摘要
目的研究乌鲁木齐市社区老年人肌少症患病现状及相关因素,为后期制定相应的干预措施提供依据。方法采用方便抽样法,于2019年7月至10月选取乌鲁木齐市740例60岁及以上的社区老年人,调查一般资料、营养状况并测量相关指标,利用Ishii评分筛查诊断肌少症。结果740例社区老年人年龄60~94(73.78±7.44)岁,肌少症患病率为38.8%(287例),男性患病率42.7%(119例),女性患病率36.4%(168例)。非肌少症组与肌少症组,年龄、民族、文化程度、营养状况、BMI比较,差异有统计学意义(P<0.05)。文化程度、腰围、臀围、上臂围、BMI、营养状况与肌少症发生呈负相关(P<0.05);Logistic回归分析结果显示,文化程度较高(OR=0.752,P=0.001)、小腿围度正常(OR=0.768,P<0.001)、营养状况良好(OR=0.427,P<0.001)、BMI(OR=0.602,P<0.001)为肌少症的保护因素。结论乌鲁木齐市社区老年人肌少症患病率较高,男性高于女性,社区卫生保健人员需重视对老年人肌少症的筛查评估,进行积极的预防,同时在营养及运动方面给予肌少症患者早期干预,减少不良结局的发生,提高老年人的生活质量。
Objective To study the prevalence and related factors of sarcopenia among the community elderly in Urumqi,so as to provide basis for formulating corresponding intervention measures.Methods Convenient sampling method was used to select 740 elderly people aged 60 years and above in Urumqi from July to October 2019.The general data,nutritional status,and related indicators were investigated,and Ishii score was used to screen and diagnose sarcopenia.Results Among the 740 elderly people aged 60-94(73.78±7.44)years,the prevalence of sarcopenia was 38.8%(n=287),that of men was 42.7%(n=119),and that of women was 36.4%(n=168).There were significant differences in age,nationality,education level,nutritional status,and BMI between the two groups(P<0.05).The Logistic regression analysis showed that higher education level(OR=0.752,P=0.001),normal leg circumference(OR=0.768,P<0.001),good nutritional status(OR=0.427,P<0.001),BMI(OR=0.602,P<0.001)were the protective factors of sarcopenia.Conclusion The prevalence of sarcopenia in the old men in Urumqi is higher than that in women.Therefore,community health care personnel should pay attention to the screening and evaluation of sarcopenia in the elderly,to actively prevent it,and give early intervention in nutrition and exercise to reduce the adverse outcomes and improve the quality of life of the elderly.
作者
车雅洁
杨璇璇
张可
王亚南
王育珊
颜萍
CHE Ya-jie;YANG Xuan-xuan;ZHANG Ke;WANG Ya-nan;WANG Yu-shan;YAN Ping(Nursing College of Xinjiang Medical University,Urumqi 830000,China;School of Health Management,Xinjiang Medical University,Urumqi 830000,China)
出处
《中华骨质疏松和骨矿盐疾病杂志》
CSCD
北大核心
2020年第4期304-310,共7页
Chinese Journal Of Osteoporosis And Bone Mineral Research
基金
新疆维吾尔自治区自然科学基金(2019D01C211)
新疆护理学会科研项目重点项目(2018XH01)。
作者简介
通信作者:颜萍,E-mail:1852325304@qq.com。
