赞比亚卢萨卡大学教学医院40岁及以上成人骨质疏松症患病率

Nchimunya Gwaba, Robson Kanongo, Shawn Haluzani, Eugene Nchimunya
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摘要

背景:骨质疏松症是一个全球性问题,在发达国家发病率高,在发展中国家呈上升趋势。关于赞比亚骨质疏松发病率的研究没有文献记载。然而,其他国家最近的一些数据表明,这种疾病有所增加,但人口和卫生当局严重缺乏对这种情况的认识,因此难以确定赞比亚关注的程度。由于该疾病在研究地点的患病率尚未确定,本研究旨在确定大学教学医院(UTH) 40岁及以上成年患者骨质疏松症的患病率。方法:本回顾性研究包括检索76例年龄在40岁及以上的有骨密度报告的患者的文献资料。结果:研究结果显示,32.9%的患者骨质疏松,43.4%的患者骨质减少,23.7%的患者骨量正常。男性患者骨质疏松率为47.6%,女性患者骨质疏松率为27.3%。然而,在5%显著性水平的卡方结果显示,男性和女性患骨质疏松症的机会相同(p=0.091)。这项研究还显示了骨质疏松症与年龄之间的直接联系。该研究证实,骨质疏松症的诊断可能性随着年龄的增长而增加(p=0.015)。结论:骨质疏松症及其相关因素在45岁以上成人中患病率较高。
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Prevalence of Osteoporosis in adults aged 40 years and above at the University Teaching Hospital in Lusaka, Zambia
Background: Osteoporosis is a global problem with a high prevalence in developed countries and an increasing trend in developing countries. Studies on the incidence of osteoporosis in Zambia are not documented. However, some recent data in other countries have shown an increase in this disease but awareness of this condition is sorely lacking among the population as well as health authorities, making it difficult to determine the extent of the concern in Zambia. Since the prevalence of this disease has not yet been established at the study site, this study aimed to determine the prevalence of osteoporosis among adult patients aged 40 years and above at the University Teaching Hospital (UTH). Methods: This retrospective study involved the retrieving of document data from 76 patients, aged 40 years and above, who had bone mineral density reports. Results: The study results showed that 32.9% of the patients had osteoporosis, 43.4% had osteopenia, while 23.7% had normal bone mass. Among the male patients, 47.6% had osteoporosis while 27.3% had osteoporosis among the females. However, the chi-square results at 5% level of significance showed that both men and women have an equal chance of acquiring osteoporosis (p=0.091). This study also showed a direct association between osteoporosis and age. The study established that the likelihood of being diagnosed with osteoporosis increased with age (p=0.015). Conclusion: These findings show that the prevalence of osteoporosis and its associated factors is quite high among adults above the age of 45 years.
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