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[巴西圣卡塔琳娜州查佩科市60岁以上女性椎体骨折的患病率及危险因素]

[Prevalence of vertebral fractures and risk factors in women over 60 years of age in Chapecó, Santa Catarina State, Brazil].

作者信息

Oliveira Patricia Pereira de, Marinheiro Lizanka Paola Figueiredo, Wender Maria Celeste Osório, Roisenberg Felipe, Lacativa Paulo Gustavo Sampaio

机构信息

Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.

出版信息

Cad Saude Publica. 2010 Sep;26(9):1777-87. doi: 10.1590/s0102-311x2010000900011.

Abstract

Fractures are the main problems related to bone fragility in postmenopausal women and account for the increase in the risk of new fractures, mortality, and costs. This study's objective was to verify the occurrence of vertebral fragility fracture and correlate it with demographic, behavioral, and clinical factors in a Brazilian population. The cross-sectional study was based on a random sample of elderly women living in Chapecó, Santa Catarina State, Brazil. The sample consisted of 186 white women over 60 years of age. Of these, 48.9% had asymptomatic vertebral fractures, with higher prevalence in T11-12 and L4-5. Adjusted analysis showed a gradient between age and vertebral fracture, while fracture prevalence was 2.3 times higher in women over 80 years. Fracture prevalence was 1.44 times higher in sedentary as compared to non-sedentary women. Due to the high prevalence of asymptomatic vertebral fractures, the authors suggest the use of spinal x-rays in elderly women for fracture screening and prevention.

摘要

骨折是绝经后女性骨脆性的主要问题,也是新骨折风险、死亡率和医疗费用增加的原因。本研究的目的是验证巴西人群中椎体脆性骨折的发生率,并将其与人口统计学、行为学和临床因素相关联。这项横断面研究基于对居住在巴西圣卡塔琳娜州查佩科的老年女性的随机抽样。样本包括186名60岁以上的白人女性。其中,48.9%有无症状椎体骨折,在T11-12和L4-5节段的患病率更高。校正分析显示年龄与椎体骨折之间存在梯度关系,80岁以上女性的骨折患病率高出2.3倍。久坐女性的骨折患病率比非久坐女性高1.44倍。由于无症状椎体骨折的高患病率,作者建议对老年女性进行脊柱X光检查以进行骨折筛查和预防。

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