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农村老年人多重慢病与运动认知风险综合征的相关性研究

代晨 张燕 张静雅 王青 娄旭 陈任 沈国栋

代晨, 张燕, 张静雅, 王青, 娄旭, 陈任, 沈国栋. 农村老年人多重慢病与运动认知风险综合征的相关性研究[J]. 中华全科医学, 2024, 22(2): 179-182. doi: 10.16766/j.cnki.issn.1674-4152.003359
引用本文: 代晨, 张燕, 张静雅, 王青, 娄旭, 陈任, 沈国栋. 农村老年人多重慢病与运动认知风险综合征的相关性研究[J]. 中华全科医学, 2024, 22(2): 179-182. doi: 10.16766/j.cnki.issn.1674-4152.003359
DAI Chen, ZHANG Yan, ZHANG Jingya, WANG Qing, LOU Xu, CHEN Ren, SHEN Guodong. A study on the correlation between multimorbidity and motoric cognitive risk syndrome in rural older adults[J]. Chinese Journal of General Practice, 2024, 22(2): 179-182. doi: 10.16766/j.cnki.issn.1674-4152.003359
Citation: DAI Chen, ZHANG Yan, ZHANG Jingya, WANG Qing, LOU Xu, CHEN Ren, SHEN Guodong. A study on the correlation between multimorbidity and motoric cognitive risk syndrome in rural older adults[J]. Chinese Journal of General Practice, 2024, 22(2): 179-182. doi: 10.16766/j.cnki.issn.1674-4152.003359

农村老年人多重慢病与运动认知风险综合征的相关性研究

doi: 10.16766/j.cnki.issn.1674-4152.003359
基金项目: 

国家自然科学基金青年基金项目 72004003

安徽省优秀科研创新团队项目 2023AH010036

安徽省教育厅高校科研重点项目 2022AH053118

详细信息
    通讯作者:

    张燕,E-mail:zhangymail@ahmu.edu.cn

  • 中图分类号: R592

A study on the correlation between multimorbidity and motoric cognitive risk syndrome in rural older adults

  • 摘要:   目的  本研究旨在调查安徽省农村老年人多重慢病与运动认知风险综合征(MCR)之间的横断面关系,探索慢性疾病数量与MCR之间的关联,以期为在农村的特定社会情境下,制定预防MCR的策略和措施提供依据。  方法  采用方便抽样方法选取安徽省六安和阜阳两地农村地区的652名老年人进行调查,开展多重慢病与MCR之间的相关性研究。其中慢性疾病状态以参与者自我报告的形式进行记录,MCR通过结合步态缓慢和主观认知下降进行评估。采用logistic回归分析研究多重慢病与MCR之间的关系。  结果  患有任何一种慢性疾病的老年人更可能患有MCR(OR=2.926,95% CI:1.256~6.816,P=0.013)。多重慢病的数量与MCR显著相关,其中患有3种慢性疾病的老年人患MCR的风险最高(OR=4.946,95% CI:1.811~13.506,P=0.002)。Logistic回归分析显示,高血压+抑郁症(OR=2.433,95% CI:1.294~4.573,P=0.006)和高血压+高脂血症+抑郁症(OR=4.632,95% CI:1.978~10.848,P<0.001)两组多重慢病模式的老年人更容易患有MCR。  结论  在安徽省农村老年人中,多重慢病与MCR具有相关性,患有MCR的概率随着慢性疾病数量的累积而增加。

     

  • 图  1  研究对象的多重慢病模式

    Figure  1.  Multimorbidity patterns of the participants

    表  1  623名研究对象的社会人口学特征

    Table  1.   Sociodemographic characteristics of 623 participants

    项目 人数 百分比(%)
    性别
        男性 284 45.6
        女性 339 54.4
    城市
        六安 197 31.6
        阜阳 426 68.4
    教育程度
        文盲 381 61.2
        非文盲 242 38.8
    社会隔离
        社会隔离 260 41.7
        非社会隔离 363 58.3
    衰弱状态
        衰弱 283 45.4
        非衰弱 340 54.6
    吸烟者
        是 116 18.6
        否 507 81.4
    饮酒者
        是 134 21.5
        否 489 78.5
    规律运动
        是 455 73.0
        否 168 27.0
    多重慢病
        是 282 45.3
        否 341 54.7
    MCR
        是 105 16.9
        否 518 83.1
    下载: 导出CSV

    表  2  慢性病状况与MCR之间的相关性

    Table  2.   The associations between chronic diseases status and MCR

    变量 MCR
    OR 95% CI P
    慢性病
        否 参照组
        是 2.926 1.256~6.816 0.013
    慢性病数量a
        无慢性病 参照组
        1种慢性病 2.211 0.898~5.445 0.084
        2种慢性病 3.579 1.460~8.780 0.005
        3种慢性病 4.946 1.811~13.506 0.002
        4种慢性病 2.067 0.490~8.713 0.322
    注:aP趋势=0.006。赋值方法如下,无慢性病=0,慢性病=1;无慢性病=0,有1种慢性病=1,有2种慢性病=2,有3种慢性病=3,有4种慢性病=4。
    下载: 导出CSV

    表  3  多重慢病模式与MCR之间的相关性

    Table  3.   The associations between multimorbidity patterns and MCR

    变量 MCR
    OR 95% CI P
    多重慢病
        否 参照组
        是 2.068 1.255~3.408 0.004
    多重慢病模式
        无多重慢病组 参照组
        高血压+高脂血症 1.568 0.534~4.605 0.413
        高血压+糖尿病 0.940 0.257~3.436 0.926
        高血压+抑郁 2.433 1.294~4.573 0.006
        高脂血症+抑郁 1.411 0.263~7.568 0.688
        糖尿病+抑郁 5.079 0.991~26.028 0.051
        高血压+高脂血症+糖尿病 1.315 0.335~5.157 0.694
        高血压+高脂血症+抑郁 4.632 1.978~10.848 <0.001
        高血压+糖尿病+抑郁 1.692 0.495~5.781 0.401
        高血压+高脂血症+糖尿病+抑郁 1.192 0.345~4.119 0.781
    注:高脂血症+糖尿病多重慢病组合因人数较少(n=1)剔除。赋值方法如下,是=1,否=0;多重慢病模式,无多重慢病=(0,0,0,0,0,0,0,0,0),高血压+高脂血症=(1,0,0,0,0,0,0,0,0),高血压+糖尿病=(0,1,0,0,0,0,0,0,0),高血压+抑郁=(0,0,1,0,0,0,0,0,0),高脂血症+抑郁=(0,0,0,1,0,0,0,0,0),糖尿病+抑郁=(0,0,0,0,1,0,0,0,0),高血压+高脂血症+糖尿病=(0,0,0,0,0,1,0,0,0),高血压+高脂血症+抑郁=(0,0,0,0,0,0,1,0,0),高血压+糖尿病+抑郁=(0,0,0,0,0,0,0,1,0),高血压+高脂血症+糖尿病+抑郁=(0,0,0,0,0,0,0,0,1)。
    下载: 导出CSV
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  • 收稿日期:  2023-10-30
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