Tình trạng dinh dưỡng của công nhân luyện, cán thép và các yếu tố liên quan

TC.DD & TP6 (I) - 2010<br /> <br /> Summary<br /> EFFECTS OF SOME PREVENTIVE INTERVENTION METHODS OF OSTEOPORO-<br /> SIS FOR WOMEN AT THE ACE OF 40 - 65 IN THAIBINH<br /> <br /> The study was conducted in 2 wards Kyba and Lehongphong of Thaibinh city. After examining<br /> bone density by ALOKA machine (Japan), 259 osteophenia women at the age of 40 - 65 were se-<br /> lected for the control group . The inteivention group included 139 osteophenia women at the age<br /> of 40 - 65 who were with intervention methods (including communication, exercise, proper diet<br /> and Calcium - D supplementation). The periodical assessments have shown that: Recovery effect<br /> of osteophenia density of radius bone is 10.2% and of tibia is 42.8%. Protective effect of not having<br /> osteophenia incidence for radius is 21.4%, and for tibia is 25.7%. A protective effect of not having<br /> osteoporosis incidence for radius is 1.3% and for tibia is 13.5%.<br /> Keywords: preventive Intervention, osteoporosis, women 40-65years old<br /> <br /> <br /> <br /> <br /> TtNH TRANG DINH DlTCfNG gUA CONG NHAN<br /> LUYEN, CAN THEP VA CAC YEU TO LIEN QUAN<br /> Phgm Tien Thp', Do Vdn Ham-<br /> <br /> <br /> <br /> Mot nghien cim mo ta ket hgp vdi hoi cim da dugc tien hanh nham xac dinh tinh trang dinh duong<br /> va mpt so yeu to lien quan d cong nhan luyen can thep tai nha may luyen can thep Luu xa Thai<br /> Nguyen. Ket qua: Ty lc thira can, beo phi cao (43,67%). Cac benh tim mach va dai thao duong cao<br /> (41,67%). Hien tugng thira can, beo phi c6 lien quan den cac benh tim mach, dai thao dudng<br /> (p23 131 43,7<br /> + Nguy CO beo phi 23 - 24,9 117 89,3<br /> + Beo phi do I 25 - 29,9 14 10,8<br /> + Beo phi do II >30 0 0,0<br /> <br /> 38<br />  TC.DD & TP6 (1) - 2010<br /> <br /> KSt qua tai bang 4 cho thay: Ty IS do bj beo phi. Nhu vay lao ddng nang<br /> thira can, beo phi tuang ddi cao (43,7%). nhpc ciia cdng nghe luyen can thep van<br /> Day la diSu khdng tdt, ngoai du doan ciia tiSm an nguy ca beo phi hoac beo phi cao<br /> chiing tdi. Dae biet la cd tdi 10,8% trong ban nhieu so vdi cdng ddng [2,4].<br /> Bang 5. Phan loai benh tat ciia cong nhan<br /> <br /> Benh n = 300 /o<br /> <br /> Tim mach 26 8,7<br /> Tang huyet ap 97 32,3<br /> Dai thao duang typ II 17 5,7<br /> Than, tiet nieu 51 17,0<br /> Tieu hoa 106 35,3<br /> Co xuang khap 144 48,0<br /> <br /> Bang 5 cho thay: Mdt sd benh tat 32,3%, dai thao dudng 5,7%). Mdt sd<br /> cd liSn quan dSn dinh dudng hoac benh benh cd the cd anh hudng dSn dinh dudng<br /> dinh dudng nhu dai thao dudng va tim hoac do dinh dudng nhu tiSt nieu, tieu<br /> mach van d ty IS dang kS (tang huyet ap hda ciing cd ty IS cao (17 - 35,3%).<br /> Bang 6. Moi lien quan giii-a BMI va cac benh co lien quan den dinh du-ong<br /> <br /> BMI BMI < 23 (n=169) BMI > 23 (r1=131) So sanh<br /> Benh —<br /> n % n %<br /> Tang huyet ap Benh 30 17,7 67 51,1 X'= 37,61<br /> (n -97) Khong benh 139 82,2 64 48,8 P < 0,001<br /> Tim mach khac<br /> Benh 9 5,3 17 13,0 X^ =5,46<br /> (n =26)<br /> Khong benh 160 94,7 114 87,0 P 0,05<br /> Tieu hoa (n =106) Benh 61 36,1 45 34,3 X^ = 0,098<br /> Khong benh 108 63,9 86 65,6 P > 0,05<br /> <br /> KSt qua bang 6 cho thay cac benh tim [2,5]. Nhu vay ngudi cdng nhan lao ddng<br /> mach va dai thao dudng cd lien quan chat luyen thep van phai dy phdng cac benh<br /> che vdi chi sd BMI. Dac biet la benh tang tim mach, dai thao dudng nhu cac ddi<br /> huySt ap (P 0,05<br /> (n=129)<br /> Choi the thao Co choi 67 39,6 28 21,4<br /> (n=95) x ' = 11,38<br /> Khong chai 102 60,4 103 78,6 P < 0,001<br /> (n=205)<br /> <br /> Bang 7 cho thay: Lao dpng nang nhirng ngudi khdng chai thS thao<br /> nhpc da lam giam nguy ea beo phi (p