首页|老年人健康生活方式与脑卒中相关性研究

老年人健康生活方式与脑卒中相关性研究

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目的 探讨老年人生活方式与脑卒中的相关性.方法 数据来源于中国农村延缓失智和失能的多模干预研究(MIND-China)的自然人群队列,纳入5 009例≥ 60岁老年受试者,其中954例(19.05%)患脑卒中.采用Logistic回归模型分析5种生活方式(吸烟、饮酒、体育锻炼、社会交往和睡眠质量)与脑卒中的相关性.结果 在模型1中,控制了年龄、性别和教育程度后,5种生活方式中,健康的社会交往(OR=0.783,95%CI:0.668~0.917)和良好睡眠(OR=0.731,95%CI:0.621~0.860)与脑卒中患病存在相关性(均P<0.05),未发现其他生活方式与脑卒中患病的关联有统计学意义.多种健康生活方式组合的分析显示,保持3种(OR=0.639,95%CI:0.433~0.944)、4种(OR=0.620,95%CI:0.409~0.941)、5 种(OR=0.397,95%CI:0.197~0.799)健康生活方式与脑卒中患病相关(均P<0.05).在模型2中,控制了年龄、性别和教育程度以及体质指数、糖尿病、高脂血症、高血压和APOE基因型后,结果与模型1 一致.结论 老年人生活方式与脑卒中相关,健康生活方式的种类越多,脑卒中发病的风险越小.
Study on the correlation between healthy lifestyle practices and stroke in elderly people
Objective To investigate the relationship between lifestyle factors and stroke in the elderly.Methods Data were obtained from a natural cohort of the Multimodal Intervention to Delay Dementia and Disability in Rural China(MIND-China)study.A total of 5 009 participants aged 60 years and above were enrolled,of whom 954(19.05%)had experienced a stroke.Logistic regression analyses were conducted to assess the association between five lifestyle factors(smoking,drinking,physical exercise,social activity and sleep quality)and the incidence of stroke.Results In model 1,after adjusting for age,sex and education,only social activity(OR=0.783,95%CI:0.668-0.917)and good sleep quality(OR=0.731,95%CI:0.621-0.860)emerged as protective factors against stroke(both P<0.05).No statistically significant associations were found between other lifestyle factors and stroke.Analysis of a variety of healthy lifestyle practice combinations showed that having 3(OR=0.639,95%CI:0.433-0.944),4(OR=0.620,95%CI:0.409-0.941)and 5(OR=0.397,95%CI:0.197-0.799)healthy lifestyle practices were protective factors against stroke(all P<0.05).In model 2,after adjusting for age,sex,education,body mass index,diabetes,hyperlipidemia,hypertension,and the APOE genotype,the results were consistent with those of Model 1.Conclusions Lifestyle factors are significantly associated with the risk of stroke in the elderly population.The healthier lifestyle practices are adopted,the lower the risk of stroke will be.

Life styleStrokeHealth status

杨琰、张晓娜、张娟、侯婷婷、王翔、杜怡峰、董泗芹

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山东第一医科大学附属省立医院老年神经内科,济南 250021

山东第一医科大学附属省立医院神经内科,济南 250021

生活方式 卒中 健康状况

国家自然科学基金项目

81861138008

2024

中华老年医学杂志
中华医学会

中华老年医学杂志

CSTPCD北大核心
影响因子:1.606
ISSN:0254-9026
年,卷(期):2024.43(10)