骨質疏鬆症是全球第二大的重要流行病，這是一個全球性的公共衛生問題，尤其是在人口高齡化社會中。本研究以病歷回溯法進行病例樣本及病歷資料之蒐集，選取以全身雙能量X光射線骨密度掃描儀所進行骨質密度評估之65歲以上長者為研究對象，再進行其基本資料、健康行為、健康狀態、骨質密度及骨折率風險等資料蒐集，藉以瞭解其關聯性。研究結果顯示女性長者之骨質密度因子均顯著低於男性長者，此外，FRAX 10年內主要骨鬆性骨折率風險及FRAX 10年內髖骨骨折率風險等因子均顯著高於男性長者。健康行為中，女性長者在面對個人之預防保健及骨質疏鬆之治療等相關健康行為上較男性長者重視及主動積極，而抽菸與FRAX 10年內主要骨鬆性骨折率呈顯著正相關。在健康狀態方面，尿酸與FRAX 10年內主要骨鬆性骨折率風險及FRAX 10年內髖骨骨折率風險皆呈顯著負相關；而骨折史與FRAX 10年內主要骨鬆性骨折率風險及FRAX 10年內髖骨骨折率風險皆呈顯著正相關。高齡者骨質健康狀態之評估與維護應格外重視，期望政府能及早推動骨質疏鬆症篩檢政策，預防骨質疏鬆及骨折的發生，讓所有國民能得到更好的醫療品質與健康的老年生活。 Osteoporosis is the second most important epidemic in the world. This is a global public health problem, especially in a society with an aging population. This study used the retrospective method to collect case samples and medical records. Elderly people over 65 years old who had their bone density assessed with a whole-body dual-energy X-ray bone density scanner were selected as the research subjects, and then their basic information, health data on behavior, health status, bone density and fracture risk were collected to analyze the correlation. Research results show that the bone density factors of female elders are significantly lower than male elders. In addition, factors such as the FRAX major osteoporotic fracture rate within 10 years and the FRAX 10-year hip fracture rate are significantly higher than male elders. Among health behaviors, female elders pay more attention to and are more proactive than male elders when it comes to personal preventive health care and osteoporosis treatment and other related health behaviors. Smoking has a significant positive correlation with the major osteoporosis fracture rate in FRAX within 10 years. . In the health status, uric acid was significantly negative correlated with the FRAX major osteoporotic fracture rate within 10 years and the FRAX 10-year hip fracture rate; and fracture history was significantly positive correlated with the FRAX major osteoporotic fracture rate within 10 years and the FRAX hip fracture rate within 10 years. The assessment and maintenance of the bone health status of the elderly should be paid special attention for that. It is hoped that the government can promote osteoporosis screening policies as soon as possible to prevent the occurrence of osteoporosis and fractures, let all citizens have better medical quality and a healthy elderly life.
