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男性骨质疏松症的流行病学

[Epidemiology of Osteoporosis in Men].

作者信息

Fujiwara Saeko

机构信息

Health Management & Promotion Center, Hiroshima Atomic Bomb Casualty Council, Japan.

出版信息

Clin Calcium. 2016 Jul;26(7):1003-8.

Abstract

Estimated number of those with osteoporosis was about 12,800,000, and about 23%, 3,000,000 were male osteoporosis in Japan. Incidence of hip, vertebral, distal radius, and proximal humeral fracture in men was half of that in women. Lifetime risk of hip fracture was 5.6% in men. Risk factors for osteoporotic fracture in men were low bone mineral density(BMD), previous fracture, low body mass index, smoking, family history of fracture, glucocorticoid use and others. For osteoporotic fractures, the fracture risk in smokers was significantly higher in men than in women. There was no differences in fracture risks by BMD, previous fracture, glucocorticoid use, and family fracture history between men and women.

摘要

日本骨质疏松症患者估计约有1280万,其中约23%(300万)为男性骨质疏松症患者。男性髋部、脊椎、桡骨远端和肱骨近端骨折的发生率是女性的一半。男性一生中髋部骨折的风险为5.6%。男性骨质疏松性骨折的危险因素包括低骨矿物质密度(BMD)、既往骨折史、低体重指数、吸烟、骨折家族史、使用糖皮质激素等。对于骨质疏松性骨折,男性吸烟者的骨折风险显著高于女性。在BMD、既往骨折史、使用糖皮质激素和家族骨折史方面,男性和女性的骨折风险没有差异。

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