基于CHARLS数据库探讨身体圆度指数与中国中老年人群骨关节炎的相关性OA
Association between the body roundness index and osteoarthritis in middle-aged and older adults in China:evidence from the CHARLS database
目的 探讨身体圆度指数(body roundness index,BRI)与骨关节炎(osteoarthritis,OA)之间的相关性.方法 基于中国健康与养老追踪调查(China Health and Retirement Longitudinal Study,CHARLS)数据进行横断面研究.使用多变量 logistic 回归模型、限制性三次样条法(restricted cubic spline,RCS)函数、交互作用和亚组分析,评估 BRI 指数与中国中老年人群 OA 之间的关系.结果 本研究纳入 8 548 名受访者,其中 OA 患者 3 700 例,患病率为 43.28%.在校正社会人口学、生活方式、代谢因素等混杂因素的模型中发现,BRI 指数与 OA 呈正相关(OR=1.12,95%CI:1.05~1.18).对年龄、性别、婚姻状况、居住地区、教育程度、吸烟、饮酒、体质量指数进行分层分析发现,各亚组间差异均无统计学意义(P>0.05).结论 BRI 指数与 OA 呈线性正相关,当 BRI 指数每增加 1 个单位,OA 发生风险相对增加 12%.
Objective To explore the association between the body roundness index(BRI)and osteoarthritis(OA).Methods A cross-sectional study was conducted using data from the China Health and Retirement Longitudinal Study(CHARLS).The relationship between the BRI and OA among middle-aged and older adults in China was assessed using multivariable logistic regression models,restricted cubic splines(RCS),interaction terms and subgroup analysis.Results A total of 8 548 participants were included in the analysis,including 3 700 OA patients,with a prevalence of 43.28%.After adjusting for confounding factors as sociodemographic characteristics,lifestyle factors and metabolic factors,the BRI was positively associated with OA(OR=1.12,95%CI:1.05-1.18).Stratified analysis by age,gen-der,marital status,residential area,education level,smoking,alcohol consumption and body mass index(BMI)showed no significant differences among subgroups(P>0.05).Conclusion The BRI is positively and linearly associated with OA.For each unit increase in the BRI,the risk of developing OA increases by 12%.
张苏尧;钱程;徐晶;杨轹文;何杨;朱林;蒋涛
213003 江苏常州,南京中医药大学常州附属医院骨科213003 江苏常州,南京中医药大学常州附属医院骨科213003 江苏常州,南京中医药大学常州附属医院骨科213003 江苏常州,南京中医药大学常州附属医院骨科213003 江苏常州,南京中医药大学常州附属医院骨科213003 江苏常州,南京中医药大学常州附属医院骨科213003 江苏常州,南京中医药大学常州附属医院骨科
医药卫生
身体圆度指数骨关节炎横断面研究中老年人
body roundness indexosteoarthritiscross-sectional studymiddle-aged and older adults
《中华骨质疏松和骨矿盐疾病杂志》 2026 (1)
43-51,9
2023年度省中医药科技发展计划项目(ZD202325)2024年江苏省研究生实践创新计划(SJCX24_1025)
评论