Prevalence and Relevant Factor Osteoporosis of Elder People at the Northern Taiwan Healthcare Center

• Main Authors: Cheng Yen Chiang, 江承晏
• Other Authors: Y. J. Chuang
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/56nafe

碩士 === 長庚大學 === 商管專業學院碩士學位學程在職專班醫務管理組 === 104 === Taiwan will soon be an aging society, where the prevalence rate of osteoporosis will rise year by year and the accompanying medical care costs of the osteoporotic fracture will certainly place a heavy burden on families and the society. This research does a retrospective analysis on the central database of a HealthcareCenter in North Taiwan to study the prevalence rate of osteoporosis of middle-aged and aged people and related factors to be used as reference of public health policies promotion and future researches. It involves 9,039 middle-aged and aged people who underwent the test of dual energy X-ray absorptiometry from 2008 to 2012. The body parts exanimated are the first four lumbar vertebras, and the neck of femur and the thighbone of the high bones at both sides; diagnoses are made based on the lowest T values of bone mineral density examination results of each part above; the data analysis includes the subjects’ age, gender, height, weight, BMI, examination results, bone density examination results, fracture rate and osteoporosis risk assessment questionnaire (including 16 questions); Chi-Square Test and one-way ANOVA are used to explore risk factors related to osteoporosis, and then for related variables that reach statistical significance, multiple logistic regression analysis is performed. The results show the prevalence rates of osteoporosis and low bone mass are 9.8% and 52.4%, and the prevalence rates of osteoporosis and low bone mass of male and female are 6.6%, 49.8% and 13%, 54.9% respectively. Being older, and shorter, and having BMI＜24 kg/m2 , Alk-p ＞ 94 U/L and “Parents were diagnosed with osteoporosis or fractured their bones after a little fall” are common significant factors that cause both male and female to suffer from osteoporosis and low bone mass; besides, “Underweight (BMI＜19)” and “Having been smoking for a long time or smoked” are significant factors that cause male to suffer from such diseases. Underweight and smoking are controllable factors, so we suggest middle-aged and aged people maintain their BMI around 24 kg/m2, avoid smoking, undergo periodic health examination and participate in early screening programs for early treatment to preventosteoporotic fracture and live a healthy life.