泸州市老年人生活方式与认知功能障碍的相关性分析  

Study on the Relationship between Life Style and Cognitive Dysfunction of the Elderly in Luzhou City

作　　者：周军良 陈新宇 陈润 范颂 杨珉[2,3] 贾红 ZHOU Junliang;CHEN Xinyu;CHEN Run;FAN Song;YANG Ming;Jia hong(School of Public Health,Southwest Medical University,Luzhou 646000;Sichuan Province,China.2 West China School of Public Health,Sichuan University,Chengdu 610000;Sichuan Province,China.3 Faculty of Health,Art and Design,Swinburne Technology University,Australia.)

机构地区：[1]西南医科大学公共卫生学院,四川泸州646000 [2]四川大学华西公共卫生学院,成都610041 [3]Faculty of Health,Art and Design,Swinburne Technology University,Australia

出　　处：《预防医学情报杂志》2021年第6期803-808,共6页Journal of Preventive Medicine Information

基　　金：美国中华医学基金会(项目编号:CMB Grant 12-106)。

摘　　要：目的了解泸州市60岁及以上老年人认知功能障碍(Cognitive Dysfunction,CD)流行情况,探讨生活方式因素与老年人CD患病率的关系。方法于2017-03/06采用多阶段分层整群抽样方法,对泸州市南城街道和邻玉街道老年人进行调查,调查内容包括个人基本情况、生活行为情况和认知功能情况。使用非条件Logistic回归分析探讨生活方式因素、生活方式指数与CD的相关性。结果共调查老年人1200人,其中有效调查975例,平均年龄为(73.17±9.64)岁,CD患病率为13.03%。单因素分析显示,不同年龄、婚姻状况、食用鱼类或鱼类制品频率、运动锻炼频率、棋/牌活动频率、家务劳动频率、视听阅读行为频率、使用移动通讯设备频率的老年人群CD患病率有差异(P<0.05)。多因素Logistic回归分析显示,经常运动锻炼(OR=0.53,0.34~0.81)、做家务劳动(OR=0.37,0.22~0.63)和使用移动通讯设备(OR=0.51,0.31~0.84)与CD负相关。不同生活方式指数CD患病率有差异(χ^(2)=8.78,P<0.05),调整年龄、性别、婚姻状况、文化程度等变量后,健康生活方式与不良生活方式相比,CD患病率更低(OR=0.37,0.20~0.69)。结论泸州市老年人CD患病率较高,健康的生活方式与CD患病率负相关。Objective To investigate the current status of cognitive function of the elderly aged over60 years in the Luzhou City,and explore the relationship between lifestyle and the prevalence of cognitive dysfunction in the elderly.Methods By using a multi-stage stratified cluster sampling method,the elderly over 60 years in two streets of Luzhou City were investigated from March to June in 2017.The survey contents included personal basic information,lifestyle and cognitive function.Results A total of 1200 elderly people were investigated,and 975 questionnaires were effective.The average age was(73.17±9.64)years.The prevalence of cognitive dysfunction was 13.03%.Univariate analysis showed that there were significant differences in the prevalence of cognitive dysfunction among the elderly with different age and marital status,and different frequency of eating fish or fish products,exercise,chess or card activity,housework,audio-visual reading behaviors,and mobile communication(P<0.05).Multivariate logistic regression analysis showed that regular exercise(OR=0.53,0.34-0.81),housework(OR=0.37,0.22-0.63)and mobile communication(OR=0.51,0.31-0.84)were negatively correlated with cognitive dysfunction.There were significant differences of the prevalence of cognitive dysfunction among different lifestyle indexes(χ^(2)=8.78,P<0.05).After adjusting the related variables,the prevalence of cognitive dysfunction in healthy lifestyle was lower than that in bad lifestyle(OR=0.37,0.20-0.69).Conclusion The prevalence of cognitive dysfunction is high in Luzhou City,and healthy lifestyle is negatively correlated with the prevalence of cognitive dysfunction.

关 键 词：生活方式 认知功能障碍 生活方式指数 老年人 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]