偏遠社區老年男性之骨質疏鬆症相關因素與照護現況

目的：了解台灣偏遠社區老年男性骨質疏鬆症盛行率與相關危險因子及照護現況。方法：本流行病學研究於2010年7月，針對高雄縣田寮鄉65歲以上1,033男性進行全鄉檢查。在接受研究調查的414位老年男性中（回覆率＝60.8%），408位（平均年齡＝74.6±6.2）完成了完整的資料收集及分析。每位受訪者均接受專門訓練之固定人員以結構式問卷作面對面訪談。由行動骨密度檢測車進行腰椎及髖骨部位之骨密度檢查。依據世界衛生組織於1994年所訂之標準包括骨密度（T值≦-2.5）或合併低能量骨折病史以判定骨質疏鬆症。結果：在408位老年男性中，共70位符合骨質疏鬆診斷認定標準，粗盛行率為17.2%（年齡標準化之盛行率為18.2%）。在邏輯斯複回歸分析模式中，身體質量指數、高血壓為骨質疏鬆症之獨立性負相關危險因子，而肝病、肺病、腎病為正相關危險因子。408位中，只有42位(10.3%)有補充鈣片，5位(1.2%)有補充維他命D。70位骨鬆患者中僅有7位(10%)知道自己有罹患此病，僅有4位(5.7%)曾經接受抗骨鬆藥物治療。結論：台灣偏遠地區的老年男性罹患骨質疏鬆症並不罕見，然而對此疾病的認知及相關的照護與預防卻明顯不足。

關鍵字

雙能量X光吸收儀；骨密度；老年男性；流行病學調查；台灣

並列摘要

Objectives: The study aimed to examine the prevalence of osteoporosis, its related risk factors, and the status of treatment among elderly males living in a rural community in Taiwan. Methods: In 2010, an epidemiological survey using the whole-community screening method was performed for 1,033 elderly males living in Tianliao Township of southern Taiwan. Of the 414 old males participating in the study (age=74.6±6.2 y/o, response rate=60.8%), 408 subjects with completed data were analyzed. Each subject received a face-to-face interview by a well-trained member of the research team with structured questionnaires. Lumbar (L1-4) and hip (total and neck) bone mineral density was measured by mobile dual energy X-ray absorptiometry (DXA, Hologic Explorer QDR). Diagnosis of osteoporosis (T-score＜=-2.5, young Asian reference) was confirmed by either the 1994 WHO criteria or history of non-traumatic fracture.Results: Of the 408 subjects, 70 (raw prevalence=17.2%) reached the diagnostic criteria of osteoporosis (age standardized prevalence=18.2%). Multiple logistic regression analysis revealed that body mass index and history of hypertension were negatively associated factors, while histories of hepatic, pulmonary or renal diseases were positively associated factors for osteoporosis. Of the 408 subjects, only 42 (10.3%) had received calcium supplement and 5 (1.2%) received Vitamin D supplement. Of the 70 osteoporotic subjects, only 10% had the knowledge of their osteoporotic diagnosis prior to the survey and 5.7% had received anti-osteoporotic medication.Conclusions: Osteoporosis is not uncommon, but the awareness, management and prevention of osteoporosis are inadequately provided for rural community-dwelling elderly males in Taiwan.

並列關鍵字

DXA ； bone density ； elderly males ； epidemiology survey ； Taiwan

國際替代計量

偏遠社區老年男性之骨質疏鬆症相關因素與照護現況

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