中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2015年
5期
478-482
,共5页
曾平%吴司南%韩怡文%宫环%庞婧%张延%张恩毅%张毅%张铁梅
曾平%吳司南%韓怡文%宮環%龐婧%張延%張恩毅%張毅%張鐵梅
증평%오사남%한이문%궁배%방청%장연%장은의%장의%장철매
肌疾病%握力
肌疾病%握力
기질병%악력
The elderly%Sarcopenia%Muscle mass%Gait speed%Handgrip strength
目的 了解北京市老年人群中肌少症及其相关指标的现患特征.方法 采用横断面调查的方法,用标准问卷询问相关信息,内容包括人口学资料、现患史、生活习惯等信息.应用生物电阻抗仪测量肌肉质量,6 m直线平常步行速度即步速来表示肌肉功能,用握力器测量握力来表示肌力.结果 肌肉质量随增龄下降(F=6.77、P=0.001),城市老年人肌肉质量低于农村(t=4.32、P=0.038);肌力和步速也随增龄下降(F=7.62、15.79,P=0.0005、0.000),以女性和农村老年人更加明显.Logistic回归分析结果显示,年龄增加、女性握力降低的发生风险高(OR=1.13、1.92,均P＜0.05),而城市老年人握力降低的发生风险低(OR=0.10,P＜0.05);年龄增加、体质指数(BMI)值高、生活无规律的老年人步速降低的发生风险高(OR=1.12、1.25、2.77,均P＜0.05),城市老年人、经常进行体育锻炼、有兴趣爱好者步速降低的发生风险低(OR=0.08、0.27、0.11,均P＜0.05).结论 肌少症相关指标存在明显的增龄趋势和人群差异,积极、健康的生活方式有助于维护老年人躯体功能.
目的 瞭解北京市老年人群中肌少癥及其相關指標的現患特徵.方法 採用橫斷麵調查的方法,用標準問捲詢問相關信息,內容包括人口學資料、現患史、生活習慣等信息.應用生物電阻抗儀測量肌肉質量,6 m直線平常步行速度即步速來錶示肌肉功能,用握力器測量握力來錶示肌力.結果 肌肉質量隨增齡下降(F=6.77、P=0.001),城市老年人肌肉質量低于農村(t=4.32、P=0.038);肌力和步速也隨增齡下降(F=7.62、15.79,P=0.0005、0.000),以女性和農村老年人更加明顯.Logistic迴歸分析結果顯示,年齡增加、女性握力降低的髮生風險高(OR=1.13、1.92,均P＜0.05),而城市老年人握力降低的髮生風險低(OR=0.10,P＜0.05);年齡增加、體質指數(BMI)值高、生活無規律的老年人步速降低的髮生風險高(OR=1.12、1.25、2.77,均P＜0.05),城市老年人、經常進行體育鍛煉、有興趣愛好者步速降低的髮生風險低(OR=0.08、0.27、0.11,均P＜0.05).結論 肌少癥相關指標存在明顯的增齡趨勢和人群差異,積極、健康的生活方式有助于維護老年人軀體功能.
목적 료해북경시노년인군중기소증급기상관지표적현환특정.방법 채용횡단면조사적방법,용표준문권순문상관신식,내용포괄인구학자료、현환사、생활습관등신식.응용생물전조항의측량기육질량,6 m직선평상보행속도즉보속래표시기육공능,용악력기측량악력래표시기력.결과 기육질량수증령하강(F=6.77、P=0.001),성시노년인기육질량저우농촌(t=4.32、P=0.038);기력화보속야수증령하강(F=7.62、15.79,P=0.0005、0.000),이녀성화농촌노년인경가명현.Logistic회귀분석결과현시,년령증가、녀성악력강저적발생풍험고(OR=1.13、1.92,균P＜0.05),이성시노년인악력강저적발생풍험저(OR=0.10,P＜0.05);년령증가、체질지수(BMI)치고、생활무규률적노년인보속강저적발생풍험고(OR=1.12、1.25、2.77,균P＜0.05),성시노년인、경상진행체육단련、유흥취애호자보속강저적발생풍험저(OR=0.08、0.27、0.11,균P＜0.05).결론 기소증상관지표존재명현적증령추세화인군차이,적겁、건강적생활방식유조우유호노년인구체공능.
Objective To investigate the epidemiologic features of sarcopenia and its related indexes in elderly population in Beijing.Methods A cross-sectional study was conducted by interviewing the elderly population in Beijing with the standard questionnaire including demographic information,history of diseases,lifestyle,etc.Body muscle mass was measured by using a bioelectrical impedance analyzer (BIA).Physical function was evaluated bythe subjects' 6-m gait speed (GS),and muscle strength was determined by handgrip strength (HS).Results Muscle mass declined with aging in the elderly (F=6.77,P=0.001),and the elderly had less muscle mass in the urban than in the rural (t=4.32,P=0.038).HS and GS significantly declined with aging(F=7.62 and 15.79,P=0.0005 and 0.000),especially in females and the rural elderly.Logistic regression showed that aging and female were associated with the high risk of HS decline (OR=1.13,1.92,both P＜0.05),while the urban elderly had lower risk of HS decline (OR=0.10,P＜0.05).Aging,high body mass index,irregular lifestyle were positively related to GS decline(OR=1.12,1.25 and 2.77 respectively,all P＜ 0.05).The risk of GS decline was lower in the urban elderly having physical activity and hobbies (OR =0.08,0.27 and 0.11 respectively,all P＜ 0.05).Conclusions Sarcopenia-related indexes are significantly associated with aging and have population-specific difference.Positive and healthy lifestyle contributes to maintain muscle function in the elderly.
