广州市30-49岁女教师骨质与营养状况的相关性分析
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摘要
背景:30-49岁年龄段的女教师是学校教学和管理的中坚力量,由于身受职业紧张以及家庭负担等因素的影响,可能会导致女性的生理、心理等方面出现功能失调,另外30-49岁是女性各项指标转入下降的重要时期,其营养状况、血压以及骨质状况应引起足够的关注。目的:评估广州市30-49岁女教师营养状况及骨质状况的关系,为其提供科学的健身建议。方法:随机抽取广州市266名30-49岁健康女教师作为受试对象,测试其身体形态指标、血压及骨密度,分析年龄、身高、体质量、体质量指数、腰臀比与血压以及骨密度的相关性。结果与结论:(1)广州市30-49岁女教师的营养不良发生率随着年龄的增加而下降,而超重和肥胖的检出率随着年龄的增加显著增加(P<0.01);(2)相关性分析发现30-49岁女教师血压与年龄、身高、体质量、体质量指数、腰臀比以及体脂百分比呈显著正相关(P<0.01);(3)而30-49岁女教师的骨密度受年龄、身高、体质量、体质量指数、腰臀比以及体脂百分比影响不大(P>0.05),但是30-34岁年龄组的骨质疏松检出率显著高于其他年龄组(P<0.01);(4)结果提示,广州市30-49岁女教师随着年龄增加营养不良率下降但是肥胖的风险增大,高血压的检出率增加,而骨质疏松的发生可能呈年轻化趋势。
BACKGROUND: Female teachers aged 30-49 years old are the backbone of the school teaching and management. However, the occupation stress, family burden and other factors may lead to their physiological and psychological disorders. Moreover, the age of 30-49 years is an important period that the female indicators begin to decrease, so their nutritional status, blood pressure and bone status should be paid more attention. OBJECTIVE: To evaluate the bone mass and nutritional status of female teachers aged 30-49 years old in Guangzhou, thus providing scientific advice for exercise plan. METHODS: Totally 226 healthy female teachers aged 30-49 years old were selected, and their body shapeindexes, blood pressure and bone density were tested to analyze the correlation of age, height, body mass, body mass index, waist-hip ratio, blood pressure and bone density. RESULTS AND CONCLUSION: In 30-49-year old female teachers, the malnutrition rate decreased with aging, while the prevalence of overweight and obesity significantly increased with aging(P < 0.01). Correlation analysis showed that the blood pressure was positively correlated with age, height, body mass, body mass index, waist-hip ratio and body fat percentage(P < 0.01), but the bone density was little affected by all above indexes(P > 0.05). Beside, the prevalence of osteoporosis in the 30-34 years old group was significantly higher than that in the other groups(P < 0.01). These results indicate that female teachers aged 30-49 years in Guangzhou exhibit a reduction in the malnutrition rate but an increase in the risk of obesity and prevalence of hypertension with aging. However, age at onset of osteoporosis tends to be younger in patients.
BACKGROUND: Female teachers aged 30-49 years old are the backbone of the school teaching and management. However, the occupation stress, family burden and other factors may lead to their physiological and psychological disorders. Moreover, the age of 30-49 years is an important period that the female indicators begin to decrease, so their nutritional status, blood pressure and bone status should be paid more attention. OBJECTIVE: To evaluate the bone mass and nutritional status of female teachers aged 30-49 years old in Guangzhou, thus providing scientific advice for exercise plan. METHODS: Totally 226 healthy female teachers aged 30-49 years old were selected, and their body shapeindexes, blood pressure and bone density were tested to analyze the correlation of age, height, body mass, body mass index, waist-hip ratio, blood pressure and bone density. RESULTS AND CONCLUSION: In 30-49-year old female teachers, the malnutrition rate decreased with aging, while the prevalence of overweight and obesity significantly increased with aging(P < 0.01). Correlation analysis showed that the blood pressure was positively correlated with age, height, body mass, body mass index, waist-hip ratio and body fat percentage(P < 0.01), but the bone density was little affected by all above indexes(P > 0.05). Beside, the prevalence of osteoporosis in the 30-34 years old group was significantly higher than that in the other groups(P < 0.01). These results indicate that female teachers aged 30-49 years in Guangzhou exhibit a reduction in the malnutrition rate but an increase in the risk of obesity and prevalence of hypertension with aging. However, age at onset of osteoporosis tends to be younger in patients.
引文
[1]薛延.骨质疏松症诊断与治疗指南[M].北京:科学出版社,1999:41-47
[2]张军,陆大江.有氧运动结合抗阻力量训练对中年女性身体成分和骨密度的影响[J].中国老年学杂志,2016,36(18):4553-4555.
[3]国家体育总局.国民体质测定标准手册(成年人部分)[M]北京:人民体育出版社,2003:7.
[4]López-Rodríguez F,Mezquita-Raya P,Luna DD.Performance of quantitative ultrasound in the discrimination of prevalent osteoporotic fractures in a bone metabolic unit.Bone.2003;32(5):571-578.
[5]钟毓瑜,项会蓉,田有逢,等.身高、体重、体质指数及体表面积对女性骨密度的影响[J].广东医学,2011,32,(12):1572-1574.
[6]崔新雯,张一民,王彦桃,等.影响绝经前女性骨密度的敏感因素探析[J].成都体育学院学报,2015,41(2):106-109.
[7]王燕侠,李佳樾,李亚梅,等.中老年医务职业女性骨密度影响因素分析[J].中国骨质疏松杂志,2016,22(8):1019-1022.
[8]殷红伟,肖占森,苏建勋.女性医务人员骨健康情况调查分析[J].临床医药文献电子杂志,2016,3(51):10254-10255.
[9]王亮,马远征,张妍,等.北京地区9103例体检人群骨密度流行病学调查研究[J].中国骨质疏松杂志,2014,20(8):952-955.
[10]曹晓曼,王亮,王玉良.31-60岁健康女性腰椎不同节段骨密度分析[J].中国妇幼保健,2017,32(2):266-267.
[11]王健,陆邦超.骨质疏松症为什么越来越年轻化[N].家庭医生报,2007-02-05(2).
[12]周同,徐勇灵.广州市30-50岁职业女性骨密度及影响因素的主成分分析[J].上海体育学院学报,2011,35(5):57-60.
[13]宋红云,马立娟,闫会敏.单纯补钙与喝奶对儿童生长发育及骨密度的影响分析[J].医学综述,2015,21(4):746-747.
[14]朱秋锦.单纯补钙与喝奶对儿童生长发育及骨密度的影响[J].中外女性健康研究,2016,24(9):11-12.
[15]梁素静.补钙对预防孕妇骨质疏松的效果观察[J].临床医药文献电子杂志,2016,3(54):10722.
[16]高春林,姜虹,唐家广.补钙对骨质疏松骨折预防作用的研究进展[J].中国当代医药,2017,24(9):15-17.
[17]王路平,李金源.碳酸饮料对骨质疏松、颌骨骨折影响的研究进展[J].中外医学研究,2016,14(13):162-164.
[18]乐嘉宜,郁东明,孔春晖,等.上海市两区618例老年人骨密度及相关因素[J].上海预防医学,2014,26(10):530-532.
[19]冯璇,周晓东,杨阳,等.福州市青少年骨密度影响因素的调查分析[J].福建体育科技,2014,33(1):42-48.
[20]Gajic-Veljanoski O,Papaioannou A,Kennedy C,et al.Osteoporotic fractures and obesity affect frailty progression:a longitudinal analysis of the Canadian multicentre osteoporosis study.BMC Geriatr.2018;18(1):4.
[21]Lee SH,Kwon HY.Prevalence of Osteoporosis in Korean Patients with Chronic Obstructive Pulmonary Disease and Their Health-related Quality of Life According to the Korea National Health and Nutrition Examination Survey 2008-2011.J Bone Metab.2017;24(4):241-248.
[22]Sajjadi SF,Mirzaei K,Khorrami-Nezhad L,et al.Vitamin D Status and Resting Metabolic Rate May Modify through Expression of Vitamin D Receptor and Peroxisome Proliferator-Activated Receptor Gamma Coactivator-1 Alpha Gene in Overweight and Obese Adults.Ann Nutr Metab.2017;72(1):43-49.
[23]Yan DD,Wang J,Hou XH,et al.Association of serum uric acid levels with osteoporosis and bone turnover markers in a Chinese population.Acta Pharmacol Sin.2017.doi:10.1038/aps.2017.165.
[24]Hakimian S,Kheder J,Arum S,et al.Re-evaluating osteoporosis and fracture risk in Crohn's disease patients in the era of TNF-alpha inhibitors.Scand J Gastroenterol.2017:1-5.doi:10.1080/00365521.2017.1416161.
[25]Dhaliwal R,Mikhail M,Usera G,et al.The relationship of Physical performance and Osteoporosis prevention with vitamin D in older African Americans(PODA).Contemp Clin Trials.2017;65:39-45.
[26]Schyrr F,Wolfer A,Pasquier J,et al.Correlation study between osteoporosis and hematopoiesis in the context of adjuvant chemotherapy for breast cancer.Ann Hematol.2018;97(2):309-317.
[27]Oh JY,Lee YS,Min KH,et al.Osteoporosis in Patients with Asthma-Chronic Obstructive Pulmonary Disease Overlap Syndrome.Tuberc Respir Dis(Seoul).2017.doi:10.4046/trd.2017.0066.
[28]Majchrzycki M,Bartkowiak-Wieczorek J,Bogacz A,et al.The importance of polymorphic variants of collagen 1A2 gene(COL1A2)in the development of osteopenia and osteoporosis in postmenopausal women.Ginekol Pol.2017;88(8):414-420.
[29]Hu Y,Tan LJ,Chen XD,et al.Identification of Novel Potentially-pleiotropic Variants Associated With Osteoporosis and Obesity Using c FDR method.J Clin Endocrinol Metab.2017.doi:10.1210/jc.2017-01531.
[30]Rozental TD,Walley KC,Demissie S,et al.Bone Material Strength Index as Measured by Impact Microindentation in Postmenopausal Women With Distal Radius and Hip Fractures.J Bone Miner Res.2017.doi:10.1002/jbmr.3338.[Epub ahead of print]
[31]Tian L,Yang R,Wei L,et al.Prevalence of osteoporosis and related lifestyle and metabolic factors of postmenopausal women and elderly men:A cross-sectional study in Gansu province,Northwestern of China.Medicine(Baltimore).2017;96(43):e8294.
[32]Cui J,Liu H,Shao J,et al.Prevalence,risk factors and clinical characteristics of osteoporosis in Chinese inpatients with schizophrenia.Schizophr Res.2017.pii:S0920-9964(17)30655-2.
[33]Szmodis M,Zsákai A,Bosnyák E,et al.Reference data for ultrasound bone characteristics in Hungarian children aged7-19 years.Ann Hum Biol.2017;44(8):704-714.
[34]Khatib J,Stote K,Gosmanov AR.Utility of DXA screening for diagnosis of osteoporosis in US veterans aged 70 years and older.J Investig Med.2017.pii:jim-2017-000557.
[35]Iki M,Fujita Y,Kouda K,et al.Hyperglycemia is associated with increased bone mineral density and decreased trabecular bone score in elderly Japanese men:The Fujiwara-kyo osteoporosis risk in men(FORMEN)study.Bone.2017;105:18-25.
[2]张军,陆大江.有氧运动结合抗阻力量训练对中年女性身体成分和骨密度的影响[J].中国老年学杂志,2016,36(18):4553-4555.
[3]国家体育总局.国民体质测定标准手册(成年人部分)[M]北京:人民体育出版社,2003:7.
[4]López-Rodríguez F,Mezquita-Raya P,Luna DD.Performance of quantitative ultrasound in the discrimination of prevalent osteoporotic fractures in a bone metabolic unit.Bone.2003;32(5):571-578.
[5]钟毓瑜,项会蓉,田有逢,等.身高、体重、体质指数及体表面积对女性骨密度的影响[J].广东医学,2011,32,(12):1572-1574.
[6]崔新雯,张一民,王彦桃,等.影响绝经前女性骨密度的敏感因素探析[J].成都体育学院学报,2015,41(2):106-109.
[7]王燕侠,李佳樾,李亚梅,等.中老年医务职业女性骨密度影响因素分析[J].中国骨质疏松杂志,2016,22(8):1019-1022.
[8]殷红伟,肖占森,苏建勋.女性医务人员骨健康情况调查分析[J].临床医药文献电子杂志,2016,3(51):10254-10255.
[9]王亮,马远征,张妍,等.北京地区9103例体检人群骨密度流行病学调查研究[J].中国骨质疏松杂志,2014,20(8):952-955.
[10]曹晓曼,王亮,王玉良.31-60岁健康女性腰椎不同节段骨密度分析[J].中国妇幼保健,2017,32(2):266-267.
[11]王健,陆邦超.骨质疏松症为什么越来越年轻化[N].家庭医生报,2007-02-05(2).
[12]周同,徐勇灵.广州市30-50岁职业女性骨密度及影响因素的主成分分析[J].上海体育学院学报,2011,35(5):57-60.
[13]宋红云,马立娟,闫会敏.单纯补钙与喝奶对儿童生长发育及骨密度的影响分析[J].医学综述,2015,21(4):746-747.
[14]朱秋锦.单纯补钙与喝奶对儿童生长发育及骨密度的影响[J].中外女性健康研究,2016,24(9):11-12.
[15]梁素静.补钙对预防孕妇骨质疏松的效果观察[J].临床医药文献电子杂志,2016,3(54):10722.
[16]高春林,姜虹,唐家广.补钙对骨质疏松骨折预防作用的研究进展[J].中国当代医药,2017,24(9):15-17.
[17]王路平,李金源.碳酸饮料对骨质疏松、颌骨骨折影响的研究进展[J].中外医学研究,2016,14(13):162-164.
[18]乐嘉宜,郁东明,孔春晖,等.上海市两区618例老年人骨密度及相关因素[J].上海预防医学,2014,26(10):530-532.
[19]冯璇,周晓东,杨阳,等.福州市青少年骨密度影响因素的调查分析[J].福建体育科技,2014,33(1):42-48.
[20]Gajic-Veljanoski O,Papaioannou A,Kennedy C,et al.Osteoporotic fractures and obesity affect frailty progression:a longitudinal analysis of the Canadian multicentre osteoporosis study.BMC Geriatr.2018;18(1):4.
[21]Lee SH,Kwon HY.Prevalence of Osteoporosis in Korean Patients with Chronic Obstructive Pulmonary Disease and Their Health-related Quality of Life According to the Korea National Health and Nutrition Examination Survey 2008-2011.J Bone Metab.2017;24(4):241-248.
[22]Sajjadi SF,Mirzaei K,Khorrami-Nezhad L,et al.Vitamin D Status and Resting Metabolic Rate May Modify through Expression of Vitamin D Receptor and Peroxisome Proliferator-Activated Receptor Gamma Coactivator-1 Alpha Gene in Overweight and Obese Adults.Ann Nutr Metab.2017;72(1):43-49.
[23]Yan DD,Wang J,Hou XH,et al.Association of serum uric acid levels with osteoporosis and bone turnover markers in a Chinese population.Acta Pharmacol Sin.2017.doi:10.1038/aps.2017.165.
[24]Hakimian S,Kheder J,Arum S,et al.Re-evaluating osteoporosis and fracture risk in Crohn's disease patients in the era of TNF-alpha inhibitors.Scand J Gastroenterol.2017:1-5.doi:10.1080/00365521.2017.1416161.
[25]Dhaliwal R,Mikhail M,Usera G,et al.The relationship of Physical performance and Osteoporosis prevention with vitamin D in older African Americans(PODA).Contemp Clin Trials.2017;65:39-45.
[26]Schyrr F,Wolfer A,Pasquier J,et al.Correlation study between osteoporosis and hematopoiesis in the context of adjuvant chemotherapy for breast cancer.Ann Hematol.2018;97(2):309-317.
[27]Oh JY,Lee YS,Min KH,et al.Osteoporosis in Patients with Asthma-Chronic Obstructive Pulmonary Disease Overlap Syndrome.Tuberc Respir Dis(Seoul).2017.doi:10.4046/trd.2017.0066.
[28]Majchrzycki M,Bartkowiak-Wieczorek J,Bogacz A,et al.The importance of polymorphic variants of collagen 1A2 gene(COL1A2)in the development of osteopenia and osteoporosis in postmenopausal women.Ginekol Pol.2017;88(8):414-420.
[29]Hu Y,Tan LJ,Chen XD,et al.Identification of Novel Potentially-pleiotropic Variants Associated With Osteoporosis and Obesity Using c FDR method.J Clin Endocrinol Metab.2017.doi:10.1210/jc.2017-01531.
[30]Rozental TD,Walley KC,Demissie S,et al.Bone Material Strength Index as Measured by Impact Microindentation in Postmenopausal Women With Distal Radius and Hip Fractures.J Bone Miner Res.2017.doi:10.1002/jbmr.3338.[Epub ahead of print]
[31]Tian L,Yang R,Wei L,et al.Prevalence of osteoporosis and related lifestyle and metabolic factors of postmenopausal women and elderly men:A cross-sectional study in Gansu province,Northwestern of China.Medicine(Baltimore).2017;96(43):e8294.
[32]Cui J,Liu H,Shao J,et al.Prevalence,risk factors and clinical characteristics of osteoporosis in Chinese inpatients with schizophrenia.Schizophr Res.2017.pii:S0920-9964(17)30655-2.
[33]Szmodis M,Zsákai A,Bosnyák E,et al.Reference data for ultrasound bone characteristics in Hungarian children aged7-19 years.Ann Hum Biol.2017;44(8):704-714.
[34]Khatib J,Stote K,Gosmanov AR.Utility of DXA screening for diagnosis of osteoporosis in US veterans aged 70 years and older.J Investig Med.2017.pii:jim-2017-000557.
[35]Iki M,Fujita Y,Kouda K,et al.Hyperglycemia is associated with increased bone mineral density and decreased trabecular bone score in elderly Japanese men:The Fujiwara-kyo osteoporosis risk in men(FORMEN)study.Bone.2017;105:18-25.