社区环境对中国中老年人可能肌少症的影响研究  

The Influence of Community Environment on Possible Sarcopenia among Middle-Aged and Elderly People in China

作　　者：梁博 魏玥 裴丽君[1] LIANG Bo;WEI Yue;PEI Li-jun(Institute of Population Research,Peking University,Beijing 100871,China)

机构地区：[1]北京大学人口研究所,北京100871

出　　处：《人口与发展》2023年第6期88-99,共12页Population and Development

基　　金：国家自然科学基金(41871360);国家重点研发计划(2018YFC1004303);达能营养中心膳食营养研究与宣教基金(No.DI C2015-05)。

摘　　要：利用中国健康与养老追踪调查(CHARLS)2011年基线调查社区问卷数据和2015年追访家户调查和体检数据,研究社区环境与中国45岁及以上中老年人可能肌少症之间的关联。分层多因素logistic回归模型发现,良好的社区老年支持环境和整洁的社区建筑格局是中老年人可能肌少症发生风险的保护因素,而社区文体娱乐环境和便民生活环境与中老年人发生可能肌少症的关联无统计学意义;社区环境对中老年人可能肌少症的影响在不同年龄段中也存在差异,良好的便民生活环境和整洁的社区建筑格局对老年人维持肌肉力量更为重要;社交活动参与在社区环境对中老年人发生可能肌少症的影响中起调节作用。研究结果提示社区环境对中老年人可能肌少症发生风险的影响,为推进老年友好社区建设和就地养老提供了经验依据。Based on the 2011 baseline community questionnaire data and 2015 national follow-up household survey and physical examination data from the China Health and Retirement Longitudinal Study(CHARLS),the paper analyzes the association between community environment and possible sarcopenia among middle-aged and elderly people aged 45 years and above in China.Hierarchical multivariate logistic regression model shows that better community support for the elderly and more organized community construction structure may reduce the risk of possible sarcopenia in middle-aged and elderly people, but there was no association between community recreational or living environment and the possible sarcopenia.The influence of community environment on the possible sarcopenia also differs between middle-aged and elderly adults.Good living environment and organized community construction structure are of greater important for the elderly to maintain muscle strength. Moreover,social activity participation plays moderating effect in the influence of community environment on the development of possible sarcopenia in people aged 45 years and above. The findings suggest the effect of community environment on the risk of possible sarcopenia among middle-aged and elderly people,and provide empirical evidence for promoting the building of age-friendly communities and aging in place.

关 键 词：可能肌少症 社区环境 中老年人 社交活动 

分 类 号：C913.4[经济管理]