El-Desouki Mahmoud I, Sulimani Riad A
Department of Nuclear Medicine, King Khalid University Hospital, King Saud University, PO Box 7805-46, Riyadh 11472, Kingdom of Saudi Arabia.
Saudi Med J. 2007 May;28(5):774-7.
To determine the prevalence of osteoporosis in healthy Saudi men.
We randomly recruited 429 Saudi men from the community. The recruited Saudi men were subjected to an interview to reveal their lifestyle parameters, calcium intake and level of activity. Bone densitometry was assessed at lumbar spine (L1-4) and the femoral neck. The dual x-ray absorptiometry (DXA) scan was carried out in the Nuclear Medicine at King Khalid University Hospital, Riyadh, Saudi Arabia from September 2002 to December 2004. The World Health Organization definition of low bone mineral density was used.
Poor oral calcium intake and low level of daily activity were noted. The overall prevalence of osteopenia for the lumbar spine in the whole group was 35.7% while osteoporosis was present in 21.4% of the subjects. In the femoral neck, osteopenia was noted in 38% and osteoporosis in 11.4%. When either lumbar spine or femoral neck osteoporosis is used for diagnosis, the prevalence of osteoporosis rises to 23.5%. Within the whole group, osteopenia and osteoporosis were more common in individuals above the age of 50 than those below 50 years old.
Low bone mineral density occurs with high frequency in Saudi men. Lumbar spine appears to be affected to a higher degree. The reason for the high prevalence of osteoporosis in Saudi men is unclear. Possible underlying causes include nutritional, life style and genetic factors.
确定沙特健康男性骨质疏松症的患病率。
我们从社区中随机招募了429名沙特男性。对招募的沙特男性进行访谈，以了解他们的生活方式参数、钙摄入量和活动水平。在腰椎（L1 - 4）和股骨颈处进行骨密度测定。2002年9月至2004年12月期间，在沙特阿拉伯利雅得的哈立德国王大学医院核医学科进行双能X线吸收法（DXA）扫描。采用世界卫生组织低骨矿物质密度的定义。
发现口服钙摄入量低和日常活动水平低。整个组中腰椎骨量减少的总体患病率为35.7%，而21.4%的受试者存在骨质疏松症。在股骨颈，骨量减少的比例为38%，骨质疏松症的比例为11.4%。当以腰椎或股骨颈骨质疏松症作为诊断标准时，骨质疏松症的患病率升至23.5%。在整个组中，50岁以上的个体比50岁以下的个体骨量减少和骨质疏松症更为常见。
沙特男性中低骨矿物质密度的发生率很高。腰椎似乎受到的影响程度更高。沙特男性骨质疏松症患病率高的原因尚不清楚。可能的潜在原因包括营养、生活方式和遗传因素。
