生活型態與健檢婦女髖骨骨質密度的關係

Association Between Lifestyle and Hipbone Mineral Density in Women Participating in Health Checkups

韓文蕙(Wen-Hui Han) ； 張玨(Chueh Chang) ； 祁維廉(Wei-Lain Chi)

《台灣公共衛生雜誌》 22卷1期 (2003/02) Pp. 17-26

https://doi.org/10.6288/TJPH2003-22-01-03

摘要

目標：本研究之目的在探討生活型態因素與婦女髖骨骨質密度的關係。方法：本研究利用橫斷性研究設計，自2000年9月至2001年4月在台北市某一健檢中心，以骨質密度篩檢(DEXA方法)及自填式問卷調查二種方式收集資料，分析樣本包括313位未停經婦女，及96位頻臨停經或停經婦女。結果：無論停經與否，對婦女而言，年齡均與髖骨骨質密度呈顯著的負相關性。未停經婦女的髖骨骨質密度與身高、體重呈顯著的正相關性，未停經婦女目前有中度運動的其髖骨骨質密度顯著高於稀少運動或輕度運動者；而停經婦女的髖骨骨質密度則僅與身高呈正相關，而與停經年數呈負相關。飲食、吸菸、或飲酒並未顯出對髖骨骨質密度的顯著相關性。結論：雖然橫斷性研究的本質限制了本研究針對研究發現進行因果關係的推論，本研究發現仍支持運動習慣對髖骨骨質密度是有益的；而目前的運動習慣似乎較過去的運動習慣更有助益，且此種助益似乎在未停經婦女的族群中較為明顯。

關鍵字

骨質疏鬆,運動,生活型態,骨質密度,橫斷性研究

並列摘要

Objectives: To investigate the relationship between lifestyle and hipbone mineral density (HBMD) in women. Methods: A cross-sectional study was conducted among 313 pre-menopausal and 96 peri/post-menopausal women who participated in health checkups between Septembers 2000and April 2001. Information on lifestyle and HBMD (gm/cm2) was collected through a self-administered questionnaire and dual-energy X-ray absorptiometry (DEXA), respectively. Results: Age shows an inverse relationship with HBMD in the subjects. Compared with pre-menopausal women with rare or light exercise, women with moderate exercise had higher HBMD. A higher HBMD was also significantly associated with higher body weight and height. For pri / post-menopausal women, HBMD was positively associated with body height, but was negatively associated with number of years since menstruation ceased. Diet, smoking, and alcohol consumption showed no association with HBMD in both groups. Conclusions: Although the cross-sectional design precludes the causal inference between exercise and HBMD, our data tend to support the beneficial effects of recent exercise, a modifiable lifestyle, on HBMD, which seems to be more noticeable in pre-menopausal women than in peri/post-menopausal women.

並列關鍵字

osteoporosis, exercise, lifestyle, bone mineral density, cross-sectional survey

參考文獻

Albert, M. M.(1990).Osteoporosis: A Health Issue for Women.Health Care for Women International.11(1)

Avioli, L. V.(1993).Osteoporosis: A Growing National Health Problem.Physician Assistant.17

Bauer, D. C., Browner, W. S., Cauley, J. A., Orwoll, E. S., Scott, J. C., Black, D. M., Tao, Jo L., Cummings, S. R.(1993).Factors Associated with Appendicular Bone Mass in Older Women.Annals of Internal Medicine.118(9)

Blair, S. N.(1984).Behavioral Health: A Handbook of Health Enhancement and Disease Prevention.New York:John Wiley and Sons.

Blumenthal, J. A.(1991).Effects of Exercise training on bone density in older men and women.Journal of the American Geriatrics Society.39(11)