Volume 22 Issue 2
Feb.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(2): 179-182
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
shu

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

doi: 10.16766/j.cnki.issn.1674-4152.003359
  • 1.

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

Funds:

 72004003

 2023AH010036

 2022AH053118

  • Received Date: 2023-10-30
    Available Online: 2024-03-27
    Abstract
  •   Objective  To investigate the cross-sectional relationship between multimorbidity and motoric cognitive risk syndrome (MCR) among older adults in Anhui province, China. To explore the association between the number of chronic diseases and MCR in order to provide a basis for the development of strategies and measures to prevent MCR in rural areas.  Methods  A cross-sectional study was conducted among 652 older adults in rural areas of Lu' an and Fuyang City, Anhui Province, China, participants self-reported their chronic disease status. MCR was assessed by combining slow gait with subjective cognitive decline, and logistic regression was used to analyze the relationship between multimorbidity and MCR.  Results  Older adults with chronic disease had a higher likelihood of experiencing MCR (OR=2.926, 95% CI: 1.256-6.816, P=0.013). Further, the presence of three chronic diseases in older adults was associated with the highest risk of MCR (OR=4.946, 95% CI: 1.811-13.506, P=0.002). Logistic regression analysis showed that older adults with specific multimorbidity patterns, such as hypertension+depression (OR=2.433, 95% CI: 1.294-4.573, P=0.006) and hypertension+hyperlipidemia+depression (OR=4.632, 95% CI: 1.978-10.848, P<0.001), were more prone to developing MCR.  Conclusion  MCR is associated with multimorbidity among older adults in rural Anhui province, China.

     

    • FullText(HTML)
  • loading
    • References(24)
  • [1]
    王岩, 王元利. 运动认知功能减退综合征的中西医结合干预[J]. 人口与健康, 2023(6): 90-92. https://www.cnki.com.cn/Article/CJFDTOTAL-RKJK202306048.htm

    WANG Y, WANG Y L. Integrated intervention of traditional Chinese and Western medicine in patients with motoric cognitive risk syndrome[J]. Population and Health, 2023(6): 90-92. https://www.cnki.com.cn/Article/CJFDTOTAL-RKJK202306048.htm
    [2]
    CHHETRI J K, HAN C, DAN X J, et al. Motoric cognitive risk syndrome in a Chinese older adult population: prevalence and associated factors[J]. J Am Med Dir Assoc, 2020, 21(1): 136-137. doi: 10.1016/j.jamda.2019.08.007
    [3]
    赵子铭, 张玉梅. 运动认知功能减退综合征的研究进展与思考[J]. 中国医刊, 2020, 55(8): 806, 819-822. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI202008005.htm

    ZHAO Z M, ZHANG Y M. Research progress and reflection on motoric cognitive risk syndrome[J]. Chinese Journal of Medicine, 2020, 55(8): 819-822, 806. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYI202008005.htm
    [4]
    苏甦, 高灵灵, 马文瑶, 等. 门诊老年患者潜在不适当用药对全因住院时长和住院药品费用的影响[J]. 中国医院药学杂志, 2022, 42(14): 1488-1493. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYZ202214018.htm

    SU S, GAO L L, MA W Y, et al. The impact of exposure of different numbers of potentially inappropriate medications among old outpatients on all-cause hospitalization expenditures and length of stay[J]. Chinese Journal of Hospital Pharmacy, 2022, 42(14): 1488-1493. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGYZ202214018.htm
    [5]
    邢贤晋, 王健, 高天, 等. 我国老年人日常生活活动能力与慢性病共病和抑郁症状的关系分析[J]. 医学与社会, 2023, 36(8): 123-128. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH202308022.htm

    XING X J, WANG J, GAO T, et al. Analysis of the relationship between activities of daily living in old adults in china and chronic disease comorbidity and depressive symptoms[J]. Medicine and Society, 2023, 36(8): 123-128. https://www.cnki.com.cn/Article/CJFDTOTAL-YXSH202308022.htm
    [6]
    王琼, 周帅, 侯芳芳, 等. 痴呆症的流行病学及预防措施[J]. 中国临床保健杂志, 2021, 24(6): 747-751. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ202106007.htm

    WANG Q, ZHOU S, HOU F F, et al. Epidemiology and prevention of dementia[J]. Chinese Journal of Clinical Healthcare, 2021, 24(6): 747-751. https://www.cnki.com.cn/Article/CJFDTOTAL-LZBJ202106007.htm
    [7]
    李亚杰, 王梅杰, 崔晓敏, 等. 2020年Lancet委员会《痴呆预防、干预和护理》指南解读[J]. 护理学杂志, 2021, 36(16): 39-43. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202116012.htm

    LI Y J, WANG M J, CUI X M, et al. Interpretation of guidelines for dementia prevention, intervention, and care: 2020 report of the Lancet Commission[J]. Journal of Nursing Science, 2021, 36(16): 39-43. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202116012.htm
    [8]
    潘锋, 张浩臣. 老年运动认知功能障碍是一种新型综合征: 访北京天坛医院神经病学中心主任赵性泉教授[J]. 中国医药导报, 2020, 17(33): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202033002.htm

    PAN F, ZHANG H C. Motor cognitive dysfunction is a new type of syndrome of the older adults: interview to Professor Zhao Xingquan, the Director of the Neurology Center of Beijing Tiantan Hospital[J]. China Medical Herald, 2020, 17(33): 1-3. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202033002.htm
    [9]
    KROENKE K, SPITZER R L, WILLIAMS J B. The PHQ-9: validity of a brief depression severity measure[J]. J Gen Intern Med, 2001, 16(9): 606-613. doi: 10.1046/j.1525-1497.2001.016009606.x
    [10]
    LUBBEN J, BLOZIK E, GILLMANN G, et al. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations[J]. Gerontologist, 2006, 46(4): 503-513. doi: 10.1093/geront/46.4.503
    [11]
    GILL T M, ALLORE H G, GAHBAUER E A, et al. Change in disability after hospitalization or restricted activity in older persons[J]. JAMA, 2010, 304(17): 1919-1928. doi: 10.1001/jama.2010.1568
    [12]
    AYERS E, VERGHESE J. Motoric cognitive risk syndrome and risk of mortality in older adults[J]. Alzheimers Dement, 2016, 12(5): 556-564. doi: 10.1016/j.jalz.2015.08.167
    [13]
    杨存美, 舒刚明, 胡亦新, 等. 社区主观认知下降老年人的运动认知风险综合征发生情况及影响因素研究[J]. 中国全科医学, 2022, 25(34): 4278-4285. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202234007.htm

    YANG C M, SHU G M, HU Y X, et al. Prevalence and influencing factors of motoric cognitive risk syndrome in the elderly with subjective cognitive decline in the community[J]. Chinese General Practice, 2022, 25(34): 4278-4285. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202234007.htm
    [14]
    孙雪. 社区老年人群运动认知功能减退综合征现状及影响因素的路径分析[D]. 湖州: 湖州师范学院, 2022.

    SUN X. Path analysis of the status and the influencing factors of motor cognitive decline syndrome among the older community dwellers[D]. Huzhou: Huzhou University, 2022.
    [15]
    曹琳, 杨振华, 肖卫忠. 多病共存慢性病个性化健康教育模式的探讨[J]. 中华全科医学, 2023, 21(6): 916-919, 965. doi: 10.16766/j.cnki.issn.1674-4152.003014

    CAO L, YANG Z H, XIAO W Z. Discussion on the personalized health education model for chronic diseases with multimorbidity[J]. Chinese Journal of General Practice, 2023, 21(6): 916-919. doi: 10.16766/j.cnki.issn.1674-4152.003014
    [16]
    彭德荣, 陈晨, 喻梦珠, 等. 基于数据挖掘的社区高血压患者共病现状及关联规则分析[J]. 中华全科医学, 2023, 21(6): 907-910. doi: 10.16766/j.cnki.issn.1674-4152.003012

    PENG D R, CHEN C, YU M Z, et al. Data mining-based analysis of comorbidity status and association rules of hypertensive patients in the community[J]. Chinese Journal of General Practice, 2023, 21(6): 907-910. doi: 10.16766/j.cnki.issn.1674-4152.003012
    [17]
    张丽, 李耘, 钱玉英, 等. 老年共病的现状及研究进展[J]. 中华老年多器官疾病杂志, 2021, 20(1): 67-71. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLQG202101017.htm

    ZHANG L, LI Y, QIAN Y Y, et al. Current status and research progress of comorbidity in the elderly[J]. Chinese Journal of Multiple Organ Diseases in the Elderly, 2021, 20(1): 67-71. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLQG202101017.htm
    [18]
    李林瑾, 肖丽勤, 张丹. 基于健康生态学模型的广东省老年共病患者患慢性病数量影响因素研究[J]. 中国全科医学, 2024, 27(2): 208-216. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202402015.htm

    LI L J, XIOA L Q, ZHANG D. Study on the factors affecting the number of chronic diseases among elderly comorbidity patients in guangdong province based on the model of ecological health[J]. Chinese General Practice, 2024, 27(2): 208-216. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX202402015.htm
    [19]
    LIANG H X, FANG Y. Association of polypharmacy and motoric cognitive risk syndrome in older adults: a 4-year longitudinal study in China[J]. Arch Gerontol Geriatr, 2023, 106: 104896. DOI: 10.1016/j.archger.2022.104896.
    [20]
    GEORGE C J, VERGHESE J. Motoric cognitive risk syndrome in polypharmacy[J]. J Am Geriatr Soc, 2020, 68(5): 1072-1077. doi: 10.1111/jgs.16380
    [21]
    杜金, 马迪, 韩欣慰, 等. 社会支持视角下中国老年人生活满意度影响因素研究[J]. 中国农村卫生事业管理, 2023, 43(2): 135-140. https://www.cnki.com.cn/Article/CJFDTOTAL-ZNWS202302012.htm

    DU J, MA D, HAN X W, et al. Influencing factors for life satisfaction of Chinese elderly from the perspective of social support[J]. Chinese Rural Health Service Administration, 2023, 43(2): 135-140. https://www.cnki.com.cn/Article/CJFDTOTAL-ZNWS202302012.htm
    [22]
    陈碧瑶, 莫怡, 陈丽娟, 等. 云南农村白族老年人抑郁现状及与社会支持的关系研究[J]. 中国农村卫生事业管理, 2023, 43(2): 141-146. https://www.cnki.com.cn/Article/CJFDTOTAL-ZNWS202302013.htm

    CHEN B Y, MO Y, CHEN L J, et al. Prevalence of depression and its relationship with social support among the Bai ethnic minorityelderly in rural Yunnan Province[J]. Chinese Rural Health Service Administration, 2023, 43(2): 141-146. https://www.cnki.com.cn/Article/CJFDTOTAL-ZNWS202302013.htm
    [23]
    冯强伟, 王取南, 杨林胜, 等. 六安市城乡社区老年人抑郁症状及其与慢性病的关联性研究[J]. 现代预防医学, 2018, 45(20): 3731-3734, 3747. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201820022.htm

    FENG Q W, WANG Q N, YANG L S, et al. The association between depressive symptoms and chronic diseases among elderly people in urban and rural communities of Lu' an City[J]. Modern Preventive Medicine, 2018, 45(20): 3731-3734, 3747. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201820022.htm
    [24]
    SEMBA R D, TIAN Q, CARLSON M C, et al. Motoric cognitive risk syndrome: integration of two early harbingers of dementia in older adults[J]. Ageing Res Rev, 2020, 58: 101022. DOI: 10.1016/j.arr.2020.101022.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(1)  / Tables(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (149) PDF downloads(34) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return