2023名天津市新入伍武警战士骨密度调查及其与膳食习惯的相关性分析
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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.
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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[15]张艳会,苏晓丽,牛志焕.健康教育在老年骨质疏松症患者中的应用价值[J].中国药物经济学,2016,11(12):176.
[2]DE ONIS M,HABICHT J P.Anthropometric reference data for international use:recommendation from a World Health Organization Expert Committee[J].Am J Clin Nutr,2009,64(4):650.
[3]毕珣,段晓彦,陈锋,等.不同区域武警官兵人体骨密度检测情况分析[J].武警后勤学院学报(医学版),2016,25(10):795.
[4]张智海,刘忠厚,李娜,等.中国人骨质疏松症诊断标准专家共识(2014版)[J].中国骨质疏松杂志,2014,20(9):1007.
[5]WYSHAK G.Teenaged girls carbonated beverage consumption and bone fracture[J].Arch Pediatr Adolesc Med,2000,54(6):610.
[6]WYSHAK G,FRISCH R.Carbonated beverages dietary calcium,the dietary calcium,phosphorus ratio,and bone fractures in girls and boys[J].Adolesc Health,1994,15(3):210.
[7]FESKANICH D,WILLETT W,STAMPFER M.Protein consumtion and bone fractures in women[J].Am J Epidemiol,1996,143:472.
[8]廖文君,赵琳,安丽花.膳食钙对青少年骨密度的影响[J].中华妇幼临床医学杂志(电子版),2007,3(2):102.
[9]AM CONNIE M W.Calciun requirem ents of physically active people[J].Am J Nutr,2000,72(suppl):579.
[10]徐泳华.学龄前儿童营养的初步研究[J].营养学报,2006(3):6.
[11]姬巧云.成都郊区学龄前儿童钙营养及骨矿状况的调查[J].现代预防杂志,2006,33(4):597.
[12]张杰,张庆华,邬小微,等.吸烟、酗酒对深圳地区成年人骨密度的影响[J].现代预防医学,2008,35(2):305.
[13]黄昌林,王前进,王帅,等.2009、2010年全军军事训练伤流行病学抽样调查[J].解放军医学杂志,2012,37(1):59.
[14]容锡沧,林英权,林毅忠,等.疾病管理在骨质疏松性骨折防治中的应用[J].微循环学杂志,2014,24(2):50.
[15]张艳会,苏晓丽,牛志焕.健康教育在老年骨质疏松症患者中的应用价值[J].中国药物经济学,2016,11(12):176.