奉贤地区老年护理院肌少症流行病学调查及危险因素分析  

Epidemiological investigation of sarcopenia in the nursing homes in Fengxian District and analysis of their risk factors

作　　者：吴志农 王永斌 苏福权 宋斌 李钢 朱汉民[3] 

机构地区：[1]上海市奉贤区奉城镇社区卫生服务中心,上海201411 [2]上海市奉贤区奉城医院,上海201411 [3]上海市华东医院,上海200040

出　　处：《上海医药》2017年第12期37-40,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市奉贤区科委项目(2014-07)

摘　　要：目的:调查奉贤地区老年护理院肌少症的患病率和分布情况,为肌少症的病因探索和预防提供依据。方法:对奉贤8家护理院老年患者786例进行流行病学调查,包括一般人口信息、职业史、现病史、既往史、肌肉功能和人体成分;并对其中503例患者进行人体成分测定。分析肌少症的患病率和影响因素。结果:肌少症的总体患病率为25.31%(199/786),男性和女性的患病率分别为20%(64/320)和28.97%(135/466),差异有统计学意义(P<0.05);患病率随年龄增长而升高(P<0.05)。教育水平是肌少症的保护因素,而年龄、女性、营养缺乏为危险因素。结论:奉贤地区护理院老年患者肌少症患病率较高,并随年龄增长而升高。可针对相关危险因素采取措施,以期延缓或阻止该病的发展。Objective： To investigate the prevalence and distribution of sarcopenia in the nursing homes in Fengxian District to provide the evidence for the exploration and prevention of sarcopenia. Methods： An epidemiological survey was conducted in 786 elderly patients in 8 nursing homes in Fengxian District, including general demographic information, occupational history, current medical history, past history, muscle function and body composition determination, and the human body composition was measured in 503 patients among them. The prevalence and influencing factors of sarcopenia were analyzed. Results： The overall prevalence of sarcopenia was 25.31%（199/786）, the prevalences of the male and female were 20%（64/320） and 28.97%（135/466）, and the difference was statistically significant（P〈0.05）. The prevalence rate increased with age（P〈0.01）. Education level was a protective factor for sarcopenia, and the age, female, and nutrient deficiencies were the risk factors. Conclusion： The prevalence of sarcopenia in the elderly patients is higher in the nursing homes in Fengxian District, and increases with age. According to the related risk factors some measures can be taken to delay or prevent the development of the disease.

关 键 词：肌少症 流行病学 危险因素 

分 类 号：R685[医药卫生—骨科学]