安徽省农村老年人抑郁与运动认知风险综合征的相关性研究

王青; 张静雅; 代晨; 赵文正; 娄旭; 陈任; 张燕

doi:10.16766/j.cnki.issn.1674-4152.003925

安徽省农村老年人抑郁与运动认知风险综合征的相关性研究

doi: 10.16766/j.cnki.issn.1674-4152.003925

王青¹,
张静雅¹,
代晨¹,
赵文正¹,
娄旭²,
陈任^1, ,,
张燕¹

1.
安徽医科大学卫生管理学院卫生管理系，安徽合肥 230032
2.
安徽体育运动职业技术学院体育教育管理系，安徽合肥 230052

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

安徽省循证医学学会创新研究课题 AHEMB2409

详细信息

通讯作者:
张燕，E-mail：zhangymail@ahmu.edu.cn

中图分类号: R161.7 R395.6
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- 文章访问数: 3
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- PDF下载量: 0
- 被引次数: 0
出版历程
- 收稿日期: 2024-05-30
- 网络出版日期: 2025-05-14

Associations between depression symptoms and motor cognitive risk syndrome among older rural community dwellers in Anhui

1.
Department of Health Service Management, School of Health Service Management, Anhui Medical University, Hefei, Anhui 230032, China

摘要

摘要: 目的本研究旨在探索农村老年人的抑郁症状和运动认知风险综合征(MCR)及其子成分之间的相关性，以期为制定农村情境下MCR的预防策略提供依据。方法通过便利抽样，于2022年7—8月在安徽省霍山县和临泉县农村地区抽取623名老年人开展横断面研究。抑郁症状采用患者健康自评量表(PHQ-9)评估，同时存在主观认知下降和步态缓慢的研究对象被判定为患有MCR。分别采用二元和有序logistic回归模型分析抑郁状况与MCR及子成分之间的相关性。结果 PHQ-9得分每增加1个单位，主观认知下降(OR=1.081, 95% CI: 1.034~1.129)和MCR(OR=1.086, 95% CI: 1.033~1.141)的风险显著增加。抑郁程度的增加与步态缓慢(OR=1.533, 95% CI: 1.042~2.254)、主观认知下降(OR=1.797, 95% CI: 1.163~2.776)以及MCR(OR=1.965, 95% CI: 1.165~3.316)的风险升高有关。结论安徽省农村老年人抑郁症状与MCR及其子成分有相关性，应重视农村老年人的抑郁症状管理，早期预防MCR以延缓其病情进展为痴呆症，降低未来痴呆症的疾病负担。
- 抑郁 /
- 运动认知风险综合征 /
- 老年人 /
- 农村
Abstract: Objective The purpose of this study was to explore the correlation between depressive symptoms and motoric cognitive risk syndrome (MCR) and its sub-components in rural elderly, in order to provide evidence for the development of MCR prevention strategies in rural settings. Methods A cross-sectional study was conducted in rural areas of Huoshan County and Linquan County, Anhui Province, from July to August 2022, enrolling 623 elderly people through convenience sampling. Depressive symptoms were assessed by patient health questionnaire-9 (PHQ-9), and MCR syndrome was defined as the presence of slow gait speed and subjective cognitive complaints. Binary and ordered logistic regression models were used to analyze the associations between depression status and MCR and its sub-components. Results Every 1-unit PHQ-9 score increase was significantly associated with a higher risk of subjective cognitive decline (OR=1.081, 95% CI: 1.034-1.129) and MCR (OR=1.086, 95% CI: 1.033-1.141). Having depressive symptoms was significantly associated with a higher risk of slow gait (OR=1.533, 95% CI: 1.042-2.254) and subjective cognitive decline (OR=1.797, 95% CI: 1.163-2.776), and MCR (OR=1.965, 95% CI: 1.165-3.316). Conclusion Depressive symptoms are associated with MCR and its sub-components in rural elderly residents in Anhui. Attention should be paid to the management of depressive symptoms in rural elderly, and the early prevention of MCR should be actively carried out in rural elderly to delay the progression to dementia and reduce the disease burden of dementia in the future.
- Depression /
- Motor cognitive risk syndrome /
- The elderly /
- Rural area

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表 1 不同性别老年人群的社会人口学特征

Table 1. Sociodemographic characteristics of elderly populations by gender

项目	男性(n=284)	女性(n=339)
地区[例(%)]
霍山	99(34.86)	98(28.91)
临泉	185(65.14)	241(71.1)
教育程度[例(%)]
文盲	172(60.56)	209(61.65)
非文盲	112(39.44)	130(38.35)
BMI(x±s)	24.73±4.01	24.74±4.04
年龄(x±s，岁)	71.84±6.96	70.90±6.82
疲劳[例(%)]
是	145(51.06)	138(40.70)
否	139(48.94)	201(59.30)
规律运动[例(%)]
是	203(71.48)	252(74.34)
否	81(28.52)	87(25.66)
饮酒[例(%)]
是	59(20.77)	75(22.12)
否	225(79.23)	264(77.88)
吸烟[例(%)]
是	56(19.72)	60(17.70)
否	228(80.28)	279(82.30)
糖尿病[例(%)]
是	56(19.72)	54(15.93)
否	228(80.28)	285(84.07)
高血压[例(%)]
是	179(63.03)	206(60.76)
否	105(36.97)	133(39.23)
高脂血症[例(%)]
是	72(23.35)	72(21.24)
否	212(76.65)	267(78.76)

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表 2 抑郁状况与MCR子成分之间的相关性

Table 2. Associations between depressive status and MCR and its components

影响因素	步态缓慢		主观认知下降		MCR
影响因素	OR(95% CI)	P值	OR(95% CI)	P值	OR(95% CI)	P值
PHQ-9得分	1.046(1.002~1.092)	0.039	1.081(1.034~1.129)	0.001	1.086(1.033~1.141)	0.001
抑郁情况
否(参照组)
是	1.533(1.042~2.254)	0.030	1.797(1.163~2.776)	0.008	1.965(1.165~3.316)	0.011
抑郁程度
否(参照组)
轻度	1.471(0.965~2.243)	0.073	1.706(1.060~2.746)	0.028	1.721(0.968~3.060)	0.065
中度	1.678(0.907~3.102)	0.099	1.561(0.812~3.003)	0.182	2.400(1.143~5.038)	0.021
重度	1.699(0.726~3.978)	0.222	3.557(1.496~8.453)	0.004	2.852(1.133~7.178)	0.026
		0.044^a		0.004^a		0.006^a
注：该模型调整了城市、年龄、性别、教育程度、BMI、体力活动、疲劳、社会孤立、饮酒、吸烟、糖尿病、高血压、高脂血症。^a为各抑郁程度组别间比较。

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