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晚年骨髓缩症:患病率和相关的危险因素
Erika A Silveira1, Guilherme Vinícius-Souza2, Cristina Camargo Pereira2
1Graduate Program in Health Sciences, School of Medicine, Federal University of Goiás, Goiânia, Brazil; Department of Epidemiology & Public Health, University College London, London, UK.
Clinical nutrition ESPEN
|December 6, 2023
概括
骨质疏松症,骨质疏松症和骨质疏松症在老年人中同时发生,根据不同的标准影响12.8%和7.2%的个体. 营养不良和低是骨质沙症的关键危险因素.
科学领域:
- 老年学是一门学科.
- 骨健康 骨健康 骨健康
- 肌肉健康 肌肉健康
背景情况:
- 骨髓缩症的特征是骨矿物质密度低和肌肉质量/强度低,是老年人群日益关注的问题.
- 识别骨质疏松症的危险因素对于在临床实践中制定有针对性的预防策略至关重要.
研究的目的:
- 为了调查 osteosarcopenia 在社区居住的老年人中的患病率.
- 通过使用不同的诊断标准,识别与骨质疏松症相关的社会人口结构,生活方式和健康相关的风险因素.
主要方法:
- 分析了171名老年人 (平均年龄为79.4岁) 的队列.
- 骨质疏松症是通过DEXA扫描诊断的,并使用手握动力学和依据2010年和2018年欧洲共识标准的尾骨肌指数来评估肉类疏松症.
- 使用多变量波桑回归来确定患病率.
主要成果:
- 骨髓缩症的患病率为12.8% (根据OsteoSarc1,2010年标准) 和7.2% (根据OsteoSarc2,2018年标准).
- 对OsteoSarc1的危险因素包括低和营养不良.
- 对于OsteoSarc2的危险因素包括晚年 (≥80岁),高等教育,酒精消费,低,低维生素D和营养不良.
结论:
- 营养不良和低水平被确定为两种诊断标准的骨髓缩症的重要危险因素.
- 酒精消耗和维生素D水平低等额外的危险因素与骨髓缩症的定义之一有关.
- 研究结果强调了解决营养状况,水平和生活方式因素在老年人中预防骨髓缩症的重要性.
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