沈阳市老年人轻度认知障碍患病现状及其影响因素分析  

Prevalence of mild cognitive impairment and its influencing factors among community elderly in Shenyang city: a cross-sectional study

作　　者：颜南[1] 刘雯 刘东祺 李荣梅 YAN Nan;LIU Wen;LIU Dong-qi(Department of Rehabilitation,School of Medical Applied Technology,Shenyang Medical College,Shenyang,Liaoning Province 110000,China;不详)

机构地区：[1]沈阳医学院医学应用技术学院康复教研室,辽宁沈阳110000 [2]沈阳医学院 [3]沈阳医学院附属卫生学校 [4]沈阳医学院科技处

出　　处：《中国公共卫生》2021年第9期1410-1413,共4页Chinese Journal of Public Health

基　　金：2018年辽宁省科技厅重点研发计划指导计划项目(2018225012);2018年沈阳市科技计划科学决策咨询研究专项(18-015-7-26)。

摘　　要：目的了解辽宁省沈阳市老年人轻度认知障碍(MCI)患病现状及其影响因素,为预防老年痴呆的发生提供参考依据。方法于2019年5—10月采用分层随机抽样方法在沈阳市和平区、沈河区、大东区、皇姑区、铁西区5个中心区抽取1500名老年人进行问卷调查。结果沈阳市1500名老年人中,患MCI者454例,MCI患病率为30.3%;多因素非条件logistic回归分析结果显示,月平均收入≤3000元和有糖尿病是沈阳市老年人MCI患病的危险因素,运动、有阅读习惯和饮食习惯以肉食为主是沈阳市老年人MCI患病的保护因素。结论沈阳市老年人的MCI患病情况不容乐观,月平均收入、运动情况、阅读习惯、饮食习惯和有无糖尿病是沈阳市老年人MCI患病的主要影响因素。Objective To examine the prevalence and influencing factors of mild cognitive impairment(MCI) among community elderly in Shenyang city, Liaoning province, and to provide evidences for Alzheimer′ s disease prevention.Methods Using stratified random cluster sampling, we recruited 1 500 permanent residents aged 60 years and above at 15 communities in 5 urban districts of Shenyang city and carried out face-to-face interviews among the elderly during May -October. 2019. Mini-Mental State Examination(MMSE), Geriatric Depression Scale(GDS), and a self-designed questionnaire were adopted in the survey. Results Valid information were collected from all the 1 500 elderly(57.5% males and 58.8% aged 60 - 69 years). Totally 454 participants were identified having MCI and the MCI prevalence rate was 30.3%.The results of unconditional multivariate logistic regression analysis revealed that with a monthly household income of ≤ 3 000 yuan(RMB) per capita and suffering from diabetes were risk factors for MCI but physical exercise, reading habit,and having a dietary pattern with much meat were protective factors against MCI in the elderly. Conclusion Among community elderly in urban Shenyang, mild cognitive impairment is prevalent and mainly influenced by monthly household income per capita, physical exercise, reading habit, dietary pattern, and whether suffering from diabetes.

关 键 词：轻度认知障碍(MCI) 患病现状 影响因素 老年人 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]