頁籤選單縮合
題名 | 停經婦女骨密度追蹤研究之初報=Preliminary Report on Change of Bone Mineral Density of Lumbar Spine among Post-menopausal Women |
---|---|
作者 | 李燕鳴; 賴惠玲; 傅振宗; Li, Yin-ming; Lai, Hui-ling; Fu, Chen-chung; |
期刊 | 臺灣老年醫學暨老年學雜誌 |
出版日期 | 20111100 |
卷期 | 6:4 2011.11[民100.11] |
頁次 | 頁232-243 |
分類號 | 417.224 |
語文 | chi |
關鍵詞 | 骨密度; 追蹤研究; 中老年; 停經婦女; Bone mineral density; Follow-up study; Older age; Post-menopausal women; |
中文摘要 | 目的︰臺灣地區在人口老化及女性化的趨勢下,須加強預防老年期骨質疏鬆症及骨折。本研究查閱停經婦女健康檢查後,再測量骨密度的比例和評估中年婦女骨密度的變化。 方法︰研究對象來自東臺灣一所教學醫院健康檢查者,個別填寫一份健康問卷,內容包括人口學特性、飲食及生活習慣,生育史和過去病史等。以雙能量 X光吸收儀,測定腰椎骨質平均密度 (lumbar bone mineral density, BMDL);本研究以 320位 51~65歲停經婦女為追蹤對象,經查詢電腦檔案記錄,查閱檢查後四年內再次測 BMDL的報告和檢查日期,並與初檢資料串連進行分析;本研究骨密度測定的最小有意義改變值 (least significant change, LSC)為 0.028 g/cm2。 結果︰查得追蹤個案共 140位 (43.8%),與初檢時間相距平均為 32.6 ± 11.8月,60~62歲婦女再檢比例最高 (55.8%),54~56歲組的再檢率最低 (29.8%);追蹤個案的平均年齡較高,與未追蹤個案有顯著差異 (p=0.01);身體質量指數、骨密度分級及影響骨密度相關因素,追蹤與未追蹤個案之間無顯著差異。 51~53歲組追蹤個案在平均間隔 33.4個月後,雖然 BMDL平均值的改變,在統計上未達顯著差異 (p=0.16),但有 15.8%的 51~53歲組個案的 BMDL之測量值減少超過 LSC,可稱之為「測量上有意義改變」;其他年齡組追蹤個案前後次 BMDL的變化很小。 結論︰半數以上停經婦女未能定期接受骨密度追蹤檢查 ;從追蹤者兩年半的短期追蹤顯示:51~53歲停經婦女中有 15.8%的骨密度流失達到測量上有意義的改變。建議加強婦女停經初期的骨密度保健諮詢,並鼓勵停經婦女定期接受骨密度再測定。 |
英文摘要 | Objective: The aging population and the growth in female population in Taiwan have rendered prevention of osteoporosis and related factures an issue of mounting importance. The study accordingly aimed to examine the change of bone mass density (BMD) in post-menopausal women in Taiwan. Method: Women receiving medical check-up at a teaching hospital in eastern Taiwan were invited to participate in the study. A self-administered questionnaire was used to collect data about demographic characteristics, diet, lifestyle and reproductive and medical history. Bone mineral density of the lumbar spine (BMDL) was measured by dual energy x-ray absorptiometry. A total of 320 post-menopausal women, aged 51 to 65, were included in the follow-up study. Records of repeated BMDL tests during the following four years were checked, using an electronic data system during the following four years. Dates and reports of the repeated BMDL tests were recorded, and data were merged and analyzed. In this study, the least significant change (LSC) of bone density read 0.028 g/cm2. Results: A total of 140 women (43.8%) received repeated BMDL tests with those in the in the 60~62 age group reporting the highest percentage of re-examination (55.8%) and those in the 54~56 age group the lowest percentage (29.8%). The mean interval between the initial test and the repeated test was 32.6 ± 11.8 months. The mean age of the women receiving repeated test was significantly older than that of those receiving no repeated test (p=0.01). No significant difference in body size, first BMDL test result, lifestyle or factors associated with bone metabolism was observed between women with or without repeated BMDL test. For women aged 51 to 53, after an interval of 33.4 months, change in the mean bone density was not statistically significant (p=0.16) but the average loss (3.3%) was meaningful (>LSC). The bone density changes were trivial among other age groups. Conclusion: More than half of the participants received no repeated test. A significant bone loss was noted in 15.8% of the postmenopausal women in the 51~53 age group after 2.5 years. Bone health consultation is crucial, and regular follow-up should be recommended. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。