Department of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China.
Department of Rehabilitation Medicine, Tianjin Medical University, Tianjin, China.
J Int Med Res. 2020 Aug;48(8):300060520943450. doi: 10.1177/0300060520943450.
Osteoporosis can lead to bone fragility and an increased risk of bone fracture with resultant high morbidity and mortality. Living alone has been associated with various mental and physical health problems. However, the risk of osteoporosis among individuals with different living conditions and changing living conditions is unclear. We examined the risk of osteoporosis in different living conditions over a 3-year period in community-dwelling suburban elderly Chinese.
This study involved 288 elderly Chinese suburb-dwelling participants with no documented history of osteoporosis. All were aged ≥60 years (mean, 65.6±3.75 years; 157 men). A quantitative ultrasound scan of the calcaneus with a T score of <-2.5 was used to identify a high risk of osteoporosis.
In total, 54.2% of participants were determined to have a high risk of osteoporosis (male, 51.6%; female, 57.3%). People who had always lived alone had a significantly higher risk of osteoporosis, even after adjusting for potential confounders. A change from living alone to living with others had no significant impact on the risk of osteoporosis.
Our results indicate that living alone is associated with a high risk of osteoporosis. Thus, people who live alone may need regular bone tests to avoid adverse events.
骨质疏松症可导致骨骼脆弱，并增加骨折风险，从而导致高发病率和死亡率。独居与各种身心健康问题有关。然而，不同生活条件和生活条件变化的个体患骨质疏松症的风险尚不清楚。我们研究了居住在郊区的社区老年人中，3 年内不同生活条件下骨质疏松症的风险。
本研究涉及 288 名居住在郊区的无骨质疏松症病史的中国老年人。所有参与者年龄均≥60 岁（平均 65.6±3.75 岁；男性 157 人）。使用跟骨定量超声扫描，T 评分<-2.5 来确定骨质疏松症的高风险。
共有 54.2%的参与者被确定为骨质疏松症高风险（男性 51.6%；女性 57.3%）。一直独居的人患骨质疏松症的风险明显更高，即使在调整了潜在的混杂因素后也是如此。从独居到与他人同住的生活方式改变对骨质疏松症的风险没有显著影响。
我们的结果表明，独居与骨质疏松症的高风险有关。因此，独居者可能需要定期进行骨测试以避免不良事件。
