Prevalence of abnormal bone mineral density and its influencing factors among adult residents in Jiangsu province: a cross-sectional survey
ObjectiveTo investigate the prevalence of abnormal bone mineral density (BMD) and its influencing factors among adults in Jiangsu province, to provide a reference for the development of prevention and control measures for osteoporosis. MethodsUsing stratified multistage cluster random sampling, we r...
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Editorial Office of Chinese Journal of Public Health
2024-11-01
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| Series: | Zhongguo gonggong weisheng |
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| author | Weihao WANG Huijing HE Yaoda HU Xingming CHEN Tan XU Ji TU Ang LI Binbin LIN Qihang LIU Zhiming LU Tianshu XI Haibo HUANG Da XU Zhili CHEN Zichao WANG Guangliang SHAN |
| author_facet | Weihao WANG Huijing HE Yaoda HU Xingming CHEN Tan XU Ji TU Ang LI Binbin LIN Qihang LIU Zhiming LU Tianshu XI Haibo HUANG Da XU Zhili CHEN Zichao WANG Guangliang SHAN |
| author_sort | Weihao WANG |
| collection | DOAJ |
| description | ObjectiveTo investigate the prevalence of abnormal bone mineral density (BMD) and its influencing factors among adults in Jiangsu province, to provide a reference for the development of prevention and control measures for osteoporosis. MethodsUsing stratified multistage cluster random sampling, we recruited 6 000 adult permanent residents (≥ 20 years old and living locally for at least 5 years) without disability or serious illness and, for women, not pregnant or breastfeeding, in urban and rural areas of Jiangsu province. Participants underwent a face-to-face interview with a self-designed questionnaire, physical examination, laboratory tests, and measurement of calcaneal BMD using the Pegasus ultrasound bone densitometer between October and November 2023. A multifactorial unconditional logistic regression model was used to analyze the main factors influencing abnormal BMD in the participants. ResultsA total of 5 786 adults were included in the final analysis. The numbers of participants with abnormal BMD, osteopenia, and osteoporosis were 1 280, 1 148, and 132, with prevalence rates of 22.12%, 19.84%, and 2.28%, respectively. Among 2 265 male participants, the numbers with abnormal BMD, osteopenia, and osteoporosis were 624, 560, and 64, with prevalence rates of 27.55%, 24.72%, and 2.83%, respectively; among 3 521 female participants, the numbers with abnormal BMD, osteopenia, and osteoporosis were 656, 588, and 68, with prevalence rates of 18.63%, 16.70%, and 1.93%, respectively. The prevalence rates of abnormal BMD, osteopenia, and osteoporosis were all significantly higher in male participants than in female participants (χ2 = 63.625, 55.792, and 4.944, all P < 0.05). Multivariate unconditional logistic regression analysis showed that age ≥ 60 years and history of fragility fracture were risk factors for abnormal BMD in male adults, whereas education of college degree or higher was a protective factor. Age ≥ 60 years, hypertension, and menopause were risk factors for abnormal BMD in female adults, whereas high school education and moderate physical work were protective factors. ConclusionsThe prevalence of abnormal BMD in adult residents of Jiangsu province is relatively low, and the prevalence of abnormal BMD is higher in male adult residents than in female adult residents. Age and education level are common factors influencing abnormal BMD in both male and female adult residents in the region. |
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| institution | Kabale University |
| issn | 1001-0580 |
| language | zho |
| publishDate | 2024-11-01 |
| publisher | Editorial Office of Chinese Journal of Public Health |
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| spelling | doaj-art-95945a5e8ce4491c94dbb0a4b9b7ea812025-01-23T05:12:02ZzhoEditorial Office of Chinese Journal of Public HealthZhongguo gonggong weisheng1001-05802024-11-0140111289129410.11847/zgggws11445971144597Prevalence of abnormal bone mineral density and its influencing factors among adult residents in Jiangsu province: a cross-sectional surveyWeihao WANG0Huijing HE1Yaoda HU2Xingming CHEN3Tan XU4Ji TU5Ang LI6Binbin LIN7Qihang LIU8Zhiming LU9Tianshu XI10Haibo HUANG11Da XU12Zhili CHEN13Zichao WANG14Guangliang SHAN15Department of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730, ChinaDepartment of Epidemiology, School of Public Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, Suzhou Medical College of Soochow University, Suzhou 215123, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaDepartment of Epidemiology and Statistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences & School of Basic Medicine, Peking Union Medical College, Beijing 100005, ChinaObjectiveTo investigate the prevalence of abnormal bone mineral density (BMD) and its influencing factors among adults in Jiangsu province, to provide a reference for the development of prevention and control measures for osteoporosis. MethodsUsing stratified multistage cluster random sampling, we recruited 6 000 adult permanent residents (≥ 20 years old and living locally for at least 5 years) without disability or serious illness and, for women, not pregnant or breastfeeding, in urban and rural areas of Jiangsu province. Participants underwent a face-to-face interview with a self-designed questionnaire, physical examination, laboratory tests, and measurement of calcaneal BMD using the Pegasus ultrasound bone densitometer between October and November 2023. A multifactorial unconditional logistic regression model was used to analyze the main factors influencing abnormal BMD in the participants. ResultsA total of 5 786 adults were included in the final analysis. The numbers of participants with abnormal BMD, osteopenia, and osteoporosis were 1 280, 1 148, and 132, with prevalence rates of 22.12%, 19.84%, and 2.28%, respectively. Among 2 265 male participants, the numbers with abnormal BMD, osteopenia, and osteoporosis were 624, 560, and 64, with prevalence rates of 27.55%, 24.72%, and 2.83%, respectively; among 3 521 female participants, the numbers with abnormal BMD, osteopenia, and osteoporosis were 656, 588, and 68, with prevalence rates of 18.63%, 16.70%, and 1.93%, respectively. The prevalence rates of abnormal BMD, osteopenia, and osteoporosis were all significantly higher in male participants than in female participants (χ2 = 63.625, 55.792, and 4.944, all P < 0.05). Multivariate unconditional logistic regression analysis showed that age ≥ 60 years and history of fragility fracture were risk factors for abnormal BMD in male adults, whereas education of college degree or higher was a protective factor. Age ≥ 60 years, hypertension, and menopause were risk factors for abnormal BMD in female adults, whereas high school education and moderate physical work were protective factors. ConclusionsThe prevalence of abnormal BMD in adult residents of Jiangsu province is relatively low, and the prevalence of abnormal BMD is higher in male adult residents than in female adult residents. Age and education level are common factors influencing abnormal BMD in both male and female adult residents in the region.https://www.zgggws.com/article/doi/10.11847/zgggws1144597abnormal bone mineral densityprevalenceinfluencing factoradult residents |
| spellingShingle | Weihao WANG Huijing HE Yaoda HU Xingming CHEN Tan XU Ji TU Ang LI Binbin LIN Qihang LIU Zhiming LU Tianshu XI Haibo HUANG Da XU Zhili CHEN Zichao WANG Guangliang SHAN Prevalence of abnormal bone mineral density and its influencing factors among adult residents in Jiangsu province: a cross-sectional survey Zhongguo gonggong weisheng abnormal bone mineral density prevalence influencing factor adult residents |
| title | Prevalence of abnormal bone mineral density and its influencing factors among adult residents in Jiangsu province: a cross-sectional survey |
| title_full | Prevalence of abnormal bone mineral density and its influencing factors among adult residents in Jiangsu province: a cross-sectional survey |
| title_fullStr | Prevalence of abnormal bone mineral density and its influencing factors among adult residents in Jiangsu province: a cross-sectional survey |
| title_full_unstemmed | Prevalence of abnormal bone mineral density and its influencing factors among adult residents in Jiangsu province: a cross-sectional survey |
| title_short | Prevalence of abnormal bone mineral density and its influencing factors among adult residents in Jiangsu province: a cross-sectional survey |
| title_sort | prevalence of abnormal bone mineral density and its influencing factors among adult residents in jiangsu province a cross sectional survey |
| topic | abnormal bone mineral density prevalence influencing factor adult residents |
| url | https://www.zgggws.com/article/doi/10.11847/zgggws1144597 |
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