中老年男性人群体成分和骨密度相关性.PDFVIP

浙江医学2016 年第38 卷第8 期 中老年男性人群体成分与骨密度 的相关性 莺 姚麒 刘婷 余晶波 【摘要 】 目的 探讨中老年男性人群体成分与骨密度（BMD ）的相关性。方法 选取2011 年 1 月至2014 年 11 月在宁波市 第一医院门诊体检且年龄≥50 岁男性216 例为研究对象，并分为4 个年龄组：50 岁~ 组70 例，60 岁~ 组56 例，70 岁～组47 例，80 岁~ 组43 例，使用双能X 线吸收测定仪测量第2~4 腰椎、左侧股骨颈和全髋部的BMD ，并分析各年龄层中老年人群体成分（全身、躯 干、大腿的总质量，肌肉、脂肪含量及其百分比）与BMD 的相关性。结果 50 岁～组大腿肌肉对股骨颈BMD 影响最大（b =0.340 ， t=2.984 ，P=0.004 ）；60 岁～组全身肌肉对股骨颈BMD 影响最大 （b =0.4 15，t=3.352 ，P=0.001 ）；70 岁～组全身脂肪对股骨颈BMD 影 响最大（b =0.476 ，t=3.633 ，P=0.001 ）；80 岁~ 组躯干脂肪对股骨颈BMD 影响最大（b=0.479 ，t=2.993 ，P=0.004 ）；体成分对全髋部、腰 椎BMD 的相关性与股骨颈相似。结论 随着年龄增长，肌肉对BMD 的影响逐渐减弱，脂肪对BMD 的影响逐渐增强；四肢的体成分 对BMD 的影响逐渐减弱，躯干的体成分对BMD 的影响逐渐增强。 【关键词】 中老年人 男性 体成分 骨密度 Relationship between body composition and bone mineral density in middle- aged and elderly men China 【Abstract 】 Objective To investigate the relationship between body composition and bone mineral density (BMD) in middle-aged and elderly men. Methods Total 216 middle-aged and elderly men were recruited and divided into 4 age groups, 50~(n=70), 60~(n=56), 70~(47) and 80~(n=43). Dual-energy X-ray absorptiometry was used to measure the BMD of lumbar vertebrae L2~4, left femoral neck and total hip. The mass of whole body, trunk and thigh were measured, and the content, percentage of lean mass and fat mass was analyzed. Results In age group of 50~, thigh lean mass was more closely correlated with BMD of femoral neck (b ′=0.340, t=2.984, P=0.004). In age group of 60~, whole body muscle content was more closely correlated with BMD of femoral neck (b ′=0.415, t=3.352, P=0.001). In age group of 70~, whole body fat content was more closely correlated with BMD of femoral neck (b ′=0.476, t=3.633, P=0.00 1). In age group 80~, trunk fat content was more closely correlated with BMD of femoral neck (b ′=0.479, t=