China. The respondents included 109 males and 191 females. The questionnaire was completed via on-site interviews, and blood pressure, height, waist circumference, and body mass of the respondents were measured. At the same time, the speeds of sound in the right calcaneus of the respondents were measured using the GE Achilles Express ultrasonometer. Correlation analysis was performed. RESULTS AND CONCLUSION: The average body weight was (46.39±8.44) kg, body mass index was (21.07±3.21) kg/m 2 , and the speed of sound was (1512.38±36.77) m/s. Correlation analysis showed that the speed of calcaneal quantitative ultrasound in the right calcaneus was highly correlated with bone mineral density T values, demonstrating that the speed of sound could predict bone density of the calcaneus. The speed of calcaneal quantitative ultrasound was negatively correlated with age, but positively correlated with body mass and body mass index. These findings indicate that the elderly of Hani nationality from the Red River region in Yunnan Province present a significant correlation of calcaneal bone density to body mass and body mass index.
BACKGROUND: Foreign scholars have reported 20% bone mass attributed to environmental factors, and 80% attributed to genetic factors. The racial and ethnic differences in bone mineral density are obvious. OBJECTIVE: To investigate calcaneal quantitative ultrasound measurements of the Hani population from the Red River region of Yunnan Province, and to analyze the correlation of calcaneal quantitativee n ultrasound measurements with body mass and body mass index. METHODS: A random cluster sampling survey and household survey were applied in 300 respondents of Hani nationality who lived in the Red River region, Yunnan Province, China. The respondents included 109 males and 191 females. The questionnaire was completed via on-site interviews, and blood pressure, height, waist circumference, and body mass of the respondents were measured. At the same time, the speeds of sound in the right calcaneus of the respondents were measured using the GE Achilles Express ultrasonometer. Correlation analysis was performed. RESULTS AND CONCLUSION: The average body weight was (46.39±8.44) kg, body mass index was (21.07±3.21) kg/m 2 , and the speed of sound was (1512.38±36.77) m/s. Correlation analysis showed that the speed of calcaneal quantitative ultrasound in the right calcaneus was highly correlated with bone mineral density T values, demonstrating that the speed of sound could predict bone density of the calcaneus. The speed of calcaneal quantitative ultrasound was negatively correlated with age, but positively correlated with body mass and body mass index. These findings indicate that the elderly of Hani nationality from the Red River region in Yunnan Province present a significant correlation of calcaneal bone density to body mass and body mass index.
引文
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[13]Ferrari SL.Osteoporosis:a complex disorder of aging with multiple genetic and environmental determinants.World Rev Nutr Diet.2005;95:35-51.
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[15]Adler RA.Osteoporosis in Men:What has Changed?.Curr Osteoporos Rep.2011;9(1):31-35
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[17]Rhee EJ,Oh KW,Lee WY,et al.Age,body mass index,current smoking history,and serum insulin-like growth factor-1level associated with bone mineral density in middle-aged korean men.J Bone miner Metab.2004;22(4):392-398.
[18]Jen KL,Buison A,Darga L,et al.The relationship between blood leptin level and bone density is specific to ethnicity and menopausal status.J Lab Clin Med.2005;146(1):18-24.
[19]Paniagua MA,Malphurs JE,Samos LF.BMI and low bone mass in an elderly male nursing home population.Clin Interv Aging.2006;1(3):283-287.
[20]Travison TG,Araujo AB,Esche GR,et al.Lean mass and not fat mass is associated with male proximal femur strength.J Bone Miner Res.2008;23(2):189-198.
[21]Zhou SJ,Huang XF,Pu HQ,et al.Zhongguo Guzhi Shusong Zazhi.2008,14(4):263-265.周善金,黄秀峰,浦洪琴,等.毛南族健康女性身高、体体、足长、体体指数与跟骨BUA的关系[J].中国骨质疏松杂志,2008,14(4):263-265.
[22]Adami S,Giannini S,Giorgino R,et al.Effect of age,weight and lifestyle factors on calcaneal quantitative ultrasound in premenopausal women;the ESOPO study.Calcif Tissue Int.2004;74(4):317-321.
[23]Huang CS,Huang HH,Pu HQ.Zhongguo Laonianxue Zazhi.2010;30(14):2045-2046.黄昌盛,黄何华,浦洪琴.年龄、体体、体体指数对广西京族中老年人骨密度的影响[J].中国老年学杂志,2010,30(14):2045-2046.
[24]Jorgensen NR;Schwarz P.Effects of Anti-osteoporosis Medications on Fracture Healing.Curr Osteoporos Rep.2011;9(3):149-155.
[25]Fu SF,Liu CX,Shen ZX,et al.Zhongguo Laonianxue Zazhi.2011;31(3):1068-1070.付松芳,刘翠鲜,沈志祥,等.运动与老年性骨质疏松[J].中国老年学杂志,2011,31(3):1068-1070.
[26]Derman O,Cinemre A,Kanbur N,et al.Effect of swimming on bone metabolism in adolescents.Turk J Pediatr.2008;50(2):149-154.
[27]Davey RA,Morris HA.Effects of dihydrotestrone on osteoblast gene expression in osteopenic ovariectomized rats.Endocr Res.2004;30(3):361-368.
[28]Schuhfried O,Mittermaier C,Jovanovic T,et al.Effects of whole-body vibration in patients with multiple sclerosis:a pilot study.Clin Rehabil.2005;19(8):834-842.
[29]Stewart JM,Karman C,Montgomery LD,et al.Plantar vibration improves leg fluid flow in perimenopausal women.Am J Physiol Regul Integr Comp Physiol.2005;288(3):R623-R629.
[30]Nordstrom A,Hogstrom M,Nordstrom P.Effects of different types of weight-bearing loading on bone mass and size in young males:a longitudinal study.Bone.2008;42(3):565-571.www.CRTER.org
[31]Menkes A,Mazel S,Redmond RA,et al.Strength training increases regional bone mineral density and bone remodeling in middle-aged and older men.J Appl Physiol.1993;74(5):2478-2484.
[32]Simkin A,Ayalon J,Leighter I.Increased trabecular bone density due to bone-loading exercises in postmenopausal osteoporotic women.Calcif Tissue Int.1987;40(2):59-63.
[33]Beverly MC,Rider TA,Evans MJ,et al.Local bone mineral response to brief exercise that stresses the skeleton.BMJ1989;299(6693):233-235.
[34]Dalsky GP,Stocke KS,Ehsoni AA,et al.Weight-bearing exercise training and lumbar bone mineral content in postmenopausal women.Ann Intern Med.1988;108(6):824-828.
[35]Witzke KA,Snow CM.Effects of plyometric jump training on bone mass in adolescent girls.Med Sci Sports Exerc.2000;32(6):1051-1057.
[36]Flieger J,Karachalios T,Khaldi L,et al.Mechanical stimulation in the form of vibration prevents postmenopausal bone loss in ovariectomized rats.Calcif Tissue Int.1998;63(6):510-514.
[37]Yang ZY,Di DH,Wang B.Zhongguo Laonianxue Zazhi.2011;31(1):109-110.杨震宇,狄东华,王波.紫外线照射与运动对去卵巢骨质疏松模型大鼠骨密度的影响[J].中国老年学杂志,2011,31(1):109-110.
[38]Wang YJ,Yang FM,Li R,et al.Zhongguo Laonianxue Zazhi.2012;32(2):727-728.汪元浚,杨发满,李蓉,等.综合营养干预措施对老年原发性骨质疏松患者骨密度的影响[J].中国老年学杂志,2012,32(2):727-728.
[2]Nordin BE,Redefining Osteoporosis.Calcif Tissue Int.2008;83(6):365-367.
[3]Tuck SP,Francis RM.Osteoporosis.Postgrad Med J.2002;78(923):526-532.
[4]Megyesi MS,Hunt LM,Brody H.A critical review of racial/ethnic variables in osteoporosis and bone density research.Osteoporos Int.2011;22(6):1669-1679.
[5]Guo L.Linchuang Huicui.2010;27(6):474-476.郭丽.凉山彝族地区中老年人骨密度影响因素调查分析[J].临床荟萃,2010,27(6):474-476.
[6]Holick MF,Vitamin D Deficiency.N Engl J Med.2007;357(3):266-281.
[7]Malhotra N,Mithal A.Osteoporosis in Indians.Indian J Med Res.2008;127(3):263-268.
[8]Zhao HB,Yu ZP,Wang JW,et al.Kunming Yixueyuan Xuebao.2010,31(4):47-49.赵宏斌,俞志鹏,王建伟等.云南红河地区哈尼族髋部骨折流行病学调查[J].昆明医学院学报,2010,31(4):47-49.
[9]Miller PD,Siris ES,Barrett-Connor E,et al.Prediction of fracture risk in postmenopausal white women with peripheral bone densitometry:evidence from the National Osteoporsis Risk Assessment.J Bone Miner Res.2002;17(12):2222-2230.
[10]Sosa M,Saavedra P,Pino-Montes J,et al.Post-Menopausal women with Colles'fracture have lower values of bone mineral density than controls as measured by quantitative ultrasound and densitometry.J Clin Densitom.2005;8(4):430-435.
[11]Su RK,Liu XM.Zhongguo Guzhi Shusong Zazhi.2003;9(3):220-221.苏汝堃,刘兴漠.中老年骨折妇女超声骨质测量中参数分析[J].中国骨质疏松杂志,2003,9(3):220-221.
[12]Holroyd C,Harvey N,Dennison E.Epigenetic influences in the developmental origins of osteoporosis.Osteoporos Int.2012;23(2):401-410.
[13]Ferrari SL.Osteoporosis:a complex disorder of aging with multiple genetic and environmental determinants.World Rev Nutr Diet.2005;95:35-51.
[14]Gao WK,Bai F,Wang W,et al.Zhongguo Guzhi Shusong Zazhi.2011;17(11):941-944.高文魁,白峰,王伟,等.高原低氧环境下骨质疏松大鼠模型的骨代谢生化指标观察[J].中国骨质疏松杂志,2011,17(11):941-944.
[15]Adler RA.Osteoporosis in Men:What has Changed?.Curr Osteoporos Rep.2011;9(1):31-35
[16]Patel R,Black GM,Fogelman I.Peripheral and central measurements of bone mineral density are equally strongly associated with clinical risk factors for osteoporosis.Calcif Tissue Int.2007;80(2):89-96.
[17]Rhee EJ,Oh KW,Lee WY,et al.Age,body mass index,current smoking history,and serum insulin-like growth factor-1level associated with bone mineral density in middle-aged korean men.J Bone miner Metab.2004;22(4):392-398.
[18]Jen KL,Buison A,Darga L,et al.The relationship between blood leptin level and bone density is specific to ethnicity and menopausal status.J Lab Clin Med.2005;146(1):18-24.
[19]Paniagua MA,Malphurs JE,Samos LF.BMI and low bone mass in an elderly male nursing home population.Clin Interv Aging.2006;1(3):283-287.
[20]Travison TG,Araujo AB,Esche GR,et al.Lean mass and not fat mass is associated with male proximal femur strength.J Bone Miner Res.2008;23(2):189-198.
[21]Zhou SJ,Huang XF,Pu HQ,et al.Zhongguo Guzhi Shusong Zazhi.2008,14(4):263-265.周善金,黄秀峰,浦洪琴,等.毛南族健康女性身高、体体、足长、体体指数与跟骨BUA的关系[J].中国骨质疏松杂志,2008,14(4):263-265.
[22]Adami S,Giannini S,Giorgino R,et al.Effect of age,weight and lifestyle factors on calcaneal quantitative ultrasound in premenopausal women;the ESOPO study.Calcif Tissue Int.2004;74(4):317-321.
[23]Huang CS,Huang HH,Pu HQ.Zhongguo Laonianxue Zazhi.2010;30(14):2045-2046.黄昌盛,黄何华,浦洪琴.年龄、体体、体体指数对广西京族中老年人骨密度的影响[J].中国老年学杂志,2010,30(14):2045-2046.
[24]Jorgensen NR;Schwarz P.Effects of Anti-osteoporosis Medications on Fracture Healing.Curr Osteoporos Rep.2011;9(3):149-155.
[25]Fu SF,Liu CX,Shen ZX,et al.Zhongguo Laonianxue Zazhi.2011;31(3):1068-1070.付松芳,刘翠鲜,沈志祥,等.运动与老年性骨质疏松[J].中国老年学杂志,2011,31(3):1068-1070.
[26]Derman O,Cinemre A,Kanbur N,et al.Effect of swimming on bone metabolism in adolescents.Turk J Pediatr.2008;50(2):149-154.
[27]Davey RA,Morris HA.Effects of dihydrotestrone on osteoblast gene expression in osteopenic ovariectomized rats.Endocr Res.2004;30(3):361-368.
[28]Schuhfried O,Mittermaier C,Jovanovic T,et al.Effects of whole-body vibration in patients with multiple sclerosis:a pilot study.Clin Rehabil.2005;19(8):834-842.
[29]Stewart JM,Karman C,Montgomery LD,et al.Plantar vibration improves leg fluid flow in perimenopausal women.Am J Physiol Regul Integr Comp Physiol.2005;288(3):R623-R629.
[30]Nordstrom A,Hogstrom M,Nordstrom P.Effects of different types of weight-bearing loading on bone mass and size in young males:a longitudinal study.Bone.2008;42(3):565-571.www.CRTER.org
[31]Menkes A,Mazel S,Redmond RA,et al.Strength training increases regional bone mineral density and bone remodeling in middle-aged and older men.J Appl Physiol.1993;74(5):2478-2484.
[32]Simkin A,Ayalon J,Leighter I.Increased trabecular bone density due to bone-loading exercises in postmenopausal osteoporotic women.Calcif Tissue Int.1987;40(2):59-63.
[33]Beverly MC,Rider TA,Evans MJ,et al.Local bone mineral response to brief exercise that stresses the skeleton.BMJ1989;299(6693):233-235.
[34]Dalsky GP,Stocke KS,Ehsoni AA,et al.Weight-bearing exercise training and lumbar bone mineral content in postmenopausal women.Ann Intern Med.1988;108(6):824-828.
[35]Witzke KA,Snow CM.Effects of plyometric jump training on bone mass in adolescent girls.Med Sci Sports Exerc.2000;32(6):1051-1057.
[36]Flieger J,Karachalios T,Khaldi L,et al.Mechanical stimulation in the form of vibration prevents postmenopausal bone loss in ovariectomized rats.Calcif Tissue Int.1998;63(6):510-514.
[37]Yang ZY,Di DH,Wang B.Zhongguo Laonianxue Zazhi.2011;31(1):109-110.杨震宇,狄东华,王波.紫外线照射与运动对去卵巢骨质疏松模型大鼠骨密度的影响[J].中国老年学杂志,2011,31(1):109-110.
[38]Wang YJ,Yang FM,Li R,et al.Zhongguo Laonianxue Zazhi.2012;32(2):727-728.汪元浚,杨发满,李蓉,等.综合营养干预措施对老年原发性骨质疏松患者骨密度的影响[J].中国老年学杂志,2012,32(2):727-728.