新疆维吾尔自治区社区老年人群低体质量营养不良横断面流行病学调查  

A cross-sectional epidemiological survey on malnutrition amongcommunity-dwelling older adults in Xinjiang Uygur Autonomous Region

作　　者：塔吉古丽·木沙[1] 向红[1] 赛娅热·雪克拉提 白雪[1] 汪丽[1] 李杨静 王红梅[1] Tajiguli MUSHA;XIANG Hong;Saiyare XUEKELATI;BAI Xue;WANG Li;LI Yangjing;WANG Hongmei(People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi,Xinjiang Uygur Autonomous Region 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院干保二科,新疆维吾尔自治区乌鲁木齐830001

出　　处：《中国预防医学杂志》2023年第7期625-631,共7页Chinese Preventive Medicine

基　　金：国家自然科学基金项目(81660242)。

摘　　要：目的 了解新疆维吾尔自治区(新疆)社区老年人群低体质量营养不良的流行病学特征。方法 2019年1—12月,采用多级随机抽样法,在新疆社区开展老年自然人群低体质量营养不良流行病学调查。结果 本研究共纳入研究对象87 000人,最终有资料完整的86 514人进入统计分析过程。新疆老年自然人群总体营养不良患病率为2.90%,南疆、东疆、北疆地区分别为3.36%、3.16%、1.98%,差异有统计学意义(χ^(2)=110.02,P<0.01);60~<70岁、70~<80岁、80~<90岁和≥90岁年龄段患病率分别为2.01%、2.99%、4.15%和5.42%,差异有统计学意义(χ^(2)=177.84,P<0.01)。校正年龄、性别后,logistic回归分析结果提示,与南疆地区相比,东疆、北疆地区老年人患营养不良(OR=0.90、0.53);与60~<70岁年龄段相比,70~<80岁、80~<90岁和≥90岁年龄段老年人患营养不良(OR=1.52、2.25、2.92);老年女性的患低体质量营养不良风险更高(OR=1.19)。结论 新疆社区老年人群中低体质量营养不良患病率、患病风险存在地理和年龄差异。Objective To understand the epidemiological characteristics of malnutrition among community-dwelling older adults in Xinjiang Uygur Autonomous Region.Methods From January 2019 to December 2019,a multi-stage random sampling method was used to recruit community-dwelling older adults in Xinjiang and a cross-sectional epidemiological survey for malnutrition was conducted.Results Of the 87000 participants,questionnaires of 86514 subjects with complete data were included in statistical analysis.The overall prevalence of malnutrition was 2.90%in study participants.The malnutrition prevalence varied significantly across Xinjiang(3.36%in South Xinjiang,3.16%in Eastern Xinjiang and 1.98%in Northern Xinjiang,χ^(2)=110.02,P<0.01)and among subjects in different age groups(2.01%in 60-<70,2.99%in 70-<80,4.15%in 80-<90 and 5.42%in≥90;χ^(2)=177.84,P<0.01).After adjusting confounding factors of age and gender,multivariate logistic regression analysis showed that the odds ratios(95%CI)for malnutrition in Eastern Xinjiang and Northern Xinjiang were 0.90(0.82-0.98)and 0.53(0.48-0.59)compared to that in South Xinjiang.The adjusted odds ratios of malnutrition were 1.52,2.25 and 2.92 in age group of 70-<80,80-<90 and≥90,compared to that in 60-<70,which significantly increased with age.Female elderly had a higher risk of malnutrition(OR=1.19).Conclusions There are geographical and age differences in the prevalence and risk of malnutrition among the community-dwelling older adults in Xinjiang.

关 键 词：营养不良 社区 老年人 新疆维吾尔自治区 

分 类 号：R59[医药卫生—内科学]