社区老年人肌少症患病现状及影响因素分析

doi:10.3969/j.issn.1003-9198.2023.03.009

摘要/Abstract

摘要： 目的调查安徽地区社区老年人肌少症患病现状并分析其影响因素,为社区基层医护人员识别和防控肌少症提供参考。方法于2019年2月至2021年12月采用便利抽样法,选取合肥、蚌埠、滁州市社区中与家庭医生签约的1716名老年人为研究对象,根据2019年亚洲肌少症工作组专家共识对其进行肌少症筛查和相关健康检查。结果安徽地区社区老年人肌少症患病率为12.47%(214/1716)。肌少症老年人的性别比例、年龄、BMI、腰臀比、高血压患病率、血脂异常患病率、关节疼痛患病率、运动达标率、肺活量、选择反应时与非肌少症老年人相比,差异有统计学意义(P＜0.05)。多因素Logistic回归分析结果显示,高龄、关节疼痛是社区老年人患肌少症的危险因素,高BMI、运动达标、肺活量大是其保护因素。结论安徽地区社区老年人肌少症患病率较高,社区基层医护人员应指导年龄较大、存在关节疼痛的老年人增加运动锻炼以保持较高肺活量,同时增加营养摄入来预防和控制肌少症的发生。

关键词: 社区老年人, 肌少症, 关节疼痛, 体适能, 影响因素

Abstract: Objective To investigate the prevalence and influencing factors of sarcopenia among the community elderly in Anhui Province, so as to provide the reference for community primary medical staffs to identify, prevent and control sarcopenia. Methods From February 2019 to December 2021, 1716 elderly people in the communities of Hefei, Bengbu and Chuzhou who signed contracts with family doctors were enrolled as the study subjects by using the convenient sampling method. According to 2019 consensus report of the Asian Working Group for Sarcopenia, the subjects were screened for sarcopenia and underwent relevant health examinations. Results The prevalence rate of sarcopenia among the community elderly in Anhui Province was 12.47% (214/1716). There were significant differences in gender, age, body mass index (BMI), waist-to-hip ratio, hypertension, dyslipidemia, joint pain, sufficient physical exercise, vital capacity and choice reaction time between the elderly with or without sarcopenia (P<0.05). Multiple Logistic regression analysis showed that advanced age and joint pain were risk factors for sarcopenia, and higher BMI, sufficient physical exercise and higher vital capacity were protective factors for sarcopenia. Conclusions The prevalence rate of sarcopenia among the community elderly in Anhui Province is high. Community primary medical staffs should guide older people with joint pain to increase exercise to maintain higher vital capacity, and increase nutrition intake to prevent and control sarcopenia.

Key words: community elderly, sarcopenia, joint pain, physical fitness, influencing factor

中图分类号:

R 592

邹函怡, 王艺桦, 高明, 李关东, 高理升, 马祖长. 社区老年人肌少症患病现状及影响因素分析[J]. 实用老年医学, 2023, 37(3): 246-250.

ZOU Han-yi, WANG Yi-hua, GAO Ming, LI Guan-dong, GAO Li-sheng, MA Zu-chang. Prevalence and influencing factors of sarcopenia in community elderly[J]. Practical Geriatrics, 2023, 37(3): 246-250.

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