浙江省社区老年人共病及共病模式患病与其行动机能关系
Relationship between comorbidity and comorbidity pattern prevalence and mobility function among community-dwelling the elderly in Zhejiang province
尤柳青 1郭丽花 1李娜 1钟节鸣 1赵鸣1
作者信息
- 1. 浙江省疾病预防控制中心慢性非传染性疾病预防控制所,杭州 310051
- 折叠
摘要
目的 探讨浙江省社区老年人共病及共病模式患病与其行动机能之间的关系,为老年人共病患病的预防和干预提供参考依据.方法 于2022年6-12月采取多阶段随机抽样方法在浙江省抽取7776名≥60岁社区老年人进行问卷调查,对最终纳入其中参与行动机能测试的2445名老年人进行共病及共病模式患病与其行动机能关系的分析.结果 浙江省2 445名社区老年人中,患共病者1 250例,共病患病率为51.12％;患心血管-代谢共病模式共病者533例,共病患病率为21.80％;患呼吸系统共病模式共病者323例,共病患病率为13.20％;患精神-感知共病模式共病者143例,共病患病率为5.84％;患骨骼关节共病模式共病者258例,共病患病率为10.55％.浙江省社区老年人单任务计时起立行走测试(TUG)完成时间为5.05～59.55s,平均完成时间为(11.21±3.15)s;闭眼单脚站立测试(OLS-EC)完成时间为0～29s,平均完成时间为(3.72±2.72)s;30s坐站试验(CS-30)完成次数为0～30次,平均完成次数为(13.51±3.79)次.在调整了性别、年龄、文化程度、婚姻状况和居住地等混杂因素后,浙江省患共病社区老年人较未患共病社区老年人的TUG完成时间延长(β=0.51,95％CI=0.26～0.76)、OLS-EC 完成时间缩短(β=-0.39,95％CI=-0.61～-0.19)和 CS-30 完成次数减少(β=-0.73,95％CI=-1.02～-0.45);患心血管-代谢共病模式共病社区老年人较未患心血管-代谢共病社区老年人的 TUG 完成时间延长(β=0.59,95％CI=0.30～0.88)、OLS-EC 完成时间缩短(β=-0.49,95％CI=-0.75～-0.23)和CS-30完成次数减少(β=-0.78,95％CI=-1.13～-0.43);患呼吸系统共病模式共病社区老年人较未患呼吸系统共病社区老年人的CS-30完成次数减少(β=-1.34,95％CI=-2.61～-0.07);患骨骼关节共病模式共病社区老年人较未患骨骼关节共病社区老年人的TUG完成时间延长(β=0.47,95％CI=0.08～0.87)和CS-30完成次数减少(β=-0.49,95％CI=-0.95～-0.02).结论 浙江省社区老年人共病患病与其个体行动机能下降的风险呈正相关,不同共病模式患病对社区老年人行动机能的影响存在差异.
Abstract
Objective To explore the relationship between comorbidity and comorbidity pattern prevalence and mobility function among community-dwelling the elderly in Zhejiang province,and to provide a reference basis for the prevention and intervention of comorbidity prevalence in the elderly.Methods From June to December 2022,a multi-stage random sampling method was used to select 7 776 community-dwelling the elderly aged ≥ 60 years old in Zhejiang province for a questionnaire survey.The relationship between comorbidity and comorbidity pattern prevalence and mobility function was analyzed among the 2 445 the elderly who were finally included and participated in the mobility function test.Results Among the 2 445 community-dwelling the elderly in Zhejiang province,1 250 had comorbidities,with a comorbidity prevalence rate of 51.12％;533 had cardiovascular-metabolic comorbidity pattern,with a comorbidity prevalence rate of 21.80％;323 had respiratory system comorbidity pattern,with a comorbidity prevalence rate of 13.20％;143 had mental-sensory comorbidity pattern,with a comorbidity prevalence rate of 5.84％;and 258 had musculoskeletal joint comorbidity pattern,with a comorbidity prevalence rate of 10.55％.The completion time of the Timed Up and Go(TUG)test for community-dwelling the elderly in Zhejiang province ranged from 5.05 to 59.55 s,with a mean completion time of(11.21±3.15)s;the completion time of the One-Leg Standing with Eyes Closed(OLS-EC)test ranged from 0 to 29 s,with a mean completion time of(3.72±2.72)s;and the number of repetitions completed in the 30-second Chair Stand(CS-30)test ranged from 0 to 30,with a mean number of repetitions of(13.51±3.79).After adjusting for confounding factors such as gender,age,education level,marital status,and place of residence,community-dwelling the elderly with comorbidities in Zhejiang province had longer TUG completion times(β=0.51,95％CI:0.26-0.19),and fewer CS-30 repetitions(β=-0.73,95％CI:-1.02--0.45)compared to those without comorbidities;community-dwelling the elderly with cardiovascular-metabolic comorbidity pattern had longer TUG completion times(β=0.59,95％CJ:0.30-0.23),and fewer CS-30 repetitions(β=-0.78,95％CI:-1.13--0.43)compared to those without cardiovascular-metabolic comorbidities;community-dwelling the elderly with respiratory system comorbidity pattern had fewer CS-30 repetitions(β=-1.34,95％CI:-2.61--0.07)compared to those without respiratory system comorbidities;and community-dwelling the elderly with musculoskeletal joint comorbidity pattern had longer TUG completion times(β=0.47,95％CI:0.08-0.02)compared to those without musculoskeletal joint comorbidities.Conclusion The prevalence of comorbidities among community-dwelling the elderly in Zhejiang province was positively correlated with the risk of individual mobility function decline,and the impact of different comorbidity pattern prevalence on the mobility function of community-dwelling the elderly varies.
关键词
共病/共病模式/患病/行动机能/关系/社区老年人/浙江省Key words
comorbidity/comorbidity pattern/prevalence/mobility function/relationship/community-dwelling the elderly/Zhejiang province引用本文复制引用
出版年
2024
NETL
NSTL
万方数据