农村老年人多重慢病与运动认知风险综合征的相关性研究  

A study on the correlation between multimorbidity and motoric cognitive risk syndrome in rural older adults

作　　者：代晨 张燕[1] 张静雅 王青 娄旭[2] 陈任[1] 沈国栋 DAI Chen;ZHANG Yan;ZHANG Jingya;WANG Qing;LOU Xu;CHEN Ren;SHEN Guodong(School of Health Service Management,Anhui Medical University,Hefei,Anhui 230032,China;不详)

机构地区：[1]安徽医科大学卫生管理学院,安徽合肥230032 [2]安徽体育运动职业技术学院,安徽合肥230052 [3]中国科学技术大学附属第一医院老年医学科,安徽合肥230051

出　　处：《中华全科医学》2024年第2期179-182,251,共5页Chinese Journal of General Practice

基　　金：国家自然科学基金青年基金项目(72004003);安徽省优秀科研创新团队项目(2023AH010036);安徽省教育厅高校科研重点项目(2022AH053118)。

摘　　要：目的本研究旨在调查安徽省农村老年人多重慢病与运动认知风险综合征(MCR)之间的横断面关系,探索慢性疾病数量与MCR之间的关联,以期为在农村的特定社会情境下,制定预防MCR的策略和措施提供依据。方法采用方便抽样方法选取安徽省六安和阜阳两地农村地区的652名老年人进行调查,开展多重慢病与MCR之间的相关性研究。其中慢性疾病状态以参与者自我报告的形式进行记录,MCR通过结合步态缓慢和主观认知下降进行评估。采用logistic回归分析研究多重慢病与MCR之间的关系。结果患有任何一种慢性疾病的老年人更可能患有MCR(OR=2.926,95%CI:1.256~6.816,P=0.013)。多重慢病的数量与MCR显著相关,其中患有3种慢性疾病的老年人患MCR的风险最高(OR=4.946,95%CI:1.811~13.506,P=0.002)。Logistic回归分析显示,高血压+抑郁症(OR=2.433,95%CI:1.294~4.573,P=0.006)和高血压+高脂血症+抑郁症(OR=4.632,95%CI:1.978~10.848,P<0.001)两组多重慢病模式的老年人更容易患有MCR。结论在安徽省农村老年人中,多重慢病与MCR具有相关性,患有MCR的概率随着慢性疾病数量的累积而增加。Objective To investigate the cross-sectional relationship between multimorbidity and motoric cognitive risk syndrome(MCR)among older adults in Anhui province,China.To explore the association between the number of chronic diseases and MCR in order to provide a basis for the development of strategies and measures to prevent MCR in rural areas.Methods A cross-sectional study was conducted among 652 older adults in rural areas of Lu'an and Fuyang City,Anhui Province,China,participants self-reported their chronic disease status.MCR was assessed by combining slow gait with subjective cognitive decline,and logistic regression was used to analyze the relationship between multimorbidity and MCR.Results Older adults with chronic disease had a higher likelihood of experiencing MCR(OR=2.926,95%CI:1.256-6.816,P=0.013).Further,the presence of three chronic diseases in older adults was associated with the highest risk of MCR(OR=4.946,95%CI:1.811-13.506,P=0.002).Logistic regression analysis showed that older adults with specific multimorbidity patterns,such as hypertension+depression(OR=2.433,95%CI:1.294-4.573,P=0.006)and hypertension+hyperlipidemia+depression(OR=4.632,95%CI:1.978-10.848,P<0.001),were more prone to developing MCR.Conclusion MCR is associated with multimorbidity among older adults in rural Anhui province,China.

关 键 词：多重慢病 运动认知风险综合征 老年人 农村 

分 类 号：R592[医药卫生—老年医学]