在加拿大关于衰老的纵向研究中,骨矿物质密度和骨折流行率的地理变化
N Hassanabadi1,2, C Berger2, A Papaioannou3
1Department of Medicine, McGill University, Montreal, Canada.
概括
在加拿大,骨质疏松症风险存在地理差异. 骨密度和主要骨质疏松性骨折的患病率因各省而异,即使考虑到其他因素.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 骨质疏松症和骨折在全球范围内对健康造成重大负担.
- 了解骨健康的地理差异对于有针对性的公共卫生干预和政策制定至关重要.
研究的目的:
- 调查加拿大各省的关节骨矿物密度 (aBMD) 总和主要骨质疏松性骨折 (MOF) 患病率的性别特异变化.
主要方法:
- 来自加拿大老龄化纵向研究 (CLSA) 的21,227名50-85岁的加拿大人基线数据的分析.
- 使用线性和逻辑回归模型,按性别分层,以评估居住省和部总aBMD和自我报告的MOF之间的关联.
- 雇佣的CLSA采样权重用于准确的流行率和回归估计.
主要成果:
- 在加拿大各省观察到部aBMD和MOF总患病率的显著地理差异.
- 英国哥伦比亚省在男女中显示了最低的平均总部aBMD和MOF流行率.
- 调整后的分析显示,与安大略省相比,在几个省份的部aBMD总量较低,在不列颠哥伦比亚省和北克省的MOF几率较低.
结论:
- 加拿大各省的部aBMD和MOF总流行率持续存在的地理差异表明未测量的个人和环境因素的影响.
- 这些发现强调了需要针对各省制定具体战略,以解决骨质疏松症和骨折预防问题.
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