重庆市养老院人群肌肉减少症患病率调查及相关危险因素分析  

Prevalence and Risk Factors of Sarcopenia in Chongqing’s Nursing Home

作　　者：廖书雯 刘利利 赵柯湘[1] 朱勤岚[1] 罗成[1] 吕琼[1] 吕洋[1] 肖谦[1] 

机构地区：[1]重庆医科大学附属第一医院老年病科

出　　处：《国际老年医学杂志》2018年第1期1-5,21,共6页International Journal of Geriatrics

基　　金：国家临床重点专科建设项目[国卫办医函(2013)544号];国家自然科学基金(81701382);重庆市卫生和计划生育委员会资助项目(2015MSXM016)

摘　　要：目的对重庆市养老院老年人群肌肉减少症的患病率进行调查，分析相关危险因素，为肌少症防治策略的制定提供可靠依据。方法纳入重庆市4家养老院共225名老年人，男63人，女162人。采用生物阻抗测定仪测定四肢骨骼肌量，计算四肢肌肉指数，测定6m步速及握力，采用亚洲肌少症工作组推荐的诊断标准。通过问卷调查，收集受试者基本信息、运动习惯、饮食习惯及相关病史。应用χ^2检验进行计量资料的比较，应用疋。检验进行分类资料的分析，并对相关危险因素进行logistic回归分析。结果重庆市养老院人群中男性肌少症的患病率为41．3％，女性为37．0％。增龄、低蛋白质、高体脂百分比、高血压、糖尿病、消化系统疾病、骨质疏松症、中年时期运动时间减少、BMI降低与肌少症密切相关，蛋白质饮食及文化程度与肌少症无明显相关性。结论重庆市养老院人群中肌少症患病率较高，增龄、中年时期运动减少、高血压、糖尿病、营养不良、高体脂百分比、骨质疏松、消化系统疾病是养老院人群肌少症的危险因素。其中，增龄、中年时期运动时间减少、骨质疏松、高体脂百分比、BMI降低是养老院人群肌5-＂症的独立危险因素。Objective The prevalence of sarcopenia in the elderly population was investigated in Chongqlng＇s nursing home, and related risk factors were analyzed. Methods A total of 225 elderly people were selected in 4 nursing homes in Chongqing. Appendieular- skeletal muscle mass （ASMM） was measured by BIA, 6m usual gait speed and grip strength were measured. The diagnosis was made according to the diagnostic criteria recommended by the Asian Working Group for Sarcopenia （AWGS）. General information, exercise habits, eating habits and related medical history were collected by questionnaires, t- test, chi - square test and logistic regression analysis were performed to analyze the data. Results The prevalence rate of sarcopenia was 41.3% in men and 37.0% in women. Aging, lowing BMI, low protein, high body fat percentage, hypertension, diabetes, digestive system disease, osteoporosis, and reduced exercise time were closely associated with sarcopenia, while protein diet and educational level had no obvious correlation. Conclusion The prevalence rate of sareopenia is high in Chongqing＇s nursing home. Aging, decreased exercise time in middle age, hypertension, diabetes, malnutrition, high body fat percentage, osteoporosis, digestive system diseases are the risk factors of sarcopenia in nursing home population. While aging, decreased exercise time in middle age, osteoporosis, high body fat percentage, and low BMI are the independent risk factors of sarcopenia in nursing home population.

关 键 词：肌肉减少症 养老院人群 患病率 危险因素 

分 类 号：R685[医药卫生—骨科学]