Correlation analysis of bone mineral density, hemoglobin and serum albumin in healthy population
10.3760/cma.j.cn115624-20220519-00377
- VernacularTitle:中国健康体检人群脊柱定量CT骨密度与血红蛋白及白蛋白的相关性
- Author:
Caiyun WANG
1
;
Kaiping ZHAO
;
Xiaojuan ZHA
;
Limei RAN
;
Shuang CHEN
;
Yan WU
;
Guobin HONG
;
Yong LU
;
Yuqin ZHANG
;
Xiao MA
;
Jing LU
;
Xigang XIAO
;
Xiangyang GONG
;
Zehong YANG
;
Wei CHEN
;
Lü YINGRU
;
Jianbo GAO
;
Shaolin LI
;
Yuehua LI
;
Xia DU
;
Qiang ZENG
;
Xiaoguang CHENG
;
Jing WU
;
Yongli LI
Author Information
1. 郑州大学人民医院 河南省人民医院医学影像科，河南省慢病重点管理实验室，郑州 450003
- Keywords:
Bone mineral density;
Hemoglobin;
Serum albumin;
Correlation
- From:
Chinese Journal of Health Management
2022;16(9):616-622
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To use quantitative computed tomography (QCT) technology to measure the bone mineral density of the spine of the Chinese healthy population, and to explore its correlation with hemoglobin and serum albumin.Methods:The data in this study came from the China Health Quantitative CT Big Data Project (China Biobank). The spine bone density was measured by using QCT Pro Image Analysis System and all cooperating centers used the European spine phantom (NO.145) for quality control. Total of 50 053 healthy persons who met the criteria for entry were selected as the research subjects. The subjects were divided into 7 groups according to age. The general data, spine bone density, serum albumin, hemoglobin of the subjects were collected. The single-factor analysis of variance, Pearson correlation analysis and multi-classification logistic regression model were applied to analyze the correlation between bone density and hemoglobin and serum albumin.Results:The bone mineral density of healthy people decreased with age ( P<0.05), and there were significant differences in hemoglobin, serum albumin and body mass index (BMI) among different age groups (all P<0.05). Linear correlation analysis showed that there were positive correlation between bone mineral density and hemoglobin in healthy males in different age groups ( r=0.086, 0.101, 0.076, 0.090, 0.072, 0.123, 0.100, all P<0.01). There were negative correlation between bone mineral density and hemoglobin in certain age groups in women (40-49 years group: r=-0.027; 70-79 yearsgroup: r=-0.077; both P<0.05). And corelation were found between bone mineral density and serum levels of albumin in certain age groups of healthy subjects (among men, 30-39 years group: r=-0.048; 40-49 years group, r=-0.027; 70-79 years group, r=-0.051; among women, 30-39 years group: r=-0.044; 40-49 years group, r=-0.042; 50-59 years group, r=-0.086; 70-79 years group, r=-0.070; all P<0.05). After adjusting for age and BMI, the multi-category logistic regression analysis showed that the hemoglobin level was protective factor of normal bone density ( OR=1.022, 95% CI:1.017-1.027) and decreased bone density ( OR=1.012, 95% CI:1.007-1.016) in healthy males, and the serum albumin was risk factor for normal bone density ( OR=0.926, 95% CI:0.905-0.948) and decreased bone density ( OR=1.006, 95% CI:0.951-1.011) in healthy women. Conclusion:There is a correlation between bone mineral density and hemoglobin and serum albumin in Chinese healthy population. Hemoglobin is a protective factor for bone mineral density in men, and serum albumin is a risk factor for bone mineral densityin women.
