骨矿物质密度对死亡风险的值影响:对老年人群中BMI介导路径的综合分析
Zifei Yin1, Chen Kuang1, Feng Gao1
1Department of Orthopedics, Kunshan Traditional Chinese Medicine Hospital, Kunshan, China.
Frontiers in endocrinology
|August 6, 2025
概括
较低的骨矿物质密度 (BMD) 与老年人全因死亡率的增加有关. 身体质量指数 (BMI) 部分调解了这种风险,这表明骨健康和体重管理的联合干预措施.
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:
- 老年人骨矿物质密度 (BMD) 和全因死亡率之间的关系尚未完全理解.
- 调查这种关联以及身体质量指数 (BMI) 的调解作用对于公共卫生战略至关重要.
研究的目的:
- 检查60岁及以上成年人骨硬化和全因死亡率之间的关联.
- 为了确定BMI在多大程度上调解了BMD和死亡率之间的关系.
主要方法:
- 一项队列研究利用了国家健康和营养检查调查 (2007-2018) 的数据.
- 考克斯比例危险模型和因果调解分析应用于6289名年龄≥60岁的参与者.
主要成果:
- 在BMD和全因死亡率之间观察到J形关联,较低的BMD与较高的死亡风险相关.
- 较高的BMD显示出一种保护作用,BMI在不同的骨部位 (例如,大腿部: 24.18%) 中部分调解了这种关联.
- 在调整了混因素后,这些发现是强大的.
结论:
- 确定了BMD对死亡率的特定地点值影响.
- 保持最佳的BMI可能会降低低BMD的个体的死亡风险.
- 针对骨密度和体重管理的综合干预措施可以提高老年人死亡风险的降低.
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