This is a multicenter cohort study on osteoporosis in nine cities of China which locate in the east, south, north, west, middle of China. At least 3000 middle-aged and elderly permanent residents (women aged from 45 to 79, and men aged from 50 to 79) in every city will be enrolled. Residents with severe mental diseases, physical diseases or acute infectious diseases who could not cooperate with the survey as well as lactating or pregnant women were excluded. All the enrolled residents who signed informed consent will finish questionnaire including demographic characteristics, history of smoking, alcohol drinking, falls and fracture, family genetic history, chronic diseases and medicine,diary and physical practice,stool and urine status. Osteoporosis risk, health status, constitution of traditional Chinese medicine (TCM),symptoms of kidney yang deficiency in TCM,living environment,sweating status will be evaluated. Fasting blood glucose test and other blood tests for liver and kidney function,bone metabolism,vitamins,vitamin D metabolism and transportation as well as calcium and phosphate metabolism, will be performed. Bone mineral density and physical examinations (height, weight, waist circumference, hip circumference,grip,sit-to-stand test, tongue coating and pulse) will also be performed at enrollment and every two years after enrollment. DNA of blood cells will be preserved for specific study such as SNP analyses.Tongue coating and feces will be preserved for microflora analyses.
Study Type
OBSERVATIONAL
Enrollment
50,000
Shenzhen Pingle Orthopedic Hospital
Shenzhen, Guangdong, China
RECRUITINGFirst People's Hospital of Nankang District, Ganzhou City
Ganzhou, Jiangxi, China
RECRUITINGShandong Provincial Hospital of Traditional Chinese Medicine
Jinan, Shandong, China
RECRUITINGYunnan Provincial Hospital of Traditional Chinese Medicine
Kunming, Yunnan, China
NOT_YET_RECRUITINGDongzhimen Hospital, Beijing
Beijing, China
RECRUITINGWangjing Hospital, China Academy of Chinese Medical Sciences
Beijing, China
RECRUITINGAffiliated Hospital of Changchun University of Traditional Chinese Medicine
Changchun, China
RECRUITINGGuangdong Provincial Hospital of Traditional Chinese Medicine
Guangzhou, China
RECRUITINGGuangzhou Kingmed Diagnostics Co., Ltd.
Guangzhou, China
RECRUITINGThe First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine
Guangzhou, China
RECRUITING...and 2 more locations
changes in bone mineral density from baseline to 2, 4, 6, 8 and 10 years after enrollment
lumbar (L1-4 as well as total) and hip bone mineral density will be recorded by dual energy X-ray absorptiometry.
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
fracture questionnaire
information about fracture including cause, time, skeletal site and therapy during the follow-up period will be collected through fracture questionnaire
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum osteocalcin
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum procollagen type I N-terminal propeptide (PINP)
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum bone alkaline phosphatase (BALP)
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum β-crosslaps (β-CTX)
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum Ca
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum P
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum Mg
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum fibroblast growth factor (FGF)23
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum parathormone (PTH)
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
serum total 25(OH) vitamin D
Time frame: at enrollment, and 2, 4, 6, 8 and 10 years after enrollment
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