石河子市社区老年人肌少-骨质疏松症检出率及影响因素分析  

Detection rate and influencing factors of osteosarcopenia in the elderly in Shihezi community

作　　者：刘柯汝 王玉环[1] 陶晶[2] 王若仙 魏杉杉 何斌[2] LIU Ke-ru;WANG Yu-huan;TAO Jing;WANG Ruo-xian;WEI Shan-shan;HE Bin(Shihezi University School of Medicine,Shihezi,Xinjiang 832002,China;不详)

机构地区：[1]石河子大学医学院,新疆石河子832000 [2]石河子大学医学院第三附属医院

出　　处：《现代预防医学》2024年第4期736-741,共6页Modern Preventive Medicine

基　　金：新疆生产建设兵团科技创新人才计划(2022CB010-04)。

摘　　要：目的 了解石河子市社区老年人肌少-骨质疏松症检出率并分析其影响因素。方法 于2023年3-7月,采用分层随机抽样的方法,选取石河子社区60岁以上老年人进行现场问卷调查和身体测量,运用二元logistic回归进行影响因素分析。结果 1 051名老年人中,肌少-骨质疏松症检出率为21.9%(230人)。多因素分析结果显示,BMI(OR=0.781;95%CI:0.712~0.857)、合并症(OR=1.774;95%CI:1.106~2.845)、骨折史(OR=3.493;95%CI:1.748~6.979)、女性绝经年限(OR=1.080;95%CI:1.013~1.152)、饮用浓茶咖啡或碳酸饮料(OR=5.161;95%CI:2.731~9.752)、久坐少动(OR=1.899;95%CI:1.073~3.363)、营养不良(OR=4.601;95%CI:2.352~9.000)、已婚(OR=0.041;95%CI:0.007~0.247)、独居(OR=3.404;95%CI:1.335~8.683)、社会衰弱(OR=5.669;95%CI:3.852~10.674)、低收入(OR=2.248;95%CI:1.053~4.798)以及职工医保(OR=0.138;95%CI:0.037~0.510)和居民医保(OR=0.023;95%CI:0.005~0.096)是社区肌少-骨质疏松症高危人群的主要影响因素。结论 石河子市社区老年人肌少-骨质疏松症检出率高,社区卫生工作者应尽早发现肌少-骨质疏松症高危人群,并采取干预措施。Objective To investigate the detection rate of osteosarcopenia in the elderly in the community of Shihezi city and to analyze its influencing factors.Methods From March to July 2023,a stratified random sampling method was used to select the elderly over 60 years old in Shihezi community for on-site questionnaire survey and physical measurement.Multivariate Logistic regression was used to analyze the influencing factors.Results Among 1051 elderly people,the detection rate of osteosarcopenia was 21.9%(230 people).Multivariate analysis showed that BMI(0R=0.78,95%Cl:0.712-0.857),comorbidities(0R=1.774,95%Cl:1.106-2.845),fracture history(OR=3.493,95%Cl:1.748-6.979),duration of menopause(OR=1.080,95%CI:1.013-1.152),drinking strong tea OR coffee or carbonated drinks(OR=5.161,95%CI:2.731-9.752),sedentary inactivity(OR=1.899,95%CI:1.073-3.363),malnutrition(OR=4.601,95%CI:2.352-9.000),married(0R=0.041,95%CI:0.007-0.247),living alone(0R=3.404,95%Cl:1.335-8.683),social frailty(0R=5.669,95%Cl:3.852-10.674),low income(OR=2.248,95%Cl:1.053-4.798)and employee medical insurance(0R=0.138,95%Cl:0.037-0.510)and resident medical insurance(0R=0.023,95%Cl:0.005-0.096)were the main influencing factor for the high-risk population of osteosarcopenia in the community.Conclusion The detection rate of sarcopenia and osteoporosis is high in the elderly in the community of Shihezi city.Community health workers should find the high-risk population of osteosarcopenia as soon as possible and take intervention measures.

关 键 词：肌少-骨质疏松症 检出率 社区 影响因素 健康生态学模型 

分 类 号：R589.5[医药卫生—内分泌]