儿科人口骨质的社会经济差异:一个系统的审查
Tiago Rodrigues de Lima1, Mateus Augusto Bim2, Jean Carlos Parmigiani De Marco2
1Health and Sports Sciences Center, Kinanthropometry Study and Research Group, State University of Santa Catarina, Florianopolis, Brazil. tiagorodriguesdelima@gmail.com.
概括
父母的教育水平可能会影响年轻人的骨矿物质密度 (BMD),特别是全身和大腿骨 BMD. 然而,骨矿物质含量 (BMC) 与父母教育没有一致的关系.
科学领域:
- 儿童骨健康 儿童骨健康
- 健康的社会经济决定因素
- 公共卫生研究 公共卫生研究
背景情况:
- 社会经济因素对儿童发育和健康状况产生重大影响.
- 了解年轻人的社会经济地位和骨健康之间的关系对于早期干预至关重要.
- 关于社会经济指标如何影响儿科患者骨矿物质密度 (BMD) 和骨矿物质含量 (BMC) 的研究有限.
研究的目的:
- 系统地审查和综合现有关于社会经济指标和儿童和青少年的BMD/BMC之间关联的证据.
- 确定可能影响青年时期骨质积累的特定社会经济因素.
- 突出目前关于儿科骨健康社会经济差异的文献上的差距.
主要方法:
- 对五个电子数据库进行了系统审查.
- 研究包括使用中央双能X射线吸收计评估儿童和青少年的骨质量.
- 从最初的16893篇文章中,包括了8项研究.
主要成果:
- 在三项研究中的两项中,较低的父母教育与较低的全身BMD有关.
- 在一项研究的所有八项结果中,父母教育水平较低与较低的股骨 BMD 有关.
- 在较低的家长教育和较低的全身BMC之间发现了一个微弱的关联,但对于股骨或腰椎BMC没有观察到一致的联系.
- 其他社会经济指标的证据太有限,无法得出有力的结论.
结论:
- 父母的教育可能会间接地影响年轻人的全身和股骨骨瘤,可能由脂肪质量等因素介导.
- 没有发现父母教育和青年人骨矿物质含量 (BMC) 之间存在一致的关系.
- 关于各种社会经济指标对儿科骨质量影响的研究存在重大差距.
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