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预防医学  2023, Vol. 35 Issue (6): 461-464    DOI: 10.19485/j.cnki.issn2096-5087.2023.06.001
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老年人群肌少症危险因素的病例对照研究
张媛, 韩正风, 马艳
新疆医科大学第一附属医院老年病科,新疆 乌鲁木齐 830000
Risk factors of sarcopenia among the elderly: a case-control study
ZHANG Yuan, HAN Zhengfeng, MA Yan
Department of Geriatrics, the First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang 830000, China
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摘要 目的 分析老年人群肌少症的危险因素,为老年人群肌少症预防提供依据。方法 采用病例对照研究方法,选择新疆医科大学第一附属医院≥60岁肌少症患者371例作为病例组,以性别、年龄和民族为匹配条件按1∶1选取同期健康体检者371人作为对照组,通过问卷调查收集人口学信息、疾病史和营养状况等资料;采用多因素条件logistic回归模型分析肌少症发病的影响因素。结果 纳入病例组男性171例,占46.09%;汉族254例,占68.46%;年龄为(73.04±7.83)岁。单因素条件logistic回归分析结果显示,吸烟、饮酒、高血压、糖尿病、血脂异常、甲状腺功能异常和营养不良的老年人肌少症发病风险较高(P<0.05)。多因素条件logistic回归分析结果显示,高血压(OR=1.851,95%CI:1.344~2.549)、糖尿病(OR=1.537,95%CI:1.068~2.213)、血脂异常(OR=1.542,95%CI:1.112~2.140)和甲状腺功能异常(OR=2.575,95%CI:1.838~3.609)是老年人群肌少症的危险因素。结论 老年人群肌少症的危险因素可能是高血压、糖尿病、血脂异常和甲状腺功能异常。
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张媛
韩正风
马艳
关键词 肌少症老年人病例对照研究危险因素    
AbstractObjective To investigate the risk factors of sarcopenia among the elderly, so as to provide insights into prevention of sarcopenia among the elderly. Methods A case-control study was conducted. A total of 371 patients with sarcopenia at ages of 60 years and older admitted to the First Affiliated Hospital of Xinjiang Medical University were selected as the case group, while 1∶1 matching healthy volunteers by gender, age and ethnicity in the hospital during the study period served as controls. Participants' demographics, disease history and nutrition were collected using questionnaire surveys, and factors affecting the development of sarcopenia were identified using a multivariable conditional logistic regression model. Results Participants in the case group included 171 men (46.09%), 254 Han ethnic populations (68.46%) and had a mean age of (73.04±7.83) years. Univariable conditional logistic regression analysis showed that participants with smoking, alcohol consumption, hypertension, diabetes, dyslipidemia, thyroid dysfunction and malnutrition had higher risk of developing sarcopenia (all P<0.05). Multivariable conditional logistic regression analysis identified hypertension (OR=1.851, 95%CI: 1.344-2.549), diabetes (OR=1.537, 95%CI: 1.068-2.213), dyslipidemia (OR=1.542, 95%CI: 1.112-2.140) and thyroid dysfunction (OR=2.575, 95%CI: 1.838-3.609) as risk factors of sarcopenia among the elderly. Conclusion Hypertension, diabetes, dyslipidemia and thyroid dysfunction may be risk factors of sarcopenia among the elderly.
Key wordssarcopenia    elderly    case-control study    risk factor
收稿日期: 2023-02-16      修回日期: 2023-05-11      出版日期: 2023-06-10
中图分类号:  R685  
基金资助:新疆维吾尔自治区卫生健康青年医学科技人才专项(WJWY-202148)
作者简介: 张媛,本科,主管护师,主要从事老年病护理研究工作
通信作者: 马艳,E-mail:744428040@qq.com   
引用本文:   
张媛, 韩正风, 马艳. 老年人群肌少症危险因素的病例对照研究[J]. 预防医学, 2023, 35(6): 461-464.
ZHANG Yuan, HAN Zhengfeng, MA Yan. Risk factors of sarcopenia among the elderly: a case-control study. Preventive Medicine, 2023, 35(6): 461-464.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2023.06.001      或      http://www.zjyfyxzz.com/CN/Y2023/V35/I6/461
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