第1筆 /總和 1 筆
/ 1 筆
頁籤選單縮合
題名 | 臺灣南部某社區男性老人血清維生素D不足盛行率及相關因子之研究=Prevalence and Associated Factors of Serum Vitamin D Inadequacy in Older Men Living in Southern Taiwan |
---|---|
作者 | 洪暐傑; 吳美儀; 鄭暐霖; 張尹凡; 張秦松; 吳幸娟; 林季緯; 吳至行; | 書刊名 | 臺灣家庭醫學雜誌 |
卷期 | 27:4 2017.12[民106.12] |
頁次 | 頁222-231 |
分類號 | 412.86 |
關鍵詞 | 維生素D; 高雄; 盛行率; 高齡; Kaohsiung; Old age; Prevalence; Vitamin D; |
語文 | 中文(Chinese) |
中文摘要 | 背景及目的:維生素D為一種人體中重要的脂溶性維生素,維生素D的不足與許多疾病如骨質疏鬆症等的發生和流行有關。然而在台灣地區針對老年男性的血清維生素D濃度及影響因子之相關研究則較缺乏,本研究在於探討台灣南部老年男性的血清維生素D濃度不足盛行率與其相關影響因子。方法:本研究自2010年7月12日至29日,針對設籍在高雄市田寮區65歲以上之男性共1,033位進行收案,在排除住址無人居住、行動不便者、死亡者、拒訪及資料不全者後,實際接受本次試驗且進入分析之研究對象共403人。經隔夜空腹抽血並以競爭性放射免疫分析法試劑進行測量血清維生素D濃度,當血清25(OH)維生素D濃度低於20 ng/mL訂為維生素D缺乏,而濃度低於30 ng/mL則訂為維生素D不足,濃度30 ng/mL以上則訂為維生素D正常。結果:403位老年男性中(平均年齡為74.6 ± 6.2歲),維生素D不足者有129位(31.2%),維生素D缺乏者有19位(4.7%),在不同年齡層間維生素D不足或缺乏之盛行率未有顯著差異。利用多變項二元邏輯斯迴歸分析老年男性血清維生素D不足的獨立預測因子,在考慮其他影響因子之作用後,發現針對老年男性而言,有喝茶習慣與血清維生素D不足的情況有著顯著負相關性(勝算比= 0.56, 95%信賴區間:0.36-0.87)。結論:研究結果發現台灣南部鄉村老年男性的血清維生素D不足的盛行率較全台灣相對為低,且未有年齡層增加而盛行率提高或降低的趨勢。同時本篇研究也發現有喝茶習慣與血清維生素D不足呈現顯著負相關性,顯示生活型態在預防老年血清維生素D不足上可能扮演的角色,值得未來繼續研究分析。 |
英文摘要 | Background and aim: Vitamin D is one of the important lipo-soluble vitamin in human body and the serum vitamin D deficiency is associated with the incidence and prevalence of several diseases including osteoporosis. However, not many studies have been conducted to investigate the risk factors and prevalence of serum vitamin D deficiency in Taiwanese older men. The aim of this study was to examine the prevalence and risk factors of serum vitamin D deficiency of old men in southern Taiwan. Methods: This cross-sectional study, conducted between July 12, 2010 to July 29, 2010, recruited 1,033 participants who were 65 years-old or older with household registration in the Tianliao District of Kaohsiung City. After the exclusion of empty house, subjects with disability, death, refusal and incomplete data, a total of 403 participants were enrolled for final analysis. Blood samples were obtained in the morning following an overnight fast to analyze serum vitamin D level. Serum vitamin D level lower than 20ng/mL was defined as vitamin D deficiency, lower than 30ng/mL as inadequacy, and at or higher than 30ng/mL as normality. Results: The mean age of the 403 study subjects was 74.6±6.2 years-old. The prevalence of serum vitamin D inadequacy was 31.2% (129) and deficiency was 4.7% (19). There was no significant difference between different age groups. Based on the results of binary logistic regression analysis, tea consumption was inversely associated with serum vitamin D deficiency. Conclusion: The prevalence of serum vitamin D deficiency in older men in Tianliao District appears to be lower than the overall prevalence in Taiwan, and no age-related change is observed in the study subjects. A significantly negative relationship between tea consumption and serum vitamin D inadequacy is detected. Lifestyle may play an important role in preventing serum vitamin D inadequacy and further studies are needed in the future. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。