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预防医学  2026, Vol. 38 Issue (2): 171-175    DOI: 10.19485/j.cnki.issn2096-5087.2026.02.013
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
前进区老年厌食症现况调查
张帆1, 董晓红2
1.黑龙江中医药大学第一临床医学院,黑龙江 哈尔滨 150040;
2.黑龙江中医药大学佳木斯学院,黑龙江 佳木斯 154007
Current status of anorexia of aging in Qianjin District
ZHANG Fan1, DONG Xiaohong2
1. The First Clinical Medical College, Heilongjiang University of Chinese Medicine, Harbin, Heilongjiang 150040, China;
2. Jiamusi College of Heilongjiang University of Chinese Medicine, Jiamusi, Heilongjiang 154007, China
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摘要 目的 了解黑龙江省佳木斯市前进区老年厌食症检出情况及其影响因素,为制定老年厌食症早期识别与干预措施提供依据。方法 于2025年9月,采用方便抽样方法抽取黑龙江省佳木斯市前进区社区≥60岁老年人为调查对象,通过问卷调查收集人口学信息、健康状况和身体活动等资料;采用膳食多样性评分、简体版改良Barthel指数和中文版简版老年抑郁量表分别评估膳食多样性、日常生活活动能力和抑郁症状。采用简化营养食欲问卷评估老年厌食症,采用多因素logistic回归模型分析老年厌食症的影响因素。结果 发放问卷300份,回收有效问卷295份,问卷有效率为98.33%。调查男性137人,占46.44%;女性158人,占53.56%。年龄以60~<70岁为主,138人占46.78%。检出老年厌食症94人,检出率为31.86%。多因素logistic回归分析结果显示,年龄≥80岁(OR=8.230,95%CI:1.492~45.395)、独自用餐(OR=29.692,95%CI:5.183~170.082)、咀嚼困难(OR=6.047,95%CI:1.508~24.244)、吞咽困难(OR=22.083,95%CI:1.989~245.113)、慢性病数量≥2种(OR=10.119,95%CI:1.668~61.388)和抑郁症状得分高(OR=2.796,95%CI:1.666~4.693)的社区老年厌食症风险较高;从事脑力劳动工作(OR=0.272,95%CI:0.074~0.995)、偶尔身体活动(OR=0.151,95%CI:0.028~0.827)、膳食多样性得分高(OR=0.622,95%CI:0.473~0.818)和日常生活活动能力得分高(OR=0.748,95%CI:0.605~0.925)的社区老年厌食症风险较低。结论 前进区老年厌食症检出率较高,受到年龄、独自用餐、生理功能、慢性病数量、抑郁症状、身体活动频率、膳食多样性和日常生活活动能力等影响。
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张帆
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关键词 老年厌食症社区影响因素    
AbstractObjective To investigate the current status of anorexia of aging and its influencing factors in Qianjin District, Jiamusi City, Heilongjiang Province, so as to provide the evidence for developing early identification and intervention programs for anorexia of aging. Methods In September 2025, a convenient sampling method was used to select community-dwelling elderly aged ≥60 years in Qianjin District, Jiamusi City, Heilongjiang Province as survey subjects. Demographic information, health status, and physical activity were collected through questionnaire survey. Dietary diversity, activities of daily living, and depressive symptoms were assessed using the Dietary Diversity Score, Simplified Modified Barthel Index, and Chinese Version of Short Form Geriatric Depression Scale, respectively. The Simplified Nutritional Appetite Questionnaire was used to assess anorexia of aging. Multivariable logistic regression model was used to analyze the influencing factors for anorexia of aging. Results A total of 300 questionnaires were distributed, and 295 valid questionnaires were collected, with a valid response rate of 98.33%. There were 137 males (46.44%) and 158 females (53.56%). There were 138 people aged 60-<70 years (46.78%). A total of 94 people were detected with anorexia of aging, with a detection rate of 31.86%. Multivariable logistic regression analysis showed that the risk of anorexia of aging was higher in people aged ≥80 years (OR=8.230, 95%CI: 1.492-45.395), eating alone (OR=29.692, 95%CI: 5.183-170.082), chewing difficulty (OR=6.047, 95%CI: 1.508-24.244), swallowing difficulty (OR=22.083, 95%CI: 1.989-245.113), number of chronic diseases ≥2 (OR=10.119, 95%CI: 1.668-61.388), and higher depressive symptom scores (OR=2.796, 95%CI: 1.666-4.693). The risk of anorexia of aging was lower in people engaged in mental work (OR=0.272, 95%CI: 0.074-0.995), occasional physical activity (OR=0.151, 95%CI: 0.028-0.827), higher dietary diversity scores (OR=0.622, 95%CI: 0.473-0.818), and higher activities of daily living scores (OR=0.748, 95%CI: 0.605-0.925). Conclusion The detection rate of anorexia of aging was relatively high in Qianjin District, which was mainly affected by age, eating alone, physiological function, number of chronic diseases, depressive symptoms, frequency of physical activity, dietary diversity, and activities of daily living.
Key wordsanorexia of aging    community    influencing factor
收稿日期: 2025-11-03      修回日期: 2025-12-22     
中图分类号:  R195  
基金资助:黑龙江中医药大学研究生创新科研项目(2024yjscx019)
作者简介: 张帆,硕士研究生在读,护理学专业
通信作者: 董晓红,E-mail:448047898@qq.com   
引用本文:   
张帆, 董晓红. 前进区老年厌食症现况调查[J]. 预防医学, 2026, 38(2): 171-175.
ZHANG Fan, DONG Xiaohong. Current status of anorexia of aging in Qianjin District. Preventive Medicine, 2026, 38(2): 171-175.
链接本文:  
https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2026.02.013      或      https://www.zjyfyxzz.com/CN/Y2026/V38/I2/171
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