中老年人衰弱与生活行为因素的关联研究  

Association between frailty and lifestyle factors among middle-aged and elderly populations

作　　者：林静静 杜雨珊 梁明斌[1] 陈向宇[1] 何青芳[1] 许辉[3] 秦家胜[3] 陆凤[1] 王立新[1] 钟节鸣[1] 方乐[1] LIN Jingjing;DU Yushan;LIANG Mingbin;CHEN Xiangyu;HE Qingfang;XU Hui;QIN Jiasheng;LU Feng;WANG Lixin;ZHONG Jieming;FANG Le(Department of Non-communicable Disease Control and Prevention,Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China;Peking University,Beijing 100191,China;Changxing Center for Disease Control and Prevention,Changxing,Zhejiang 313199,China)

机构地区：[1]浙江省疾病预防控制中心慢性非传染性疾病预防控制所,浙江杭州310051 [2]北京大学,北京100191 [3]长兴县疾病预防控制中心,浙江长兴313199

出　　处：《预防医学》2022年第3期263-267,共5页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：浙江省医药卫生科技计划项目(2020RC049,2020KY518);浙江省科技计划项目(2022C35013)。

摘　　要：目的分析中老年人衰弱状况与生活行为的关联性,为防制中老年人衰弱提供依据。方法于2019—2020年采用方便抽样法抽取浙江省长兴县7个乡镇(街道)的45~69岁中老年人为调查对象,通过问卷调查收集人口学信息和生活行为资料;采用中文版Tilburg衰弱评估(TFI)量表评估衰弱状况;采用多因素logistic回归模型分析中老年人衰弱的影响因素。结果调查7 170人,其中男性2 780人,占38.77%;女性4 390人,占61.23%。年龄M (QR)为56 (10)岁。衰弱得分为2 (3)分;其中45~<60岁和60~69岁调查对象分别为2 (2)和2 (3)分。衰弱1 152人,衰弱率为16.07%;其中45~<60岁和60~69岁调查对象分别为13.52%和21.01%。多因素logistic回归分析结果显示,体力活动(OR=0.826,95%CI:0.719~0.949)和睡眠质量(OR:3.376~11.493,95%CI:2.907~15.808)与中老年人衰弱有统计学关联。按年龄分层分析结果显示,体力活动(OR=0.817,95%CI:0.681~0.981)和睡眠质量(OR:3.076~11.566,95%CI:2.518~18.216)与45~<60岁调查对象衰弱有统计学关联;睡眠质量(OR:3.777~11.827,95%CI:3.002~18.547)与60~69岁调查对象衰弱有统计学关联。结论本次调查的中老年人衰弱与体力活动和睡眠质量有关。Objective populations, so as to provide insights into the management of frailty among middle-aged and elderly populations.Methods method from seven townships in Changxing County of Zhejiang Province from 2019 to 2020. The demographic characteristics and lifestyle factors were collected using questionnaires, and the frailty was measured using the Chinese version of Tilburg Frailty Indicator( TFI). Factors affecting frailty were identified among middle-aged and elderly populations using the multivariable logistic regression model.ResultsA total of 7 170 residents were surveyed, including 2 780 males( 38.77%) and 4 390 females( 61.23%), which had a median age of 56(interquartile range, 10) years. The median frailty score was 2(interquartile range, 3) among the study subjects, and the median frailty score was 2( interquartile range, 2) among residents at ages of 45 to 59 years, and 2(interquartile range, 3) among residents at ages of 60 to 69 years. The overall detection of frailty was 16.07%, and the detection of frailty was 13.52% among subjects at ages of 45 to 59 years and 21.01% among subjects at ages of 60 to 69 years. Multivariable logistic regression analysis identified physical activity( OR=0.826, 95%CI: 0.719-0.949) and sleep quality( OR: 3.376-11.493, 95%CI: 2.907-15.808) as factors affecting frailty among middle-aged and elderly residents. Following age stratification, physical activity( OR=0.817, 95%CI: 0.681-0.981) and sleep quality( OR: 3.076-11.566, 95%CI: 2.518-18.216) as factors affecting frailty among subjects at ages of 45 to 59 years, while sleep quality( OR: 3.777-11.827, 95%CI: 3.002-18.547) significantly correlated with frailty among residents at ages of 60 to 69 years.ConclusionPhysical activity and sleep quality are associated with the risk of frailty among middle-aged and elderly populations.

关 键 词：衰弱 生活行为方式 中老年人 

分 类 号：R592[医药卫生—老年医学]