中华全科医学2024,Vol.22Issue(8) :1371-1375.DOI:10.16766/j.cnki.issn.1674-4152.003639

社区老年高血压与肌少症的相关性研究

Correlation between hypertension and sarcopenia in the community-dwelling older residents

吴小雪 陈鸿桢 郑坤 余红梅 夏丽
中华全科医学2024,Vol.22Issue(8) :1371-1375.DOI:10.16766/j.cnki.issn.1674-4152.003639

社区老年高血压与肌少症的相关性研究

Correlation between hypertension and sarcopenia in the community-dwelling older residents

吴小雪 1陈鸿桢 1郑坤 1余红梅 2夏丽1
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作者信息

  • 1. 重庆医科大学附属第一医院全科医学科,重庆 400016
  • 2. 重庆医科大学附属第一医院老年病科
  • 折叠

摘要

目的 通过调查重庆市社区老年人肌少症患病现状,探讨肌少症和高血压的相关性,为社区老年群体肌少症的防治提供参考.方法 选取2023年3-8月于重庆市社区卫生服务中心体检的615例老年人,通过问卷调查受试者的一般资料,并进行骨骼肌质量、步速、握力及血压的测量.根据亚洲肌少症工作组2019年诊断标准,将受试者分为肌少症组(80例)和非肌少症组(535例),采用二元logistic回归分析探讨肌少症的影响因素,并通过Pearson相关性分析研究血压水平与肌少症各诊断关键指标之间的关系.结果 本研究共纳入615例社区老年人,其中80例(13.0%)患有肌少症.肌少症组的年龄、高血压和糖尿病患病率均大于非肌少症组,而BMI小于非肌少症组(P<0.05).多因素分析结果显示,年龄增长(OR=1.140,95%CI:1.098~1.183)、患高血压病(OR=2.058,95%CI:1.195~3.545)是社区老年人患肌少症的危险因素(P<0.05).在合并高血压的老年入中,握力(r=-0.132,P=.0.017)、四肢骨骼肌质量(r=-0.134,P=0.016)、骨骼肌质量指数(r=-0.121,P=0.030)与SBP存在一定的相关性.结论 合并高血压病的社区老年人更易发生肌少症,SBP水平可以反映高血压老年人的肌肉质量和肌肉力量.因此,应尽早对社区老年人群进行肌少症筛查,严格控制血压以预防肌少症的发生.

Abstract

Objective To investigate the correlation between sarcopenia and hypertension in community-dwelling older residents in Chongqing.Methods A total of 615 elderly who received medical check-ups at the community health center in Chongqing from March 2023 to August 2023 were selected.General information was collected by questionnaire and skeletal muscle mass,6-meter walking speed,grip strength,and blood pressure were also measured.Subjects were divid-ed into sarcopenia group and non-sarcopenia group according to the guidelines of Asian Working Group for Sarcopenia 2019.The factors influencing sarcopenia were determined by binary logistic regression analysis.The correlation between blood pressure and diagnostic indices of sarcopenia was performed by Pearson correlation analysis.Results Among the 615 elderly from Chongqing community,80 elderly(13.0%)were diagnosed with sarcopenia.Compared with the non-sarcopenia group,the age,prevalence of hypertension and diabetes in the sarcopenia group were significantly higher,while the BMI was significantly lower(P<0.05).Logistic regression analysis showed that older age(OR=1.140,95%CI:1.098-1.183),hypertension(OR=2.058,95%CI:1.195-3.545)were associated with increased risk of sarcopenia(P<0.05).Pearson correlation analysis showed that grip strength(r=-0.132,P=0.017),appendicular skeletal muscle mass(r=-0.134,P=0.016),skeletal muscle mass index(r=-0.121,P=0.030)were negatively correlated with systolic blood pressure.Conclusion The risk of sarcopenia was increased with and hypertension in com-munity-dwelling older residents.SBP can effectively reflect the muscle mass and strength of the elderly with hypertension.Therefore,screening for sarcopenia elderly in community-dwelling older residents should be done as early as possible,and sarcopenia should be prevented by effective blood pressure control.

关键词

肌少症/原发性高血压/老年人/社区

Key words

Sarcopenia/Essential hypertension/Older residents/Community

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基金项目

重庆市自然科学基金面上项目(CSTB2023NSCQ-MSX0119)

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
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