糖尿病对农村老年人轻度认知障碍的影响  

Impacts of diabetes on mild cognitive impairment in rural older residents

作　　者：邬锡波 韩红霞 沙开辉 于春玲 周红叶 焦勇勇 王佳宇 薛将[2] 陈树林[2] WU Xibo;HAN Hongxia;SHA Kaihui;YU Chunling;ZHOU Hongye;JIAO Yongyong;WANG Jiayu;XUE Jiang;CHEN Shulin(The Third Hospital of Haishu District,Ningbo,Zhejiang 315191,China;Department of Psychology and Behavioral Sciences,Zhejiang University,Hangzhou,Zhejiang 310028,China)

机构地区：[1]宁波市海曙区第三医院,浙江宁波315191 [2]浙江大学心理与行为科学系,浙江杭州310028

出　　处：《中国农村卫生事业管理》2022年第6期432-436,共5页Chinese Rural Health Service Administration

基　　金：国家博士后科学基金项目(2020TQ0265);宁波市失智老人关爱项目。

摘　　要：目的了解农村老年人轻度认知障碍现状,并分析其与糖尿病之间的关联。方法对1897名农村老年人进行了现场问卷调查,其中有效问卷为1857份。调查内容包括基本人口学信息、糖尿病等慢性疾病信息以及蒙特利尔认知评估量表。结果在1857名老年人中,被筛查为轻度认知障碍的有350(18.85%)人;女性、高龄、受教育程度低、未婚、独居、在家休息及患有糖尿病的老年人有更高的轻度认知障碍患病率。逐步logistic回归分析结果显示,在控制了年龄(χ^(2)=97.98,P<0.001)、教育程度(χ^(2)=136.92,P<0.001)和脑卒中(χ^(2)=3.77,P=0.052)等因素后,糖尿病对轻度认知障碍的影响并不显著(χ^(2)=3.62,P=0.057)。结论轻度认知障碍在农村老年人群中的患病率较高,其中年龄和教育程度是轻度认知障碍主要的影响因素,糖尿病等慢性疾病对轻度认知障碍的影响并不显著。Objective To investigate the prevalence of mild cognitive impairment in rural older residents,and to explore the association between mild cognitive impairment and diabetes.Methods A total of 1897 older residents were investigated with on-site questionnaires,1857 copies of which were valid.The survey contents included basic demographic characteristics,information about chronic diseases such as diabetes as well as the Montreal Cognitive Assessment.Results Among the 1857 investigated subjects,350(18.85%)individuals were screened and confirmed with mild cognitive impairment.Those who were female,with older age,low education level,unmarried,living alone,not employed and suffering from diabetes had higher rates of developing mild cognitive impairment.The results of stepwise logistic regression indicated that diabetes did not had a significant impact(χ~2=3.62,P=0.057)on mild cognitive impairment after controlling the factors of age(χ~2=97.98,P<0.001),education level(χ~2=136.92,P<0.001)and stroke(χ~2=3.77,P=0.052).Conclusions The prevalence of mild cognitive impairment in rural older residents is high,and age and education level are the main influencing factors for mild cognitive impairment,while the impact of chronic diseases including diabetes on mild cognitive impairment is not significant.

关 键 词：农村老年人 轻度认知障碍 糖尿病 横断面研究 

分 类 号：R197.2[医药卫生—卫生事业管理] R587.1[医药卫生—公共卫生与预防医学]