广西医科大学学报2024,Vol.41Issue(12) :1658-1663.DOI:10.16190/j.cnki.45-1211/r.2024.12.011

中国老年人感觉障碍与运动认知风险综合征的关联分析

The association between sensory impairment and motoric cognitive risk syndrome in Chinese older adults

李琪 张卫波 贾飞飞 贾存显
广西医科大学学报2024,Vol.41Issue(12) :1658-1663.DOI:10.16190/j.cnki.45-1211/r.2024.12.011

中国老年人感觉障碍与运动认知风险综合征的关联分析

The association between sensory impairment and motoric cognitive risk syndrome in Chinese older adults

李琪 1张卫波 1贾飞飞 1贾存显1
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作者信息

  • 1. 山东大学齐鲁医学院公共卫生学院流行病学系,济南 250012
  • 折叠

摘要

目的:探索中国老年人感觉障碍与运动认知风险综合征(MCR)的关系.方法:采用中国健康与养老追踪调查(CHARLS)2011-2015年的数据.感觉障碍包括视觉障碍和听觉障碍,均通过自我报告进行评估.本研究将感觉障碍分为对照组、视觉障碍、听觉障碍和双重感觉障碍.MCR的评估包括步速和主观认知主诉两部分.步速通过客观测量进行评估,主观认知主诉为自报.使用广义估计方程来检验感觉障碍与MCR的关联.结果:共纳入2 439例研究对象,其中男1 274例,女1 165例.广义估计方程结果显示,在未调整模型以及调整了基线年龄、性别、教育程度、婚姻状况、饮酒、抑郁症状和中风的模型中均发现双重感觉障碍增加了MCR的发生风险(均P<0.05),双重感觉障碍发生MCR的风险是对照组的1.955倍(95%CI:1.272~3.005).结论:双重感觉障碍与MCR相关,应更加关注双重感觉障碍患者的认知健康.

Abstract

Objective:To explore the relationship between sensory impairment and motoric cognitive risk syn-drome(MCR)in Chinese older adults.Methods:Data from the China Health and Retirement Longitudinal Study(CHARLS)for the period 2011-2015 were utilized.Sensory impairment,including vision and hearing impair-ment,was assessed through self-report.This study categorized sensory impairment into control group,visual im-pairment group,hearing impairment group,and dual sensory impairment group.MCR was assessed using two components:gait speed and subjective cognitive complaints.Gait speed was objectively measured,while subjec-tive cognitive complaints were self-reported.Generalized estimating equations(GEE)were employed to examine the relationship between sensory impairment and MCR.Results:A total of 2,439 subjects were included,com-prising 74 males and 1,165 females.The GEE analysis revealed that dual sensory impairment significantly in-creased the risk of MCR in both the unadjusted model and the adjusted model,which controlled for baseline age,sex,education,marital status,drink,depressive symptoms and stroke(all P<0.05).The risk of MCR in the dual sensory impairment group was 1.955(95%CI:1.272-3.005)times higher than that of the control group.Conclu-sion:Dual sensory impairment is associated with MCR,highlighting the importance of paying more attention to the cognitive health of individuals with dual sensory impairment.

关键词

老年人/感觉障碍/运动认知风险综合征/广义估计方程

Key words

older adults/sensory impairment/motoric cognitive risk syndrome/generalized estimating equations

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出版年

2024
广西医科大学学报
广西医科大学

广西医科大学学报

CSTPCD
影响因子:0.788
ISSN:1005-930X
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