中华全科医学2024,Vol.22Issue(2) :179-182,251.DOI:10.16766/j.cnki.issn.1674-4152.003359

农村老年人多重慢病与运动认知风险综合征的相关性研究

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

代晨 张燕 张静雅 王青 娄旭 陈任 沈国栋
中华全科医学2024,Vol.22Issue(2) :179-182,251.DOI:10.16766/j.cnki.issn.1674-4152.003359

农村老年人多重慢病与运动认知风险综合征的相关性研究

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

代晨 1张燕 1张静雅 1王青 1娄旭 2陈任 1沈国栋3
扫码查看

作者信息

  • 1. 安徽医科大学卫生管理学院,安徽合肥 230032
  • 2. 安徽体育运动职业技术学院,安徽合肥 230052
  • 3. 中国科学技术大学附属第一医院老年医学科,安徽合肥 230051
  • 折叠

摘要

目的 本研究旨在调查安徽省农村老年人多重慢病与运动认知风险综合征(MCR)之间的横断面关系,探索慢性疾病数量与MCR之间的关联,以期为在农村的特定社会情境下,制定预防MCR的策略和措施提供依据.方法 采用方便抽样方法选取安徽省六安和阜阳两地农村地区的652名老年人进行调查,开展多重慢病与MCR之间的相关性研究.其中慢性疾病状态以参与者自我报告的形式进行记录,MCR通过结合步态缓慢和主观认知下降进行评估.采用logistic回归分析研究多重慢病与MCR之间的关系.结果 患有任何一种慢性疾病的老年人更可能患有MCR(OR=2.926,95%CI:1.256~6.816,P=0.013).多重慢病的数量与MCR显著相关,其中患有3种慢性疾病的老年人患MCR的风险最高(OR=4.946,95%CI:1.811~13.506,P=0.002).Logistic回归分析显示,高血压+抑郁症(OR=2.433,95%CI:1.294~4.573,P=0.006)和高血压+高脂血症+抑郁症(OR=4.632,95%CI:1.978~10.848,P<0.001)两组多重慢病模式的老年人更容易患有MCR.结论 在安徽省农村老年人中,多重慢病与MCR具有相关性,患有MCR的概率随着慢性疾病数量的累积而增加.

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 chron-ic 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 wasconducted 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 multimor-bidity 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.

关键词

多重慢病/运动认知风险综合征/老年人/农村

Key words

Multimorbidity/Motoric cognitive risk syndrome/The aged/Rural

引用本文复制引用

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)

安徽省教育厅高校科研重点项目(2022AH053118)

出版年

2024
中华全科医学
中华预防医学会,安徽省全科医学会

中华全科医学

CSTPCD
影响因子:1.688
ISSN:1674-4152
参考文献量24
段落导航相关论文