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研究生:謝怡然
研究生(外文):Yi-Jan Hsieh
論文名稱:年輕女性鈣質攝取、尿鈣排泄及骨密度之相關研究
論文名稱(外文):Calcium Intake, Urine Calcium Excretion and Bone Mass of Young Females
指導教授:魏燕蘭魏燕蘭引用關係
指導教授(外文):Ien-Lan Wei, Ph.D.
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:臨床護理研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2004
畢業學年度:92
語文別:中文
論文頁數:145
中文關鍵詞:鈣質尿鈣骨密度
外文關鍵詞:CalciumUrinary calciumBone density
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  • 被引用被引用:2
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中文摘要
本研究採用橫段式研究方法探討20至30歲年輕女性鈣質攝取、尿鈣排泄與骨密度間的相關性。共42位受試者參加。收集三天飲食紀錄,一天24小時的單次尿液檢體,頭髮樣本。腰椎及髖骨之骨礦物質含量及骨密度以雙能量X光吸收儀測量。受試者平均鈣質攝取量為390.14 ± 184.62 mg/d;鈉攝取量為3558.51 ± 871.53 mg/d。尿鈣排泄量為87.77 ± 50.12 mg/d。有規律性執行身體活動的占26﹪。骨密度方面;股骨頸0.7781 ± 0.097 g/cm2;股骨粗隆0.665 ± 0.090 g/cm2;股骨粗隆間1.040 ± 0.117 g/cm2;全髖骨0.885 ± 0.101 g/cm2;Ward氏三角區0.739 ± 0.122 g/cm2;第一至第四腰椎1.003 ± 0.106 g/cm2。研究結果顯示:飲食鈣攝取量與髖骨和腰椎骨的骨礦物質含量及骨密度間無相關性。鈉攝取量與股骨頸骨礦物質含量以及與股骨粗隆、股骨粗隆間和全髖骨的骨礦物質含量及骨密度間呈負相關(p<0.05)。尿鈣與髖骨各部位和腰椎骨的骨礦物質含量及骨密度間無相關性。頭髮鈣含量與腰椎骨的骨礦物質含量有正相關(r=0.305, p<0.05)。活動量方面,過去一年內的身體活動量與股骨粗隆間、全髖骨的骨礦物質含量和骨密度,以及與股骨頸、股骨粗隆的骨密度間有正相關(p<0.05)。本研究發現受測的年輕女性的髖骨之骨礦物質含量及骨密度偏低,有規則性執行身體活動者之比率也偏低,同時鈣質攝取不足,而鈉量攝取過高。在未來的年輕女性的骨骼健康促進計劃中,宜針對這些不良的生活型態及飲食狀況加以宣導。
Abstract
This study examined the calcium intake, urinary calcium excretion and bone mass of young females. Forty-two Taiwanese Women, aged 20-30 years, participated in the study. Physical activity data, 3-d dietary intake record, 24-h urine samples and hair samples were collected. The bone mass was measured at the spine(lumbar vertebrae 1-4), the non-dominant femur(neck, trochanter, intertrochanter, ward’s trangle and total hip)Using dual energy x-ray absorptiometry. The average dietary intake of calcium and sodium was 390.1 ± 184.6 mg/d and 3558.5 ± 871.5 mg/d, respectively. Urinary calcium excretion was 87.8 ± 50.1 mg/d. About 26﹪of the studied young women had regular physical activity. The bone densities of various sites were as follows:Femur neck 0.778 ± 0.097 g/cm2, trochanter 0.665 ± 0.090 g/cm2, intertrochanter 1.040 ± 0.117 g/cm2, total hip 0.885 ± 0.101 g/cm2, Ward’s triangle 0.739 ± 0.122 g/cm2 and lumar1-4 1.003 ± 0.106 g/cm2. These bone densities values were lower than the published values of young women. The bone mineral content and bone density of spine and femur were not related to the calcium intake. The sodium intake was negatively correlated (p<0.05)with bone mineral content at four femur sites(neck, trochanter, intertrochanter, and total hip).The hair calcium content correlated well(p<0.05)with bone mineral content of lumbar1-4. Positive relationships were observed between the physical activity level in the previous year and bone mineral content of intertrochanter and total hip, as well as the bone density of femur neck and trochanter(p<0.05).The low values of bone density in association with the low level of physical activity and high intake of sodium of these young women are cause of concern.
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