ESTIMATION OF RISK FACTORS OF A BONY RAREFICATION AMONG THE POPULATION ALMATY

Turekulova A.A.

The central city clinical hospital

Almaty, Kazakhstan.

During sociological research by us it has been interrogated 660 person in the age of from 30 till 59 years distributed on a floor and to age and the following risk factors of development of a bony rarefactions are investigated: reduction in growth, presence of crises in the anamnesis, a heredity, physical activity, the use of products containing calcium, smoking, the use of alcohol, the use of drinks containing caffeine.

Studying of prevalence of decrease in growth at interrogated as possible display of a bony rarefaction has shown, that interrogated advanced age statistically authentically frequently complained of reduction in growth (in the age of 50-59 years - men 20,69%±5,32 and women 26,27%±4,05). At the same time the superiority of decrease in growth authentically is marked at the female population, in all compared groups (30-39 years - 17,54%±2,91, 40-49 years - 22,43%±4,03), in comparison with men (30-39 years - 7,41%±2,52, 40-49 years - 18,37±3,91, р <0,05) more.

Research has shown, that the greatest distribution of bones’ crises to the anamnesis was observed at the interrogated men. Studying of frequency of crises’ occurrence in the past in a section of age, has shown, that at young age, overweight was provided with men. Obviously, it is connected basically by a way of life, behavior and features of physical activity of men. At the same time in the age of 50-59 years (24,58%±3,96) the superiority of prevalence of crises it was caused by the female population, in comparison with men (20,69%±5,32).

During interviewing, whether on a question suffered parents, native brothers or sisters a bony rarefaction, in most cases women of 8,59% cases (30-39 years - 5,26%±1,71, 40-49 years - 13,08%±3,26, 50-59 years - 9,32%±2,68) have answered, that at near relatives were a bony rarefaction, in comparison with men at whom on the average at 2,27 % relatives suffered a bony rarefaction (30-39 years - 1,85%±1,30, 40-49 years - 4,08%±2,0). At 5,81%±2,12 women parents either native brothers or the sister had crisis of a femur while at men of all 0,76%±0,12 crises of a femur had close relatives.

During studying a level of physical activity in men it was found out, that 40,15% of the population go within day more than 1 hour. Thus, authentically smaller amount on the given parameter there were persons in the age of 40-49 years (34,69%±4,81). By amount of respondents with physical activity as walking till 1 o'clock in day authentically age groups of 50-59 years (48,28%±6,56) frequently were in the lead. Quantity of men going on foot less получаса in day, varied from 10,34%±4,0 in age group of 50-59 years up to 28,57%±4,56 in age group of 40-49 years.

As have shown the data of interrogation of 43,69% of women go on foot within day till 1 o'clock. Alongside with it, it is marked, that less quarters of the population conduct an inactive way of life, and less than half of them are physically active, both men, and women. As most often go within day more than 1 hour, in the age of 50-59 years (38,14%±4,47) and it is most less than woman in the age of 30-39 years (34,50%±3,64). The comparative analysis of physical activity of men and women, has shown, that people going on foot more of 1 hour was more among men, till 1 o'clock - among women and less получаса went identical amount, both men, and women.

The analysis of frequency of the use of dairy products (milk, kefir, cheese, cottage cheese) men, has shown, that more than half of respondents authentically more often use dairy products daily, 16,67% used in day and 15,15% once a week. The greatest quantity of respondents daily using dairy products, there were men in the age of 30-39 years - 68,52%±4,47, then 40-49 years - 67,35%±4,74 and 50-59 years - 65,52%±6,24. Hence, the age interrogated is more senior, the less they used dairy products daily. Most less often used dairy products once a week in the age of 30-39 years.

It is established, that women of advanced age (50-59 years - 70,34%±4,20) most often used dairy products daily, and once a week young women (less often used 30-39 years - 11,70%±2,46). Studying of the given question in a cut age-sexual groups, has not revealed statistically authentic distinctions. Thus, overweight of the use of dairy products daily and a day later, appeared at young respondents, both among men, and among women.

Studying of prevalence of behavioral risk factors, such as smoking, the use of alcohol, has shown, their wide enough prevalence among the population. It is established, that most often smoke men in all compared age groups (40-49 years - 61,22%±4,92, 50-59 years - 65,52%±6,24), are especial at young age (30-39 years - 70,37±4,39). The comparative analysis of smoking among women, has shown, that high frequency of distribution of smoking is marked in the age of 40-49 years, making 24,30%±4,15, and it is less - in age group of 50-59 years 14,41%±3,23.

The analysis of prevalence and frequency of the use of alcoholic drinks among men, has shown, that the greatest amount interrogated, using alcohol is more often than 1 time a week appeared in age groups of 40-49 years, 50-59 years (12,24%±3,31, 13,79%±4,53). The greatest quantity of the respondents who are not using alcohol, appeared in age group of 50-59 years (34,48%±6,24 %). Less the once in a week use alcohol in age group of 30-39 years (72,22%±4,31, р <0,05) more often.

At studying frequency of the use of alcohol among women, it has not been established, using alcohol more than 1 time a week. More than half of women at all did not use alcohol (30-39 years - 57,89%±3,78, 40-49 years - 52,34%±4,83), are especial it is expressed in the age of 50-59 years - 71,19%±4,17 (р <0,05, 0,01). It is less than half of women used alcohol less than 1 time a week (30-39 years - 42,11%±3,78, 40-49 years - 47,66%±4,83, 50-59 years - 28,81%±4,17).

Negative influence on a bone exchange can render caffeine. In this connection, by us it has been investigated frequency of the use of coffee. Thus, appeared, that more than half of men at all do not use coffee: in 30-39 years - 55,56%±4,78, in 40-49 years - 65,31%±4,81, in 50-59 years - 79,31%±5,32, р <0,001. Use one cup in day less quarters of men, 2-3 cups, 4 and more cups in day use in the age of 30 - 39 years - 16,67%±3,59 and 5,56%±2,20 whereas, in the age of 40-49 years - 4,08%±2,0 and 2,04%±1,43, - 3,45%±2,40 and 4 and more cups at this age at all did not use 50-59 years most . Studying of frequency of the use of coffee among women, has shown, that more than half of women at all do not use coffee in the age of 30-39 years - 59,30%±3,75, 40-49 years - 56,07%±4,80 and 50-59 years - 63,56%±4,43. More than one quarter of women drink coffee 1 cup in day - 30-39 years - 32,56%±3,57, 40-49 years - 34,58%±4,60, 50-59 years - 23,73%±3,92. The least quantity of women used coffee of 2-3 cups (30-39 years - 6,40±1,87, 40-49 years - 9,35%±2,81, 50-59 years - 10,17%±2,78) and 4 cups in day (30-39 years - 1,74%±1,0, 50-59 years - 2,54%±1,45).

The analysis of frequency of the use of coca-cola and пепси-колы, has shown, that authentically more the given drinks used men (27,27%), is especial in age groups of 30-39 years (33,33%±4,54) and 40-49 years (30,61%±4,66). The high use of the above-stated drinks among women it was provided with age group of 30-39 years (26,90%). The lowest reception of these drinks, was caused by the senior age groups of 50-59 years, both among men, and among women (10,34% and 13,56%).

Thus, studying of risk factors, has shown, that the age is more senior, the it is more than quantity of risk factors of development of a bony rarefaction, both among men, and among women. However, among the interrogated respondents of young age, persons with pieties of risk factors which shows also have been revealed, that the risk of development of a bony rarefaction is present and among young people.