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骨髓缩症的患病率和危险因素:一个系统性审查和元分析
Tianjin Huang1,2, Chen Li1,2, Faxiu Chen3
1Medical College of Nanchang University, Nanchang, China.
BMC geriatrics
|June 15, 2023
概括
骨质疏松症是一种结合了骨质疏松症和骨质疏松症/骨质疏松症的疾病,影响了21%的老年人. 女性性别,年龄较大和先前的骨折是关键的危险因素,需要综合管理策略.
科学领域:
- 老年学是一门学科.
- 骨和肌肉健康 骨和肌肉健康
- 代谢疾病 代谢疾病
背景情况:
- 骨质疏松症,其特点是同时出现骨质疏松症和骨质疏松症/骨质疏松症,显著增加了虚弱,跌倒,骨折,住院和死亡的风险.
- 这种情况给老年人和全球医疗保健系统带来了巨大的负担.
- 了解骨质疏松症的患病率和风险因素对于有效的临床管理至关重要.
研究的目的:
- 系统地审查骨质疏松症的流行情况.
- 为了识别与骨质疏松症相关的关键风险因素.
- 为临床实践和公共卫生战略提供必要的参考资料.
主要方法:
- 通过31项研究的数据进行了全面的元分析.
- 在主要数据库 (PubMed,Embase,Web of Science等) 进行了搜索. 在2022年4月之前.
- 患病率和风险因素数据使用随机或固定效应模型进行了聚合,并进行了严格的偏差和灵敏度分析.
主要成果:
- 发现骨质疏松症的总体患病率为21% (95% CI:0.16-0.26),单个研究的患病率从1.5%到65.7%不等.
- 确定的重大风险因素包括女性性别 (OR 5.10),年龄较大 (OR 1.12) 和骨折史 (OR 2.92).
- 统计分析证实了这些与高置信区间相关的关联.
结论:
- 骨髓缩症的患病率很高,这强调了它作为老年综合征的重要性.
- 女性的性别,晚年和骨折史独立地与骨髓缩症有关.
- 综合,多学科的管理方法对于解决这种复杂的情况至关重要.
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