中国老年人社会参与和家庭交往对可能肌少症影响的队列研究  

Effects of social participation and family contact on the risk of sarcopenia in Chinese older adults:a cohort study

作　　者：梁博 崔王殊 裴丽君[1] LIANG Bo;CUI Wang-shu;PEI Li-jun(Institute of Population Research/Chinese Center for Population Health and Development,Peking University,Beijing 100871,China)

机构地区：[1]北京大学人口研究所/北京大学中国人口健康与发展研究中心,北京100871

出　　处：《中华骨质疏松和骨矿盐疾病杂志》2023年第3期207-215,共9页Chinese Journal Of Osteoporosis And Bone Mineral Research

基　　金：国家自然科学基金(41871360);国家重点研发计划(2018YFC2000603)。

摘　　要：目的探讨我国老年人社会参与和家庭交往对可能肌少症发生风险的影响。方法采用队列研究方法,通过握力和重复5次起坐时间测量判断可能肌少症,以“中国健康与养老追踪调查”2011年和2013年收集的5820名非肌少症老年人作为基线数据,随访该队列人群至2015年,采用Cox比例风险模型研究老年人的社会参与和家庭交往与其可能肌少症发生风险的关联。结果与过去1个月未参加个人娱乐活动的老年人相比,参加该类活动的老年人发生可能肌少症的风险降低25%(HR=0.75,95%CI:0.63~0.89,P=0.001);相对于与子女共同居住或交往频繁,与子女交往较频繁和交往不频繁的老年人患可能肌少症风险分别降低18%(HR=0.82,95%CI:0.70~0.95,P=0.011)和30%(HR=0.70,95%CI:0.54~0.90,P=0.006);与没有子女经济支持和未帮助子女照料隔代子女的老年人相比,有子女经济支持、为子女提供隔代照料支持的老年人可能肌少症发生风险分别降低22%(HR=0.78,95%CI:0.69~0.90,P<0.001)和30%(HR=0.70,95%CI:0.60~0.82,P<0.001)。结论我国≥60岁老年人积极参与社交、运动等个人娱乐活动、接受子女经济支持和进行隔代照料可以降低其可能肌少症的发生风险,提升老年人社会和家庭交往水平可以延缓可能肌少症的发生。Objective To investigate the effects of social participation and family contact on the risk of sarcopenia in Chinese older adults.Methods This was a cohort study.Data were from China Health and Retirement Longitudinal Study(CHARLS).Possible sarcopenia was determined by grip strength and repetitive sitting-up time.A total of 5820 participants of older adults without possible sarcopenia in 2011 and 2013 was used as baseline data,and was followed up until 2015.Cox proportional hazards model was performed to estimate the association between the social participation and family contact and the risk of possible sarcopenia in older adults.Results Compared with those who did not participate in personal entertainment activities in the past month,the elderly participated in such activities had a 25%lower risk of possible sarcopenia(HR=0.75,95%CI:0.63-0.89,P=0.001).Compared with those who lived together or contacted with their children frequently,the risk of possible sarcopenia in the elderly who contacted with their children less frequently and not frequently decreased by 18%(HR=0.82,95%CI:0.70-0.95,P=0.011)and 30%(HR=0.70,95%CI:0.54-0.90,P=0.006),respectively.Compared with the elderly without financial support from their children and without intergenerational childcare,the elderly with children s financial support and grandparenting had a 22%(HR=0.78,95%CI:0.69-0.90,P<0.001)and 30%(HR=0.70,95%CI:0.60-0.82,P<0.001)lower risk of possible sarcopenia,respectively.Conclusions Participating in social,exercising and other personal entertainment activities,accepting financial support from their children,and carrying out intergenerational care may decrease the risk of possible sarcopenia in Chinese older adults.Improving the level of social and family communication of the elderly can help to delay the occurrence of possible sarcopenia.

关 键 词：可能肌少症 社会参与 家庭交往 队列研究 老年人 

分 类 号：R685[医药卫生—骨科学]