摘要
目的了解2015年入伍新兵骨密度情况及饮食习惯对其骨密度(Bone Mineral Density,BMD)的影响。方法对天津市武警新训团2015年入伍新兵行骨密度测定:利用双能X线骨密度测定仪测量非惯用手的第二、第三、第四手指相对骨密度,根据骨密度结果选择骨密度值正常组及骨密度值低下组,采用问卷的方式对其饮食习惯进行回顾性调查,以分析饮食因素对骨密度的影响。结果采用卡方检验及Logistic回归分析。结果新入伍官兵的骨密度情况:Z值>-1的人数为804人,占39.7%;Z值在-1~-2.5的人数为1112人,占55.0%;Z值在<-2.5的人数为107人,占5.3%。单因素结果表明:高动物性膳食、饮用乳制品、咖啡以及曾使用补钙制剂具有统计学意义。多因素Logistic回归分析则显示:高动物性食物膳食模式是危险因素(P<0.05);而饮用乳制品和曾服用补钙制剂则为保护因素(P<0.05)。结论影响新入伍官兵骨密度水平的危险因素是:高动物性食物膳食模式;保护因素是:饮用乳制品和曾服用补钙制剂。
Objective To investigate the bone mineral density( BMD) of 2015 military recruits and the influence of eating habits on BMD. Methods The BMD of a regiment of trainee recruits of the Armed Police Force in Tianjin was determined in2015. The relative BMD of the second,third and fourth finger of the non-dominant hand was measured using dual-energy X-ray absorptiometry. These recruits were divided into a normal BMD group and a low BMD group according to the results of BMD detection. Both groups were given questionnaires about their dietary habits in ordr to analyze the influence of diets on BMD. The results were analyzed using the chi-square test and logistic regression analysis. Results As far as BMD was concerned,Z value was above-1 in 804 cases,accounting for 39. 7% of the total. Z value ranged from-1 to-2. 5 in 1112 cases,accounting for55. 0% of the total. Z value was less than 2. 5 in 107 cases,accounting for 5. 3% of the total. Single factor chi-square results showed that a high animal protein diet,milk drinking,coffee drinking,and calcium supplements were of statistical significance.Multiariable Logistic regression analysis showed that a high animal protein diet was a risk factor,P<0. 05,while the consumption of dairy products and calcium supplements was a protective factor,P<0. 05. Conclusion The risk factors for bone mineral density among military recruits are high animal protein diets,while protective factors include the consumption of dairy products and calcium supplements.
引文
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