Intervention and Management of Osteoporosis
Risk screening of osteoporosis in community residents and its influencing factors
Pengfei Luo, Xiaoqun Pan, Jian Su, Yanan Wan, Ping Lin, Yongqing Zhang
Published 2017-08-20
Cite as Chin J Health Manage, 2017, 11(4): 319-324. DOI: 10.3760/cma.j.issn.1674-0815.2017.04.006
Abstract
ObjectiveTo explore the influencing factors of high risk osteoporosis (OP) population.
MethodsUsing multi-stage cluster sampling method, 1 district was selected from each of the 6 cities randomly, then 3 communities were selected from each district randomly. Questionnaire investigation and physical examination were applied to community residents aged 40-69 years old. The questionnaire mainly included basic information, OP risk assessment (using the 1 minute test method developed by the International OP Foundation), health status and lifestyle information (recent 12 months). The relationship between high-risk groups and influencing factors was analyzed by unconditional logistic regression.
ResultsTotally 6 577 valid questionnaires were collected, 2 069 were male (31.46%) and 4 508 were female (68.54%). A total of 166 cases (2.52%) were found as self-reported OP patients at the age of 40-69, self-reported rate of male (1.55%) was lower than that of female (2.97%) (χ2=11.719, P<0.01), the rate was higher among people aged 60-69 years than people aged 40-49 (χ2=44.766, P<0.01); 3 400 cases (52.28%) were found as high-risk individuals, there were more male at higher risk than female (OR=1.845). Among different age groups, the 50-59 and 60-69 years age groups had more high risk people than that of 40-49 years group (with OR=2.171 and OR=2.854 respectively). Comparative analysis was also conducted for the following factors: degree of education [college or above (OR=0.517) compared with primary school or junior middle school], occupation [compared with civil servants, technical management personnel (OR=2.289), business services (OR=2.224), farming/forestry/fishing (OR=2.258) and production/transportation staff (OR=2.552)], self-reported history of chronic disease (OR=1.596), fracture (OR=4.061), body pain (OR=2.286) and foot cramps (OR=1.923), as well as calcium/vitamin D intake (OR=1.357), increased sunlight (OR=1.256), daily walking steps>5 000 (OR=1.336) and BMI>24.00 (OR=1.322), they were all related to a increased proportion of high risk population.
ConclusionThe proportion of OP high-risk groups is higher among people aged 40-69. Gender, age, cultural level, occupation, bad health status and lifestyle changes are closely related to higher OP risk. Community residents OP screening should be continued to further study the risk factors of OP.
Key words:
Osteoporosis; Risk factors; Chronic disease
Contributor Information
Pengfei Luo
Department of Non-Communicable Chronic Disease Control and Prevention, Jiangsu Center for Disease Control and Prevention, Nanjing 210009, China
Xiaoqun Pan
Department of Non-Communicable Chronic Disease Control and Prevention, Jiangsu Center for Disease Control and Prevention, Nanjing 210009, China
Jian Su
Department of Non-Communicable Chronic Disease Control and Prevention, Jiangsu Center for Disease Control and Prevention, Nanjing 210009, China
Yanan Wan
Department of Non-Communicable Chronic Disease Control and Prevention, Jiangsu Center for Disease Control and Prevention, Nanjing 210009, China
Ping Lin
Department of Non-Communicable Chronic Disease Control and Prevention, Jiangsu Center for Disease Control and Prevention, Nanjing 210009, China
Yongqing Zhang
Department of Non-Communicable Chronic Disease Control and Prevention, Jiangsu Center for Disease Control and Prevention, Nanjing 210009, China
