Prevalence of Osteoporosis and Low Bone Mass Among Puerto Rican Older Adults.

Prevalence of Osteoporosis and Low Bone Mass Among Puerto Rican Older Adults.
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DOI:
10.1002/jbmr.3315
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发表时间:
2018-03
期刊:
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
影响因子:
--
通讯作者:
Tucker KL
Tucker KL
中科院分区:
其他
文献类型:
--
作者:
Noel SE;Mangano KM;Griffith JL;Wright NC;Dawson-Hughes B;Tucker KL

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从历史上看,骨质疏松症并没有被认为是西班牙裔人口的公共卫生优先事项。然而,最近的数据表明,墨西哥裔美国人患这种慢性疾病的风险增加。虽然它是公认的,有异质性的社会,生活方式和健康相关的因素之间的西班牙裔亚组,目前很少有研究对骨骼健康的西班牙裔亚组以外的墨西哥裔美国人。目前的研究旨在确定953名波多黎各成年人中骨质疏松症和低骨量(LBM)的患病率,年龄在47至79岁之间,居住在美国大陆,使用该人群中最大的骨骼健康队列之一的数据:波士顿波多黎各骨质疏松症研究(BPROS)。参与者完成了一次访谈,以评估人口统计学和生活方式特征以及骨密度测量。为了便于与国家数据进行比较,我们根据国家健康和营养检查调查(NHANES)计算了年龄≥ 50岁的墨西哥裔美国人、非西班牙裔白色人和非西班牙裔黑人成年人的骨质疏松症和LBM的年龄调整估计值。BPROS参与者的骨质疏松症和LBM的总体患病率分别为10.5%和43.3%。对于男性,骨质疏松症的患病率最高的是50至59岁的人群(11%),最低的是≥ 70岁的男性(3.7%)。波多黎各男性骨质疏松的年龄调整患病率为8.6%,而非西班牙裔白色男性为2.3%,墨西哥裔美国男性为3.9%。波多黎各女性(10.7%)、非西班牙裔白色女性(10.1%)或墨西哥裔美国女性(16%)的年龄调整估计值之间无统计学显著差异。有必要了解导致波多黎各成年人骨质疏松症的具体因素,特别是年轻男性。这将提供重要的信息,以指导制定文化和语言定制的干预措施,以改善这一研究不足和高风险人群的骨骼健康。
Historically, osteoporosis has not been considered a public health priority for the Hispanic population. However, recent data indicate that Mexican Americans are at increased risk for this chronic condition. Although it is well established that there is heterogeneity in social, lifestyle, and health-related factors among Hispanic subgroups, there are currently few studies on bone health among Hispanic subgroups other than Mexican Americans. The current study aimed to determine the prevalence of osteoporosis and low bone mass (LBM) among 953 Puerto Rican adults, aged 47 to 79 years and living on the US mainland, using data from one of the largest cohorts on bone health in this population: The Boston Puerto Rican Osteoporosis Study (BPROS). Participants completed an interview to assess demographic and lifestyle characteristics and bone mineral density measures. To facilitate comparisons with national data, we calculated age-adjusted estimates for osteoporosis and LBM for Mexican American, non-Hispanic white, and non-Hispanic black adults, aged ≥50 years, from the National Health and Nutrition Examination Survey (NHANES). The overall prevalence of osteoporosis and LBM were 10.5% and 43.3% for participants in the BPROS, respectively. For men, the highest prevalence of osteoporosis was among those aged 50 to 59 years (11%) and lowest for men ≥70 years (3.7%). The age-adjusted prevalence of osteoporosis for Puerto Rican men was 8.6%, compared with 2.3% for non-Hispanic white, and 3.9% for Mexican American men. There were no statistically significant differences between age-adjusted estimates for Puerto Rican women (10.7%), non-Hispanic white women (10.1%), or Mexican American women (16%). There is a need to understand specific factors contributing to osteoporosis in Puerto Rican adults, particularly younger men. This will provide important information to guide the development of culturally and linguistically tailored interventions to improve bone health in this understudied and high-risk population.
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