四川省阿坝州藏羌及汉族儿童少年骨量影响因素研究.docVIP

四川省阿坝州藏羌及汉族儿童少年骨量影响因素研究【摘要】 目的 了解四川省阿坝州藏、羌、汉族儿 童少年骨量的影响因素，为制定学生营养政策、预防骨质疏松提供基础资料和科学依据 。方法 采用问卷调查方式，收集四川省阿坝藏羌自治州1 821名7～18 岁藏、汉、羌族男、女生的膳食营养素摄入和体力活动情况，测量身高和体重；采用生物电 阻抗仪测定体成分，并用双能X线吸收仪（DEXA）测定前臂近端1/3处和远端1/10处骨矿 物含量（BMC）和骨面积（BA）。结果 多元线性回归分析发现，瘦体重 对前臂远端1/10处和前臂近端1/3处的BMD和BMC的变异贡献要 高于其他因素，其标准偏回归系数分别为0.567，0.687，0.346和0.482；藏族、钙摄入量、 体力活动能量消耗等因素对前臂远端1/10处BMD和BMC的作用有统计学意义，其标准化回归系 数分别 为0.094和0.061，0.034和0.022，0.034和0.024。结论 体重（尤其是瘦 体重）是儿童少年骨量的主要影响因素，民族、膳食营养素摄入、体力活动因素也是影响儿 童少年骨量的重要因素。 【关键词】 骨密度；前臂；回归分析；因素分析，统计学；少数民族， 藏族；学生 【中图分类号】 R 179 R 195.2 【文献标识码】 A 【文章编号】 1000-98 17(2007)07-0628-03 Influencing Factors on Bone Mass Among Adolescents of Tibetan, Qiang and Han Adolescents Living In A-ba County in Sichuan Province/ZHANG Bi-ke *, ZHANG Qian, TANG Xiao-jun, et al.* Office of Disease Control and Emergen cy Response, Chinese Center for Disease Control and Prevention, Beijing(100050),China 【Abstract】 Objective To study the influencing factors on bon e mass growth o Tibeta n, Qiang and Han nationality adolescents in puberty, and to provide scientific e vidence for student’s nutritional strategy and the prevention of osteoporosis. Methods Total of 1 821 healthy volunteer students was recruited i n Mao County an d Heishui County of Sichuan Province (aged 7-18, 897 boys and 924 girls). Dietar y intake and physical activity information were collected through questionnaires . Their height and weight were examined. Body compositions were examined by the bioelectrical impedance analysis. Bone mass of nondominant forearm were measured by dual energy X-ray absorptiometry (DEXA). Results Stepwise m ultiple regressio n analysis showed that the dominant factor of the proximal forearm BMD and BMC i n boys and girls was lean body mass(B=0.567, 0.678, 0.346, 0.482,P＜0.0 1). Tibe tan was significantly positively correlated with the proximal forearm BMD and BM C in boys and girls (B=0.094, 0.061,P＜0.01). Dietary calcium was one of the important influencing factors of the distal fore