社區停經初期婦女骨質流失及危險因子之追蹤研究(第二年)

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行政院國家科學委員會專題研究計畫成果報告

社區停經初期婦女骨質流失及危險因子之追蹤研究(第二

年)

計畫類別：個別型計畫

計畫編號： NSC92-2314-B-002-330-

執行期間： 92 年 08 月 01 日至 93 年 07 月 31 日

執行單位：國立臺灣大學醫學院一般醫學科

計畫主持人：嚴孟祿

報告類型：精簡報告

處理方式：本計畫可公開查詢

中華民國 93 年 10 月 6 日

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中英文摘要

關鍵詞:骨密度、停經、世代追蹤研究、危險因子

骨質疏鬆症是廿一世紀人類因人口老化所將面臨的重大問題，尤其是婦女在

停經後快速的骨質流失更是造成低骨密度，乃至骨質疏鬆、骨折的主要因素。據

統計在美國一年有 150 萬例因骨質疏鬆導致的骨折，台灣在進入本世紀不久將會

與歐美國家一樣走上人口高度老化的程度。

台灣地區目前雖已有學者提出的骨密度平均值表及標準差，但皆為橫斷面的

研究，且皆沒有深入探討其相關的危險或保護因子。為探討相關危險及保護因子，

並補正橫斷面研究可能的缺失，本研究計畫乃是以社區為範圍，為期三年的世代

追蹤研究。以下報告研究進行的方式與到第二年結束時的成果。我們以台北市為

主，收錄已停經的婦女，予以測量及調查其基本資料（年齡、身高、體重、腰臀

比…等）及生活型態(有無抽煙、喝酒、日常運動量多寡…等)，並詳細詢問其月經

生育史（初經及停經年齡、懷孕及生產次數、有無哺餵母乳…等）及相關疾病家

族史。每位受檢婦女皆接受 DEXA（Dual Energy X-ray Absorptiometry）測量腰椎

及左大腿股骨頭關節的骨質密度（BMD - bone mineral density）及全身脂肪分布。

這第二年的工作主要是維繫已受試婦女以做為以後第三年的世代追蹤。

從 2002 年 9 月起截至 2004 年 7 月底共完成 395 位停經後婦女的骨密度及其

尚稱周詳，故第一年研究之進行尚無碰到重大困難。唯一的問題是因 2003 年上半

年 SARS 的肆虐，被抽中測量的社區民眾不敢到醫療院所，導致收案個數較原先

計劃者為少。第二年的追蹤率亦高達九成，將待第三年全部受測人數完成滿二年

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的追蹤後，再予以統計分析。

Keywords: bone mineral density (BMD), menopause, cohort study, risk factor

Osteoporosis is a major public health concern of the 21st century due to the rapidly

increasing elderly population worldwide. Women especially will lose bone rapidly

after the menopause, which can lead to osteopenia initially, with worsening to

osteoporosis and an increased propensity to fracture. Statistics from the USA show

approximately 1.5 million fractures occurring each year as a consequence of

osteoporosis. The steep increase in the elderly population of Taiwan in recent decades,

similar to Western developed nations, will further emphasize the urgency of

preventative strategy against osteoporosis.

Although there have been studies on the bone mineral density (BMD) of Taiwanese

women, these studies, however, were mainly cross-sectional in nature. In order to

investigate reproductive and lifestyle risk factors or protective factors for bone loss in

the postmenopausal years and avoid the shortcomings of a cross-sectional study design,

this longitudinal community-based cohort study with a 2-year follow-up were carried

out. We include 397 postmenopausal women as study subjects until the end of the

second year.

Using a questionnaire, baseline characteristics (age, years of education, etc.), lifestyle

characteristics (ever smoked, drink alcohol, physical activity level, etc.), reproductive

history (age at menarche and menopause, parity and number of livebirths, breastfeeding,

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measurements were taken of each subject (height, weight, BMI, waist-hip ratio (WHR),

etc.). Every subject received dual energy X-ray absorptiometry (DEXA)

measurements of BMD ( bone mineral density) for the lumbar spine and left hip and

total body fat distribution.

The data collected during the first year here will be used as baseline to compare

with any weight, height, lifestyle and BMD changes 1 and 2 years later.

Part of these original data were shown in appendix. The only problem we

encounter during the first and second year study is SARS episode, which hindered

subjects from receiving DEXA exam at hospital. Hence the subject number enrolled is

less than originally planned.

報告內容

Osteoporosis is a common disorder in Taiwan in recent decades given the steep

increases in the elderly population. Several investigators have reported the distribution

of bone mass in the Taiwanese population and have found that postmenopausal

osteoporosis is also a common disorder in the Chinese population in Taiwan, similar to

Western developed nations. Several risk factors have been identified for osteoporosis,

with bone mineral density (BMD) as the most useful indicator for stratifying people

regarding the level of fracture risk. The most consistent predictors of low bone mass

include female sex, increased age, estrogen deficiency, low weight and body mass index

(BMI), family history of osteoporosis, smoking, and history of prior fracture. Use of

alcohol and caffeine-containing beverages is inconsistently associated with decreased

bone mass. In contrast, some measures of physical function and activity have been

associated with increased bone mass. Late menarche, early menopause, and low

endogenous estrogen levels are also associated with low BMD in several studies.

Racial and ethnic differences persist in terms of the risk of osteoporosis and

fractures, as well as in the management of osteoporosis. Unfortunately, the

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overwhelming majority of the research regarding risk factors for BMD is on the

Caucasian race, and there have been few reports based on the Chinese population in

Taiwan. A few studies have examined the association of reproductive factors with

BMD in postmenopausal women when bone loss is the most rapid, but there have been

no such study in our population and these previous studies were mostly cross-sectional

in nature. In order to investigate risk factors or protective factors for bone loss in the

postmenopausal years, this longitudinal community-based cohort study with a 2-year

follow-up was carried out . Using a questionnaire, we recorded baseline characteristics

(age, years of education, etc.), lifestyle characteristics (ever smoked, drink alcohol,

physical activity level, etc.), reproductive history (age at menarche and menopause,

parity and number of livebirths, breastfeeding, use of estrogen replacement therapy,

etc.), as well as pertinent medical and family history. Anthropometric measurements

were taken of each subject (height, weight, BMI, waist-hip ratio (WHR) etc.). Every

subject also received dual energy X-ray absorptiometry (DEXA) measurements of the

lumbar spine and left hip, a DEXA measurement for total body fat distribution.

The data collected during the first and second year here will be used as baseline to

compare with any weight, height, lifestyle and BMD changes 1 and 2 years later.

Part of these original data were shown in appendix. The only problem we

encounter during the first and second year study is SARS episode, which hindered

subjects from receiving DEXA exam at hospital. Hence the subject number enrolled is

less than originally planned.

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Raloxifene versus continuous combined estrogen/progesterone therapy:

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計劃成果自評

1、已完成的工作項目。

(1).社區停經後婦女腰骨及髖骨密度的世代追蹤基準點資料的收集。

(2).社區停經後婦女有關骨密度流失的危險因子或保護因子資料之收集。

2、參與工作的人員獲得之訓練。

(1).熟悉並實地從事社區研究工作。

(2).增進對世代追蹤研究方法的實務經驗。

(3).進一步瞭解骨質疏鬆症的偵測診斷及防治方法。

3、美中不足的是；在這第一年研究的後半年(即2003年的上半年)由於 SARS 的肆

虐，導致一些被抽中的受試者不願到醫院接受骨質密度檢查，以致收錄數目不

如原先的預期。然目前仍在追蹤的約400位婦女，其第二年的追蹤率仍可達九

成。

可供推廣之研發成果資料表

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附錄

第二年研究進度報告

截至 2004 年 7 月底共已完成 397 位

編號姓名電話 BH BW Ap Spine T-Score Left Hip T-Score

1 陳×葉 27322××× 148 55 61.3% -3.25 69.3% -2.18 2 劉×美惠 23210××× 150 52 77.1% -1.93 77.4% -1.61 3 翟×亞如 23914××× 155 50 115.5% 1.30 85.1% -1.06 4 喬× 29340××× 162 57 83.1% -1.42 77.4% -1.61 5 陳× 23635××× 161 48 56.5% -3.66 65.6% -2.45 6 崔×香 29396××× 161.5 58 70.2% -2.51 79.8% -1.44 7 林×履 23635××× 152.5 62 91.7% -0.70 86.2% -0.98 8 余×敏 23623××× 155 65 91.1% -0.74 92.0% -0.57 9 周×仙 23636××× 150 49 73.9% -2.20 77.4% -1.61 10 王×芝 23623××× 153 53.5 52.0% -4.04 69.8% -2.14 11 徐×冰 23639××× 152 66 68.0% -2.69 76.8% -1.65 12 魯×英 23630××× 160 74 88.4% -0.98 89.3% -0.76 13 黃×瑞貞 29391××× 150 55 78.6% -1.80 80.5% -1.39 14 曾×卿 27031××× 153 45 68.4% -2.66 97.4% -0.15 15 陳×英英 28363××× 151 49 63.2% -3.10 74.4% -1.82 16 張×月坡 28313××× 158 71 96.8% -0.27 95.7% -0.31 17 蔡×添娘 27520××× 149 49 77.2% -1.91 77.4% -1.61 18 黃×英 27825××× 151 51.5 61.7% -3.22 68.9% -2.21 19 鄭×雪庭 29345××× 150 37 55.5% -3.75 53.6% -3.30 20 柯×美玉 25778××× 163 63 65.9% -2.87 68.9% -2.21 21 王×鴻蘭 23033××× 150 55 75.0% -2.10 64.0% -2.56 22 林×君 27355××× 158 43 74.5% -2.15 75.7% -1.73 23 曾×麗花 22301××× 149 40 69.6% -2.56 54.2% -3.26 24 陳×招 27327××× 147 51 72.8% -2.29 75.4% -1.75 25 黃×霞 27334××× 145 58 90.7% -0.78 73.4% -1.89 26 廖× 27359××× 153 57 61.4% -3.25 65.2% -2.47 27 劉×清秀 27355××× 153 67 77.9% -1.86 68.1% -2.27 28 洪×錦枝 27226××× 155 72 88.8% -0.95 84.8% -1.08 29 陳×磬 27617××× 155.5 64 91.6% -0.71 87.2% -0.91 30 劉×麗琴 29329××× 148 48 53.7% -3.89 68.3% -2.26 31 胡×碧珠 23579××× 150 62 74.9% -2.11 71.2% -2.05 32 黃×良吟 23636××× 157 70 71.8% -2.37 85.3% -1.05 33 劉×悌 29368××× 145.5 62 69.7% -2.55 49.5% -3.59 34 汪×貞 22308××× 152.5 50.5 62.5% -3.16 71.2% -2.05 35 張×瑞葭 23653××× 150 50 58.0% -3.54 62.7% -2.65 36 李×泉英 23636××× 149 70.5 81.7% -1.30 83.6% -1.38 37 許×瑞 22302××× 154 69 111.2% 0.94 113.5% 0.96 38 歐×彩鳳 27137××× 154 55 67.2% -2.76 66.2% -2.40 39 林×煙 25776××× 165 64 75.2% -2.09 82.9% -1.22 40 鄭×瑕 23620××× 157 65 85.7% -1.20 97.4% -0.18 41 張×淑真 27510××× 149.5 50 60.3% -3.34 62.5% -2.67

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編號姓名電話 BH BW Ap Spine T-Score Left Hip T-Score 42 黃×霞 23633××× 160 49 59.7% -3.39 75.7% -1.73 43 陳×玉霞 27328××× 147 52.5 103.8% 0.32 95.7% -0.31 44 朱×真 29348××× 154 56 63.6% -3.07 54.5% -3.24 45 周×雪銀 23651××× 152 46 73.8% -2.20 92.7% -0.52 46 陳×菊 27017××× 153 61 99.2% -0.07 72.9% -1.93 47 林×吟 23036××× 149 51 114.0% 1.18 71.8% -2.01 48 紀×淑姬 25812××× 152 46.5 69.7% -2.55 85.1% -1.06 49 王×璧雲 29359××× 148.5 54 76.4% -1.99 77.6% -1.59 50 劉×玉英 27322××× 146 45.5 73.0% -2.27 63.0% -2.63 51 許×綿 27062××× 155 64 78.7% -1.79 71.0% -2.07 52 黃×文鳳 23625××× 150 45 70.3% -2.50 73.4% -1.89 53 王×雪 29345××× 152 50 57.0% -3.62 86.2% -0.98 54 陳×琤 23630××× 158 45 93.2% -0.58 75.9% -1.72 55 李×蘭 27337××× 162 68 79.6% -1.72 87.0% -0.93 56 林×碧霞 23955××× 143 50 70.9% -2.45 66.4% -2.39 57 孫×瑾 29379××× 154 57 63.8% -3.05 63.0% -2.63 58 紀×瓊 27237××× 159 46 69.9% -2.53 77.2% -1.62 59 劉×棣 29320××× 141 45 68.0% -2.69 68.8% -2.22 60 張×真 28310××× 159 65 65.4% -2.91 95.0% -0.36 61 戴×碧如 27285××× 153 66 89.8% -0.86 70.1% -2.13 62 黃×淑 23637××× 150 50 67.8% -2.71 80.8% -1.37 63 李×秀菊 27332××× 147 50 61.7% -3.23 68.2% -2.27 64 周×珊 29313××× 155 53 93.3% -0.56 65.3% -2.47 65 陳×月嬌 27332××× 151 63 75.3% -2.08 79.0% -1.49 66 郭×聰秀 29367××× 156 46 58.9% -3.45 69.3% -2.18 67 陳×宜 23047××× 161 54 81.3% -1.58 78.2% -1.55 68 黃×少英 23628××× 154 52 59.3% -3.43 73.2% -1.91 69 高×惠 23632××× 161 53 81.4% -1.56 96.8% -0.23 70 黃×淑慎 23635××× 153 60 97.5% -0.21 83.8% -1.15 71 吳×德華 23635××× 152 58 83.6% -1.38 81.3% -1.33 72 王×金 23051××× 147 57 57.9% -3.54 67.7% -2.30 73 張×月桃 25925××× 153 58 68.2% -2.68 73.4% -1.89 74 廖×秀蓮 27099××× 155 56 68.4% -2.66 67.9% -2.28 75 黃×採雲 27336××× 150 56.7 69.1% -2.60 66.6% -2.37 76 陳×朝琴 23672××× 150.5 68.5 109.3% 0.78 93.2% -0.49 77 黃×幸惠 27678××× 143 51 66.8% -2.79 69.9% -2.16 78 吳×薇 23633××× 151 56 89.6% -0.87 79.9% -1.43 79 鍾×阿珠 29314××× 152 65 78.2% -1.84 67.0% -2.35 80 張×真 27138××× 159.5 67.5 90.4% -0.81 88.8% -0.80 81 鄧×玉 27332××× 155.5 54.5 58.6% -3.48 82.0% -1.28 82 蔡×對 27213××× 150 56 61.6% -3.23 82.2% -1.27 83 林×樣 27355××× 143.5 48 77.1% -1.93 69.9% -2.14 84 王×惜 23677××× 141 32 65.2% -2.93 62.8% -2.65 85 洪×錦治 25952××× 160 65 64.6% -2.98 69.0% -2.21 86 任×容 27073××× 162 66 97.5% -0.21 86.5% -0.96 87 孫×梅 29317××× 159.5 70 112.8% 1.07 122.4% 1.59 88 沈×生 29115××× 152 60 87.1% -1.09 75.1% -1.77

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編號姓名電話 BH BW Ap Spine T-Score Left Hip T-Score 89 葉×調 27332××× 153.5 46 52.3% -4.01 67.9% -2.28 90 楊×卿 23620××× 157 58 68.1% -2.68 69.0% -2.20 91 謝×錦薇 28278××× 145 43 55.4% -3.75 65.7% -2.44 92 馬×明 27297××× 162.5 58 66.0% -2.68 65.1% -2.48 93 王×玉 29365××× 155 76 89.1% -0.91 81.8% -1.29 94 江×薇 23510××× 149 55 104.9% 0.41 102.6% 0.19 95 謝×阿哲 27811××× 160 62.5 78.5% -1.81 69.4% -2.18 96 胡×秀綿 27122××× 151 64 76.3% -1.99 91.2% -0.63 97 易×秀華 23654××× 151 51 77.5% -1.89 63.2% -2.62 98 張×芳 29344××× 155 56 54.6% -3.82 48.5% -3.66 99 李× 29343××× 146 69 57.9% -3.54 70.2% -2.12 100 范×淑娟 29346××× 150 54 64.8% -2.96 61.8% -2.72 101 陳×芳 23676××× 158 80 117.5% 1.47 103.0% 0.21 102 楊×香 29312××× 154 45 90.4% -0.81 87.0% -0.92 103 吳×錦玉 23682××× 149 50 80.1% -1.67 94.8% -0.37 104 高×錦鶴 22365××× 151 54 69.4% -2.57 70.9% -2.07 105 施×月蓮 29397××× 153 61 68.9% -2.62 64.1% -2.55 106 朱×權 27051××× 149 56 86.9% -1.10 71.3% -2.04 107 高×榮 27075××× 155 69 90.8% -0.77 90.8% -0.65 108 朱×暖 22345××× 164.5 65 65.9% -2.87 95.0% -0.35 109 蘇×秀李 29361××× 160 55 67.9% -2.70 94.5% -0.39 110 陳×愛子 27014××× 148 47 64.7% -2.97 82.3% -1.26 111 張×蘭 23033××× 144 50.5 62.0% -3.20 68.5% -2.24 112 徐×玉嬌 23635××× 149 55 98.8% -0.10 72.8% -1.94 113 朱×足 25165××× 145 49.5 69.3% -2.58 70.3% -2.12 114 李×娟 23682××× 151 58 70.4% -2.49 84.5% -1.10 115 張×華 22306××× 153 53 74.1% -2.18 64.8% -2.50 116 翁×碧花 23653××× 150 40.5 65.1% -2.93 68.8% -2.22 117 陳×秋妹 23920××× 151 56.5 80.3% -1.66 71.5% -2.02 118 劉×如 27297××× 158 60 91.4% -0.72 93.4% -0.47 119 楊×金惠 23917××× 153 60 61.8% -3.21 61.3% -2.76 120 劉×珍 29314××× 151 50 75.0% -1.78 72.3% -2.33 121 王×東香 27338××× 146 45 62.3% -3.17 66.9% -2.35 122 武×清 29231××× 146.5 45.5 61.8% -3.21 71.7% -2.01 123 朱×麗敏 27338××× 150 35 58.7% -3.48 57.3% -3.04 124 丁×如 29327××× 158 52 60.3% -3.34 84.1% -1.13 125 王×蓉 27076××× 152 55.5 92.6% -0.62 70.1% -2.13 126 史×霞 27972××× 160 60 75.5% -2.06 84.5% -1.10 127 陳×捷妤 23636××× 150 59 84.5% -1.30 83.1% -1.21 128 張×芬 23962××× 155 62.5 80.9% -1.60 75.4% -1.75 129 曾×綺梅 23943××× 154 48 90.6% -0.79 71.6% -2.02 130 王×梅仙 29304××× 152 56 71.5% -2.40 73.0% -1.92 131 蔡×群 29315××× 156 59 62.7% -3.14 73.9% -1.86 132 徐×芳 89331××× 149 52 81.9% -1.52 67.7% -2.30 133 施×金英 23063××× 147 46 68.7% -2.63 82.4% -1.25 134 胡×芳 23929××× 157 58 80.8% -1.62 92.2% -0.56 135 楊×琴 29344××× 159 60 69.4% -2.57 75.1% -1.77

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編號姓名電話 BH BW Ap Spine T-Score Left Hip T-Score 136 馮×淑靜 27067××× 155 60 84.6% -1.30 75.1% -1.77 137 沈×秀蘭 23678××× 148 56 51.7% -4.07 56.6% -3.09 138 王×月女 89411××× 158 70 80.6% -1.63 94.8% -0.37 139 劉×雲 29391××× 156 63 75.1% -2.09 83.5% -1.17 140 黃×瑞英 27337××× 140 46 106.3% 0.53 78.2% -1.55 141 洪×刊 29395××× 156 69 86.3% -1.15 72.6% -1.95 142 趙×青 23634××× 161 68 132.6% 2.74 90.8% -0.65 143 陳×寶蓮 29319××× 158 57 75.7% -2.04 98.8% -0.09 144 劉×賽霞 23635××× 160 74 105.7% 0.48 84.2% -1.12 145 姚×秀琴 29325××× 150 61 105.8% 0.48 86.2% -0.98 146 陳×玉葉 23010××× 144 49 72.9% -2.28 65.0% -2.49 147 黃×建宇 27679××× 160 58 77.7% -1.88 77.2% -1.62 148 徐×英 27028××× 147 55 96.2% -0.32 96.7% -0.24 149 郭×妹 23679××× 159 58 94.0% -0.51 73.8% -1.87 150 劭×秀雲 87322××× 160 52 75.3% -2.08 82.2% -1.27 151 齊×華 23212××× 158 52 106.7% 0.56 69.0% -2.21 152 李×六妹 23316××× 149 45 78.7% -1.79 76.4% -1.68 153 陳×碧嬌 29328××× 51.5 146.5 61.4% -3.25 60.5% -2.81 154 林×玉 29345××× 151 50 64.6% -2.98 75.5% -1.74 155 朱×志 29330××× 149 48 55.7% -3.73 51.3% -3.47 156 張×雲蓮 27173××× 158 62 61.4% -3.25 70.0% -2.14 157 劉×錦桂 27180××× 154 59 65.4% -2.91 74.0% -1.85 158 劉×欒 23637××× 149.5 48 62.2% -3.18 76.9% -1.64 159 吳×鏬妹 27320××× 150 50 61.9% -3.21 70.6% -2.09 160 楊×秀清 23629××× 153 55 110.6% 0.89 94.4% -0.40 161 陳×菊梅 29371××× 149 56 63.2% -3.10 66.4% -2.39 162 黃×阿鑾 25573××× 157 61 63.9% -3.04 65.3% -2.47 163 高×女 27321××× 155 56 88.0% -1.01 93.1% -0.49 164 初×金鳳 23123××× 155.5 70 76.3% -2.00 88.2% -0.84 165 林× 23653××× 152.5 54 70.9% -2.45 80.6% -1.38 166 楊×彩雲 27753××× 157 50 90.2% -0.82 68.2% -2.26 167 葉×貴 23626××× 159.5 57 74.5% -2.15 81.3% -1.33 168 王×珥 23684××× 147 43 56.3% -3.68 63.1% -2.62 169 曾×珍 23658××× 156 71 100.4% 0.03 82.0% -1.28 170 陳×娟 29330××× 154 47 69.8% -2.54 64.8% -2.51 171 賴×禎 23278××× 149 63 81.3% -1.57 72.4% -1.97 172 許×蘩 27129××× 101 112 75.5% -2.06 104.4% 0.31 173 陳×柔 25716××× 154 57 67.0% -2.78 65.6% -2.44 174 陳×蓮 87321××× 149 45 58.8% 3.47 51.2% 3.47 175 劉×芙美 27026××× 155.5 48 95.7% -0.36 86.8% -0.94 176 王×對妹 25222××× 150 65 55.3% -3.76 66.8% -2.36 177 李×玉蘭 89311××× 162.5 64 102.0% 0.17 93.7% -0.20 178 許×幸 23210××× 151 53 68.3% -2.67 64.4% -2.54 179 林×鳳 27057××× 155 55 97.0% -0.25 111.6% 0.83 180 趙×琪 29390××× 161 60 79.6% -1.72 99.3% -0.05 181 顏×妹 27225××× 159.5 74 98.9% -0.09 74.3% -1.83 182 王×貴 27225××× 152 67 60.9% -3.29 67.4% -2.32

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編號姓名電話 BH BW Ap Spine T-Score Left Hip T-Score 183 朱×淵霞 27613××× 152 51 80.3% -1.66 72.1% -1.99 184 江×瓊 23785××× 154.5 69 66.1% -2.85 64.8% -2.50 185 劉×妹 23675××× 150 54 45.0% -4.62 47.4% -3.74 186 曾×琴 26572××× 146 46.5 54.9% -3.79 61.8% -2.71 187 王×瓊 27351××× 152.5 60.5 85.2% -1.24 98.8% -0.09 188 郭×君 23952××× 145.5 43 61.8% -3.22 71.5% -2.03 189 李× 28613××× 158 61 84.9% -1.27 78.3% -1.54 190 駱×月 29322××× 161 59 78.8% -1.78 85.9% -1.00 191 黃×秀娟 23661××× 149.5 54 81.7% -1.54 77.1% -1.63 192 唐×來強 29313××× 159 60 69.0% -2.61 72.6% -1.95 193 周×英 22368××× 152 46 51.4% -4.09 64.8% -2.50 194 邵×雲卿 27133××× 158 58 81.0% -1.60 99.8% -0.01 195 陳×壁 25020××× 162.5 51.5 76.7% -1.96 95.2% -0.34 196 沈×鳳鳴 23922××× 153 63 100.4% 0.03 74.2% -1.83 197 張×碧 23636××× 150 51 56.9% -3.63 59.7% -2.86 198 王×對妹 25222××× 150.0 65.0 59.0% -3.45 68.3% -2.25 199 方×仙鶴 27315××× 161.0 65.0 63.4% -3.08 81.4% -1.32 200 朱×麗敏 27738××× 150.0 35.0 56.9% -3.62 54.8% -3.21 201 陳×花 23020××× 154.0 58.0 66.1% -2.85 72.9% -1.93 202 陳×磬 27617××× 155.0 64.0 86.9% -1.10 88.0% -0.85 203 侯×琴 23684××× 156.0 59.0 62.7% -3.14 59.1% -2.91 204 郭×娥 27712××× 154.0 50.0 72.5% -2.31 72.3% -1.97 205 周×文 23626××× 157.0 60.5 61.4% -3.25 74.9% -1.79 206 邱×穎 27339××× 149.0 61.0 76.5% -1.98 62.6% -2.66 207 吳×萬纓 23639××× 149.0 49.0 104.7% 0.40 88.5% -0.82 208 李×蘭 27329××× 148.0 56.0 94.9% -0.43 80.3% -1.40 209 蔡× 27664××× 153.0 50.0 60.4% -3.33 59.0% -2.91 210 方×香 27353××× 160.0 68.2 82.3% -1.26 74.4% -2.16 211 童×雅美 27339××× 163.0 63.0 82.8% -1.45 82.8% -1.22 212 胡×碧珠 23579××× 158.0 60.0 74.8% -2.12 66.1% -2.41 213 廖×西 25313××× 159.0 54.3 71.5% -2.04 61.6% -2.73 214 游×予 23635××× 157.0 68.0 97.5% -0.21 90.4% -0.68 215 楊×金惠 23917××× 153.0 57.0 67.4% -2.75 63.1% -2.62 216 劉×英 23636××× 163.0 59.0 65.2% -2.93 66.5% -2.38 217 邵×環 23629××× 154.0 50.0 71.8% -2.37 68.9% -2.21 218 張×春杏 27015××× 153.0 58.0 74.4% -2.16 66.5% -2.38 219 周×覽 23632××× 160.0 65.1 81.1% -1.59 80.8% -1.37 220 陳×網却 23947××× 145.0 57.0 84.7% -1.29 75.4% -1.75 221 陳×樺 28364××× 152.0 52.5 72.1% -2.35 67.6% -2.30 222 林×華 23939××× 145.0 53.0 104.6% 0.38 86.0% -1.00 223 王×瓊 27351××× 153.0 59.5 83.5% -1.39 97.8% -0.16 224 林×蘭 23689××× 158.0 62.3 79.8% -1.70 97.3% -0.19 225 何×玉霞 27339××× 145.5 53.4 76.0% -2.02 94.0% -0.42 226 韓×意 23675××× 145.0 50.0 55.5% -3.74 70.2% -2.12 227 吳×梅麗 23675××× 150.0 65.0 67.4% -2.75 71.0% -2.07 228 鍾×妹 27253××× 145.0 55.0 56.4% -3.66 64.0% -2.56 229 胡×默顰 23631××× 145.0 48.0 72.2% -2.34 63.7% -2.59

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編號姓名電話 BH BW Ap Spine T-Score Left Hip T-Score 230 章×慧人 27119××× 153.0 49.0 91.1% -0.75 74.8% -1.79 231 林×吟 23036××× 147.0 47.6 114.3% 1.20 73.5% -1.88 232 高×鳳 29324××× 150.0 52.0 61.1% -3.27 59.7% -2.86 233 陳×埩 23630××× 157.5 54.0 94.6% -0.45 74.5% -1.81 234 莊×碧華 29340××× 154.0 51.5 71.7% -2.38 62.0% -2.70 235 喬× 29340××× 161.0 55.0 74.5% -2.14 71.3% -2.04 236 林× 27321××× 151.0 56.5 61.2% -3.26 85.7% -1.02 237 蔡×碧月 23621××× 152.5 67.0 78.3% -1.82 85.1% -1.06 238 劉×喜眉 23638××× 161.5 45.0 51.2% -4.10 65.5% -2.46 239 徐×英 27028××× 145.0 54.0 94.0% -0.51 97.5% -0.17 240 黃×瑤祝 23689××× 155.0 67.9 80.4% -1.65 90.7% -0.66 241 王×娥 29310××× 150.0 47.0 87.1% -1.08 97.3% -0.20 242 朱×儀 27336××× 156.0 54.0 67.4% -2.74 61.4% -2.75 243 魏×芬 27336××× 151.0 70.5 100.6% 0.05 67.9% -2.28 244 伊×家郁 29356××× 165.0 65.0 100.1% 0.00 92.5% -0.53 245 鄭×掌珠 23635××× 150.0 50.0 66.4% -2.82 81.8% -1.29 246 劉×影 23091××× 161.0 60.0 83.7% -1.37 93.4% -0.47 247 凌×秀英 29396××× 141.0 46.0 74.7% -2.13 80.0% -1.42 248 楊×秀清 23629××× 153.0 55.0 114.8% 1.24 97.5% -0.18 249 江×美 27327××× 158.5 67.0 77.3% -1.91 85.9% -1.00 250 張× 29412××× 148.0 65.0 75.2% -2.09 83.9% -1.14 251 洪×怡 29363××× 160.0 53.3 87.4% -1.06 78.4% -1.54 252 林×秀蘭 24551××× 157.0 67.0 70.8% -2.46 80.8% -1.36 253 楊×枝 23951××× 158.0 58.0 90.6% -0.79 88.5% -0.82 254 楊×彩雲 27522××× 157.0 50.0 90.9% -0.76 66.5% -2.38 255 許×紗 23676××× 151.0 60.0 82.7% -1.46 80.0% -1.42 256 陳×麗琚 29343××× 148.5 58.5 93.6% -0.54 64.3% -2.54 257 陳×純 25780××× 148.5 50.0 60.0% -3.37 64.7% -2.51 258 陳×生 27329××× 150.0 50.0 66.6% -2.81 52.1% -3.41 259 陳×麗花 24586××× 159.0 64.0 86.2% -1.16 92.7% -0.52 260 劉×民 27351××× 152.0 50.0 69.7% -2.55 71.3% -2.04 261 溫×英 29315××× 150.0 46.0 61.4% -3.24 89.8% -0.72 262 林×銀 23675××× 158.0 55.5 72.1% -2.35 93.5% -0.46 263 喻×華 27329××× 149.0 59.0 98.3% -0.15 109.1% 0.65 264 朱×貞女 23638××× 150.0 52.0 49.7% -4.23 57.6% -3.02 265 徐×玉嬌 23635××× 146.0 55.0 106.6% 0.55 74.4% -1.82 266 王×梅仙 29304××× 152.5 55.0 73.6% -2.22 70.0% -2.13 267 蔡×群 29315××× 155.0 59.0 60.9% -3.29 80.1% -1.42 268 盧×珠 23770××× 163.0 73.0 88.9% -0.94 94.7% -0.38 269 高×恵 23632××× 161.0 52.5 73.4% -2.24 90.3% -0.69 270 黃×少英 23628××× 155.0 52.0 60.5% -3.32 72.1% -1.98 271 林×風 27353××× 158.0 67.0 62.8% -3.13 68.1% -2.27 272 黃×阿染 25573××× 157.5 61.0 64.7% -2.97 67.5% -2.31 273 黃×華淑 23637××× 150.0 53.0 66.9% -2.78 80.5% -1.38 274 鈺×珠 27070××× 154.0 59.5 77.1% -1.93 82.8% -1.22 275 吳×桂生 26318××× 148.0 57.0 99.5% -0.04 87.9% -0.86 276 蔡×純 25598××× 151.0 59.0 61.3% -3.25 65.7% -2.44

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編號姓名電話 BH BW Ap Spine T-Score Left Hip T-Score 277 劉×德 23640××× 148.0 56.0 98.1% -0.16 84.2% -1.12 278 王×雪 29345××× 150.0 47.0 57.2% -3.60 83.8% -1.15 279 周×池 29482××× 150.0 56.0 64.6% -2.98 65.1% -2.49 280 楊×賢 27323××× 155.0 50.0 62.3% -3.17 68.2% -2.26 281 張×懿 27338××× 152.0 69.0 89.7% -0.87 75.6% -1.73 282 楊李×雲 23625××× 145.0 55.5 51.3% -4.10 58.6% -2.94 283 黃×釵 29323××× 147.0 60.0 66.7% -2.80 72.9% -1.92 284 李×嘉 29338××× 155.0 63.0 92.9% -0.59 82.1% -1.27 285 林× 23014××× 147.0 50.0 67.0% -2.77 67.0% -2.35 286 李彭×菊 27332××× 166.0 60.0 69.6% -2.56 71.9% -2.00 287 戴×楣 27523××× 53.0 60.0 81.2% -1.58 91.1% -0.63 288 周李×玉 27671××× 160.0 58.0 73.4% -2.24 79.5% -1.46 289 胡×業 86631××× 155.0 64.0 77.5% -1.89 89.3% -0.76 290 吳×燕 89919××× 155.0 58.0 79.6% -1.71 86.8% -0.94 291 華×卿 23019××× 150.0 47.0 66.1% -2.85 75.7% -1.73 292 陳×市 25923××× 151.0 50.4 80.1% -1.67 89.5% -0.75 293 楊吳×雲 27011××× 156.0 57.0 72.9% -2.28 93.8% -0.44 294 牛×華 23649××× 149.0 51.0 79.1% -1.76 73.3% -1.90 295 黃×禎 23646××× 162.0 58.0 103.5% 0.29 94.2% -0.41 296 黃張×華 27775××× 159.0 56.5 65.7% -2.89 81.4% -1.32 297 隆施×玉 27312××× 151.0 49.5 59.4% -3.41 63.2% -2.62 298 游鄭×英 23076××× 168.0 76.0 99.2% -0.06 84.7% -1.09 299 林×美 27362××× 143.0 50.0 50.5% -4.16 64.7% -2.51

300 蕭高×瑛 29326××× BH BW Ap Spine T-Score Left Hip T-Score

編號姓名電話 151.2 52.0 57.2% -3.60 68.3% -2.26 301 郭吳×秀 27405××× 148.0 48.0 101.7% 0.14 90.2% -0.70 302 高× 23631××× 150.0 48.0 63.8% -3.05 72.7% -1.94 303 李×月 23011××× 146.0 38.0 52.7% -3.98 54.8% -3.21 304 黃陽×之 29310××× 165.5 56.5 85.0% -1.26 102.3% 0.16 305 紀×芝 29393××× 147.0 51.0 61.1% -3.27 61.0% -2.77 306 汪×文 27326××× 158.0 57.5 93.4% -0.55 88.6% -0.81 307 沈陳×吟 25083××× 151.0 55.6 67.8% -2.71 67.8% -2.29 308 何× 23653××× 167.0 70.0 64.5% -2.99 67.7% -2.30 309 李趙×娥 29318××× 150.0 53.0 66.9% -2.78 75.1% -1.77 310 許羅×釵 29326××× 159.0 60.0 64.9% -2.95 69.2% -2.19 311 朱× 27608××× 148.0 43.0 84.5% -1.31 87.5% -0.89 312 陳×珠 27697××× 156.0 55.0 125.0% 2.10 82.5% -1.25 313 王曹×珍 27324××× 157.0 70.0 103.1% -0.26 86.1% -0.99 314 梅×生 27040××× 154.0 56.0 87.3% -1.06 78.3% -1.54 315 王×霞 27327××× 156.0 61.0 77.2% -1.91 96.5% -0.25 316 蔡林×美 27083××× 153.0 59.0 88.9% -0.93 96.3% -0.26 317 林張×蟬 86637××× 158.0 61.0 89.9% -0.85 84.9% -1.07 318 邢×蓉 27328××× 152.0 57.0 82.1% -1.27 94.6% -0.45 319 吳×鈴 27373××× 159.0 75.3 93.7% -0.53 92.4% -0.54 320 鄭×霞 26626××× 153.0 47.0 69.2% -2.59 71.7% -2.01 321 林陳×金 23932××× 151.0 53.1 59.7% -3.39 100.7% 0.05 322 王×芷 29315××× 149.0 54.0 77.1% -1.93 75.3% -1.76

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323 高×娘 27827××× 153.0 65.0 65.3% -2.92 72.1% -1.99

324 江×隨 23412××× 150.0 47.0 64.7% -2.97 69.1% -2.20

325 黃王×金 23634××× 150.0 47.0 64.7% -2.97 69.1% -2.20

326 張×歲 09175××× 155.0 65.0 63.0% -3.11 73.6% -1.88 327 蕭×娘 27207××× 155.0 59.0 59.6% -3.40 71.8% -2.01 328 張×玨 23052××× 160.5 60.5 85.3% -1.24 78.7% -1.52 329 邱×珠 23687××× 163.0 67.0 73.1% -2.26 85.0% -1.07 330 鄭蔡×玉 28851××× 157.0 52.0 76.6% -1.97 59.2% -2.91 331 鄭×眉 29321××× 152.0 48.0 65.7% -2.88 71.4% -2.04 332 張×碧 27333××× 150.0 44.0 60.9% -3.29 52.1% -3.40 333 劉×珍 27811××× 158.5 67.8 87.4% -1.06 70.0% -2.13 334 王×春 22171××× 164.0 65.0 90.8% -0.78 74.4% -1.82 335 張×彣 29632××× 160.0 55.0 74.0% -2.18 76.4% -1.68 336 陳倪×林 23916××× 151.5 55.0 82.6% -1.46 84.0% -1.14 337 施×枝 28342××× 155.0 50.0 63.9% -3.04 65.1% -2.49 338 徐陳×巒 27352××× 157.0 64.0 70.1% -2.51 88.5% -0.82 339 邱何×珠 23951××× 148.0 60.3 88.9% -0.93 85.9% -1.00 340 賴蔡×鈴 27610××× 161.0 53.6 57.2% -3.60 70.3% -2.11 341 何陳×英 29340××× 149.0 51.5 70.4% -2.49 70.2% -2.12 342 顏×妹 27225××× 155.0 78.5 91.0% -0.76 76.7% -1.65 343 劉陳× 23514××× 150.0 65.0 105.4% 0.45 105.7% 0.41 344 宓×群 27171××× 154.5 62.0 83.6% -1.38 85.5% -1.03 345 蘇×英 23948××× 151.0 45.0 68.0% -2.69 60.4% -2.82 346 史×霞 27919××× 158.0 61.0 79.5% -1.73 90.2% -0.70 347 蔡×吉 27350××× 161.5 50.2 72.4% -2.32 68.4% -2.25 348 鄭陳×金 27363××× 151.0 53.2 58.0% -3.53 60.2% -2.83 349 蕭匡×珍 27326××× 149.0 51.0 81.4% -1.56 74.8% -1.79 350 楊彭×妹 27353××× 159.0 49.7 58.5% -3.49 60.7% -2.80

編號姓名電話××× BH BW Ap Spine T-Score Left Hip T-Score

351 陳×雲 23576××× 153.0 52.0 72.2% -2.34 74.9% -1.79 352 張汪×枝 23962××× 151.0 49.0 60.1% -3.35 64.7% -2.51 353 卓張×春 29327××× 156.0 54.0 77.2% -1.92 65.5% -2.46 354 陳曾×瓊 23684××× 154.0 64.0 62.6% -3.15 80.8% -1.37 355 張×玲 23634××× 157.0 79.0 87.2% -1.08 80.7% -1.38 356 蔡×女 27880××× 148.5 58.0 72.0% -2.35 65.5% -2.46 357 吳于×華 27008××× 155.0 43.0 91.3% -0.73 64.6% -2.51 358 傅黃×英 23511××× 148.5 50.0 65.1% -2.94 68.5% -2.24 359 李×幸 27371××× 156.0 65.0 87.6% -1.05 98.8% -0.08 360 邵×慧 23631××× 155.0 50.0 52.4% -4.01 68.8% -2.22 361 馮×惠 27329××× 160.0 51.5 80.1% -1.68 70.0% -2.14 362 王×娥 27383××× 148.0 32.0 44.2% -4.69 49.5% -3.59 363 高王×卿 29329××× 158.0 58.0 73.5% -2.23 85.0% -1.07 364 高李×勤 29316××× 150.0 58.0 63.6% -3.06 67.0% -2.35 365 陳×玉 27322××× 147.0 50.0 61.8% -3.21 62.5% -2.67 366 陳×娟 29330××× 154.0 45.0 69.8% -2.54 61.6% -2.73 367 張×生 27208××× 145.0 48.5 65.1% -2.93 67.3% -2.33 368 蔡李×稻 29397××× 154 54.5 67.8% -2.71 93.1% -0.49

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369 李×玲 29377××× 155 62.9 91.6% -0.71 119.0% 1.35 370 曾廖×妹 23637××× 161 51 85.8% -1.19 72.5% -1.96 371 黃徐×敏 23964××× 151.0 51.0 71.2% -2.43 86.6% -0.96 372 林吳×霞 23638××× 156.0 45.0 80.5% -1.64 83.2% -1.19 373 陳× 29329××× 149.5 48.5 82.2% -1.50 66.3% -2.40 374 劉×玲 27325××× 160.0 53.0 78.2% -1.84 80.3% -1.40 375 林范×竹 29324××× 150.0 67.0 54.0% -3.87 78.9% -1.50

376 郭×詠 27011××× 157.5 52.0 75.8% -2.03 74.3% -1.82 377 徐×桂 29349××× 153.0 63.0 79.6% -1.72 66.5% -2.38 378 余呂×慧 23620××× 143.0 49.0 75.3% -2.08 82.4% -1.25 379 劉×英 23363××× 154.0 59.0 71.1% -2.43 72.9% -1.93 380 袁×縵 27331××× 156.0 62.0 80.0% -1.68 76.4% -1.68 381 陳×妹 29226××× 152.0 60.0 68.4% -2.65 61.0% -2.77 382 林陳×鳳 29310××× 149.0 41.9 71.7% -2.38 72.4% -1.97 383 蕭陳×鳳 27272××× 155.0 64.0 93.3% -0.56 94.3% -0.40 384 吳康×卿 23687××× 148.0 56.0 83.5% -1.39 91.6% -0.60 385 胡林×玉 27015××× 155.0 52.0 70.6% -2.47 66.2% -2.40 386 劉蔡×意 29370××× 155 60 66.2% -2.84 78.2% -1.55 387 鄭黃×雲 27829××× 154.0 64.0 80.6% -1.63 84.4% -1.11 388 吳×鳳 29342××× 157.0 60.0 73.2% -2.25 65.5% -2.45 389 林陳×娥 25517××× 145.0 55.5 62.7% -3.14 77.4% -1.61 390 趙×芳 25326××× 145.0 58.0 80.2% -1.66 107.1% -0.50 391 許×絹 27362××× 154.0 63.0 82.1% -1.51 78.5% -1.53 392 游×珍 29399××× 148.0 48.0 67.2% -2.76 66.5% -2.39 393 陳×研 23629××× 148.0 42.0 58.6% -3.48 65.9% -2.43 394 程×幼 29319××× 148.0 52.0 78.6% -1.80 79.5% -1.46 395 林×珍 25792××× 156.0 53.0 97.4% -0.22 113.5% -0.96 396 李×田 27129××× 157.0 69.0 89.7% -0.87 84.0% -1.14 397 沈劉×碧 23584××× 147.0 58.0 81.9% -1.52 81.2% -1.34

社區停經初期婦女骨質流失及危險因子之追蹤研究(第二年)

行政院國家科學委員會專題研究計畫 成果報告