中老年人群CMM患病情况调查及CMM患者认知功能的关联因素分析
Prevalence of cardiometabolic multimorbidity(CMM)in Chinese middle-aged and elderly population and the associated factors of cognitive function in CMM patients
冯文婷 1潘晔 2史威力 1刘志辉 1淡亮星 1王留义1
作者信息
- 1. 河南省人民医院(郑州大学人民医院)全科医学科,郑州 450003
- 2. 河南省中西医结合医院信息科,郑州 450003
- 折叠
摘要
目的 探讨我国中老年人群代谢性心血管共病(CMM)患病情况及CMM患者认知功能的关联因素.方法 该研究为横断面研究,选取Harmonized CHARLS D版本中2015年的被访者为研究对象,排除其中仅患有情感和精神方面疾病及与记忆相关疾病的患者,并排除慢性病患病数据缺失者.首先,按照是否患有CMM对纳入人群进行分组,分析中老年人群患CMM的关联因素.然后,进一步在CMM患者中分析其认知功能的关联因素.收集纳入人群的一般临床资料.采用广义线性回归模型分析人口学特征、生活方式等与中老年人群CMM患病的关联,以及上述因素与CMM患者认知功能评分的关联.结果 共纳入15 007名被访者,年龄(61.07±9.70)岁,男性7 338名(48.9％),3 303人(22.01％)患有 CMM,其中女性占比54.9％(1 814/3033),男性占比45.1％(1 489/3 033).广义线性回归分析结果显示,年龄、文化程度、居住地、抑郁症状与中老年CMM患者认知功能评分存在关联(均P＜0.05).结论 我国中老年人群CMM患病率较高,年龄、文化程度、居住地、抑郁症状与中老年CMM患者认知功能存在关联.
Abstract
Objective To investigate the prevalence of cardiometabolic multimorbidity(CMM)in Chinese middle-aged and elderly population,and the associated factors of cognitive function in CMM patients.Methods It was a cross-sectional study.Data of demographic characteristics,lifestyle,chronic disease,and cognitive function in middle-aged and elderly subjects were obtained from the Harmonized CHARLS D version 2015 database,subjects with emotional and psychiatric disorders and memory-related disorders,and those with missing chronic disease data were excluded.The factors associated with cognitive function in CMM patients were analyzed with generalized linear regression model.Results A total of 15 007 respondents aged(61.07±9.70)years were included in the analysis,7 338(48.9％)of whom were males.There were 3 303 cases of CMM with a prevalence rate of 22.01％,and the proportion of females was 54.9％(1 814/3 033),and the proportion of males was 45.1％(1 489/3 033).Generalized linear regression analysis showed that age,educational level,place of residence,depressive symptoms were correlated with cognitive function scores of CMM patients(all P＜0.05).Conclusion The prevalence rate of CMM in middle-aged and elderly people in China is higher,and age,education level,place of residence,depressive symptoms are associated with cognitive function in CMM patients.
关键词
认知障碍/中年人/老年人/代谢性心血管共病Key words
Cognition disorders/Middle aged/Aged/Cardiometabolic multimorbidity引用本文复制引用
出版年
2025
NETL
NSTL
万方数据