戒烟后体重变化会影响脊椎骨折的风险:一项基于全国人口的队列研究
Jiwon Park1, Sangsoo Han2, Sang-Min Park3
1Department of Orthopaedics, Korea University Ansan Hospital, 123, Jeukgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, Republic of Korea.
戒烟可以增加脊椎骨折的风险,特别是在减肥时. 戒烟后保持体重可能有助于降低这种风险,提供预防骨折的保护性益处.
科学领域:
- 骨质疏松症和骨折风险研究研究
- 公共卫生和戒烟研究.
- 骨健康的流行病学
背景情况:
- 戒烟与骨折风险降低有关,但通常会导致体重增加.
- 体重不足是脊椎骨折的一个已知的危险因素.
- 停产后体重变化对脊椎骨折风险的影响尚不清楚.
研究的目的:
- 为了评估戒烟的人的脊椎骨折风险.
- 专门研究戒烟后体重变化对骨折风险的影响.
主要方法:
- 使用全国医疗保险数据 (2007-2018) 的回顾性队列研究.
- 分析了913,805名参与者,按吸烟状态分类 (目前吸烟者,戒烟者,非吸烟者).
- 考克斯的比例危险分析,以根据吸烟状态和体重变化 (维护,损失,增加) 在两年内确定脊椎骨折的危险比 (HR).
主要成果:
- 戒烟的人的整体脊椎骨折风险 (aHR=1.110) 比不吸烟的人更高.
- 与目前的吸烟者相比,戒烟后减肥显著增加了脊椎骨折的风险 (aHR=1.321).
- 在女性中,戒烟后体重增加与女性吸烟者 (aHR=1.470) 相比,骨折风险更高.
结论:
- 戒烟后保持体重可以减轻脊椎骨折的风险.
- 戒烟后减肥会对保护脊椎骨折的益处产生负面影响.
- 促进减肥后体重稳定的干预措施可能对骨健康至关重要.
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