中国老年人感觉障碍与运动认知风险综合征的关联分析  

The association between sensory impairment and motoric cognitive risk syndrome in Chinese older adults

作　　者：李琪 张卫波 贾飞飞 贾存显 LI Qi;ZHANG Weibo;JIA Feifei;JIA Cunxian(Department of Epidemiology,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院流行病学系,济南250012

出　　处：《广西医科大学学报》2024年第12期1658-1663,共6页Journal of Guangxi Medical University

基　　金：山东省自然科学基金资助项目(No.ZR2021QH176)。

摘　　要：目的:探索中国老年人感觉障碍与运动认知风险综合征(MCR)的关系。方法:采用中国健康与养老追踪调查(CHARLS)2011—2015年的数据。感觉障碍包括视觉障碍和听觉障碍,均通过自我报告进行评估。本研究将感觉障碍分为对照组、视觉障碍、听觉障碍和双重感觉障碍。MCR的评估包括步速和主观认知主诉两部分。步速通过客观测量进行评估,主观认知主诉为自报。使用广义估计方程来检验感觉障碍与MCR的关联。结果:共纳入2439例研究对象,其中男1274例,女1165例。广义估计方程结果显示,在未调整模型以及调整了基线年龄、性别、教育程度、婚姻状况、饮酒、抑郁症状和中风的模型中均发现双重感觉障碍增加了MCR的发生风险(均P<0.05),双重感觉障碍发生MCR的风险是对照组的1.955倍(95%CI:1.272~3.005)。结论:双重感觉障碍与MCR相关,应更加关注双重感觉障碍患者的认知健康。Objective:To explore the relationship between sensory impairment and motoric cognitive risk syn‐drome(MCR)in Chinese older adults.Methods:Data from the China Health and Retirement Longitudinal Study(CHARLS)for the period 2011-2015 were utilized.Sensory impairment,including vision and hearing impair‐ment,was assessed through self-report.This study categorized sensory impairment into control group,visual im‐pairment group,hearing impairment group,and dual sensory impairment group.MCR was assessed using two components:gait speed and subjective cognitive complaints.Gait speed was objectively measured,while subjec‐tive cognitive complaints were self-reported.Generalized estimating equations(GEE)were employed to examine the relationship between sensory impairment and MCR.Results:A total of 2,439 subjects were included,com‐prising 74 males and 1,165 females.The GEE analysis revealed that dual sensory impairment significantly in‐creased the risk of MCR in both the unadjusted model and the adjusted model,which controlled for baseline age,sex,education,marital status,drink,depressive symptoms and stroke(all P<0.05).The risk of MCR in the dual sensory impairment group was 1.955(95%CI:1.272-3.005)times higher than that of the control group.Conclu‐sion:Dual sensory impairment is associated with MCR,highlighting the importance of paying more attention to the cognitive health of individuals with dual sensory impairment.

关 键 词：老年人 感觉障碍 运动认知风险综合征 广义估计方程 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]