نوع مقاله : مروری

نویسندگان

1 دانشجوی کارشناسی ارشد اپیدمیولوژی، گروه آمار و اپیدمیولوزی، دانشگاه علوم پزشکی شهید صدوقی یزد، ایران

2 استاد، گروه آمار و اپیدمیولوزی دانشگاه علوم پزشکی شهید صدوقی یزد، ایران

3 استاد، گروه روماتولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی شهید صدوقی یزد، ایران

4 کارشناس ارشد اپیدمیولوژی، گروه پرستاری، دانشکدة پرستاری و مامایی، دانشگاه علوم پزشکی کرمانشاه، ایران.

چکیده

زمینه و اهداف: پوکی استخوان یک بیماری اسکلتی سیستمیک است، که هر ساله شکستگی های ناشی از آن هزینه اقتصادی و اجتماعی گزافی را بر سیستم درمانی کشور و مردم وارد می کند، لذا مطالعه حاضر با هدف مروری بر بررسی عوامل خطر پوکی استخوان انجام شده است.
مواد و روش ها: مقاله حاضر از نوع مروری (Narrative review) بوده و در آن مقالات منتشر شده به زبان فارسی و انگلیسی در پایگاههای Google scholar، SID، PubMed، Science Direct از سال 2000تا 2016 میلادی و با استفاده از واژگان کلیدی osteoporosis، Bone density ، Risk factor، Bone Mineral Density، Age، Sex، BMI و Menopause بررسی شد.
یافته ها: در بررسی 19 مقاله در این مطالعه مهمترین عوامل خطر در ابتلا به پوکی استخوان بر حسب نسبت شانس، سن بالای 60 سال 9/22 (19)، نمایه توده بدنی (BMI) کمتر از 25، 2/4 (22)، عدم فعالیت بدنی 1/2 (20) و ورزش کمتر از 3 ساعت در هفته 8/2 (21)، تعداد زایمان بیش از 3 بار 1/2 (22)، مصرف قلیان 7/12 (20) و یائسگی 6/29 (23)، مصرف لبنیات پایین 2/34 (23)، سابقه خانوادگی 3/2 (23)، استفاده از گلوکوکورتیکوئیدها 6/3 (22) بودند.
نتیجه گیری: مهمترین عوامل خطر ابتلا به پوکی استخوان ذکر شده در مطالعات مورد بررسی مربوط به سبک زندگی افراد و به عبارتی قابل تعدیل بودند و لذا لازم است تا برنامه های سلامت، توجه به تغذیه و فعالیت بدنی از دوران کودکی و نوجوانی مورد توجه سیاستگزاران سلامت قرار گیرد.

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Survey of Osteoporosis Risk Factors (Review Article)

نویسندگان [English]

  • Maryam Askari 1
  • Mohammad hassan Lotfi 2
  • Mohammad bagher Owlia 3
  • Hossain Fallahzadeh 2
  • Masoud Mohammadi 4

1 MSc Student of Epidemiology, Department of Biostatistics and Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran

2 Professor, Department of Biostatistics and Epidemiology, School of Health, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran

3 Professor, Department of Rheumatology, School of Medicine, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran

4 M.Sc. of Epidemiology, Department of Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences and Health Services, Kermanshah, Iran

چکیده [English]

Background and Objectives: Osteoporosis is a systemic skeletal disease, due to which the fractures result in huge economic and social costs every year for the health system of the country and the people, therefore, the present study was conducted to review the risk factors for osteoporosis.
Materials and Methods: The present article is a narrative review in which articles published in Persian and English at the Google scholar, SID, PubMed, and Science Direct databases from 2000 to 2016 using key words of osteoporosis, Bone density, Risk factor, Bone Mineral Density, Age, Sex, BMI and Menopause.
Results: In the study of 19 articles in this study, the most important risk factors for osteoporosis were odds ratio, the age of 60 years old 22.9(19), body mass index (BMI) less than 25, 4.2 (22), inactivity Physical exercise 2.1 (20) and exercise less than 3 hours 2.8 (21), the number of deliveries more than 3 times 2.1 (22), hookah consumption 12.7 (20) and menopause 29.6 (23), Low dairy consumption was 34.2 (23), family history of 2.3 (23), Use of glucocorticoids 3.6 (22).
Conclusion: The most important risk factors for osteoporosis mentioned in the studies related to the lifestyle, Therefore, health programs, attention to nutrition and physical activity from childhood and adolescence should be considered by health policy-makers.

کلیدواژه‌ها [English]

  • risk factors
  • osteoporosis
  • review
  • decreased bone density
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