ABSTRACT
Objective To understand the current status of osteoporosis risk and influencing factors for residents from 30 to 65 years old in typical hot spring areas in Guizhou province, and to provide a theoretical basis for reducing the risk of osteoporosis and the prevention of osteoporosis in the population. Methods A health questionnaire for residents in typical hot spring areas in Guizhou, osteoporosis risk test questions, Pittsburgh sleep quality index(PSQI), etc were used. A face-to-face survey of 3 708 residents was conducted, and logistic regression was used to analyze the influencing factors of osteoporosis risk in hot spring areas. Results 2 403(64.81%)residents of 3 708 people surveyed were at risk of osteoporosis, of whom 1 434(87.4%)males and 969 females(47.1%)had a higher risk of osteoporosis (χ2=652.4, P < 0.001). As age increased, more residents were at risk of osteoporosis(χ2=273.4, P < 0.001), and numbers of residents of 30-39 years old, 40-59 years old, and above 60 years of age at risk of osteoporosis were 319(49.2%), 1 572(62.9%), and 512(93.6%). Male osteoporosis risk was negatively correlated with an education level of undergraduate and above(OR=0.37, 95%CI: 0.19-0.73). Age 40-59(OR=1.54, 95%CI: 1.07-2.22), 60 and above(OR=6.39, 95%CI: 2.76-14.79), and sleep disorders(OR=1.59, 95%CI: 1.08-2.35)may increase the risk of osteoporosis in male residents in hot spring areas. Less oil in daily diet may increase the risk of osteoporosis in women(OR=1.70, 95%CI: 1.23-2.36). Age 40-59(OR=1.54, 95%CI: 1.17-2.03), over 60 and above(OR=16.24, 95%CI: 10.10-26.12), and sleep disorders(OR=1.84, 95%CI: 1.48-2.28)were positively correlated with risk of osteoporosis in women. Women with junior high school degree(OR=0.61, 95%CI: 0.47-0.80), high school degree(OR=0.57, 95%CI: 0.37-0.89)and undergraduate degree and above(OR=0.59, 95%CI: 0.39-0.98)had a lower risk of osteoporosis than women who were illiterate or semi-illiterate. The osteoporosis risk test questions showed that smoking, heavy drinking, and erectile dysfunction and reduced sexual desire were the main sources of osteoporosis risk in men. Menopause before the age of 60, ≤45 years old, no milk and no calcium supplements, parents with osteoporosis or bone fractures were the major risk sources of osteoporosis in women. Conclusion The risk of osteoporosis among male residents from 30 to 65 years old in typical hot spring areas in Guizhou province is higher than that among women. Education of osteoporosis prevention should be strengthened among local residents to promote healthy behaviors and lifestyles.
ABSTRACT
Objective To investigate hot spring bathing behavior and chronic disease prevalence of residents aged 30 to 65 in typical hot spring areas of Guizhou Province. Methods Totally 3 708 individuals between 30 and 65 in five typical hot spring areas of Guizhou Province were included in this study. Their hot spring bathing behavior and chronic disease prevalence were recorded. Unconditional logistic regression was used to analyze the association between hot spring bathing and the incidence of chronic diseases. Results 71.3% of the residents in the hot spring areas had bathed in hot springs, with the proportion higher in males than females(χ2=92.856, P < 0.001). 76.3% of people took hot spring baths fewer than or equal to 6 times per year, 30.8% of residents often chose to take hot spring baths in the evening, and 37.6% of the residents took hot spring baths for 21-40 minutes. Bathing was more common in winter. 11.5% and 17.9% of the residents added other substances and used hot spring facilities, and most of them added traditional Chinese medicine and used the sauna. 46.6% and 41.6 % of the residents took hot spring baths to relax and relieve fatigue. The self-reported prevalence rate of chronic diseases was 522.1‰, and the top five single diseases were lumbar intervertebral disc disease(119.7‰), hypertension(118.1‰), urinary calculus(77.7‰), cervical intervertebral disc disease(53.7‰)and osteogenesis(44.5‰). Compared with those who never bathed in hot springs, taking hot spring baths 7-11 times a year was negatively correlated with chronic diseases.(OR=0.551, 95%CI: 0.345-0.879). Conclusion Hot spring bathing is popular in typical hot spring areas of Guizhou Province, but its frequency is not high. The overall prevalence of chronic diseases is relatively high, and the order of most prevalent chronic diseases is different from that in other areas. Proper hot spring bathing is negatively correlated with chronic diseases.
ABSTRACT
To clarify present status of outpatients related to bathing in the emergency critical center located in the hot spring area, medical records at the emergency room were analysed.<br> In last year, 162 cases (1.2%) related to bathing of 13,386 patients who visited our emergency critical center from April, 2009 to March, 2010.<br> There were limited because of poor records related to past history and hot spring, our data showed as follows: ①cases related to bathing were only 1.2% (162/13,386 patients), ②incidence of patients related to bathing was peaked December, ③two peaks were showed both 0-10 years old and 60-90 years old, ④males were dominant, ⑤physical diseases were accounted for 75% of diseases related to bathing, ⑥physical diseases mainly included cardiopulmonary arrest were suspected by drowned, syncope, and acute coronary syndrome, ⑦trauma mainly included hits and contusions treated by orthopedic surgery and neurosurgery, ⑧transportation was performed by ambulance account for 66%, ⑨outcome at discharge of emergency room were mainly stable condition including 69% of patients who returned home, and only cardiopulmonary arrest cases were dead.<br> Although children and older people who had past medical history regarding cardiology and neuroloy suffered from diseases related bathing, self checking system was not sufficient to prevent all sickness except for sudden death. It had better not take a bath alone.
ABSTRACT
To clarify present status of outpatients related to bathing in the emergency critical center located in the hot spring area, medical records at the emergency room were analysed. In last year, 162 cases (1.2%) related to bathing of 13,386 patients who visited our emergency critical center from April, 2009 to March, 2010. There were limited because of poor records related to past history and hot spring, our data showed as follows: ①cases related to bathing were only 1.2% (162/13,386 patients), ②incidence of patients related to bathing was peaked December, ③two peaks were showed both 0-10 years old and 60-90 years old, ④males were dominant, ⑤physical diseases were accounted for 75% of diseases related to bathing, ⑥physical diseases mainly included cardiopulmonary arrest were suspected by drowned, syncope, and acute coronary syndrome, ⑦trauma mainly included hits and contusions treated by orthopedic surgery and neurosurgery, ⑧transportation was performed by ambulance account for 66%, ⑨outcome at discharge of emergency room were mainly stable condition including 69% of patients who returned home, and only cardiopulmonary arrest cases were dead. Although children and older people who had past medical history regarding cardiology and neuroloy suffered from diseases related bathing, self checking system was not sufficient to prevent all sickness except for sudden death. It had better not take a bath alone.