摘要
目的 调查老年人生活行为方式及心血管病患病情况并分析其相关性.方法 采用简单随机抽样法抽取2022年9至2023年9月西宁市某社区60岁及以上老年人作为研究对象.采用问卷调查的方式收集其一般人口学特征、心血管疾病患病情况、生活习惯和活动状况.对比患病组和未患病组人口学特征及生活行为习惯差异,采用多因素logistic回归分析老年人心血管疾病患病的影响因素.结果 784名研究对象中,259例(33.04%)患心血管疾病.患病风险方面,男性合并糖尿病或肥胖症群体患病风险,新鲜蔬果摄入频次≤3次/周,吸烟量≥30支/月,饮酒量≥2两白酒或500mL啤酒/天,有氧运动未达标是心血管病患病的危险因素.结论 生活行为方式与老年人心血管疾病患病之间存在关联,开展针对性健康教育并倡导健康行为生活方式对防治心血管疾病具有重要意义.
Abstract
Objective To investigate the lifestyle and cardiovascular disease in the elderly and analyze their association.Methods A simple random sampling method was used to select the elderly aged 60 years and above in a community of Xining from September 2022 to September 2023 as the study subjects.General demographic characteristics,prevalence of cardiovascular disease,living habits and activity status were collected by questionnaire.Demographic characteristics and life behavior habits were compared between the diseased and non-diseased groups,and multivariate logistic regression was used to analyze the influencing factors of cardiovascular disease in the elderly.Results A total of 784 subjects,259(33.04%)suffered from cardiovascular disease,with coronary heart disease and hypertension being the most common.In terms of disease risk,males were 1.378 times higher than females,non-income groups were 1.394 times higher than income groups,receiving health education/popular science<1 time/month groups were 1.533 times higher than ≥2 times/month groups,combined diabetes or obesity groups were 1.490 times and 1.470 times higher than non-diabetes or obesity groups,salty fresh taste groups were 1.690 times higher than light taste groups,fresh fruit intake frequency ≤3 times/week groups were 1.492 times higher than>7 times/week groups,smoking ≥ 30 cigarettes/month groups were 2.257 times higher than non-smoking groups,drinking ≥2 liquors or 500 ml beer/day groups were 1.569 times higher than non-drinking groups,irregular physical examination habits groups were 1.619 times higher than regular physical examination habits groups,aerobic exercise did not reach the standard groups were 1.454 times higher than the standard groups.Conclusion Lifestyle is associated with cardiovascular disease in the elderly.It is important to carry out targeted health education and advocate healthy behavior lifestyle to prevent and treat cardiovascular disease.