北京市老年人群中肌少症及其相关指标的现患特征

被引：9

作者：

曾平 ^{[1
]}

吴司南 ^{[1
]}

韩怡文 ^{[1
]}

宫环 ^{[2
]}

庞婧 ^{[2
]}

张延 ^{[2
]}

张恩毅 ^{[2
]}

张毅 ^{[1
]}

张铁梅 ^{[2
]}

机构：

[1] 北京医院老年医学研究所流行病室

[2] 北京医院老年医学研究所细胞研究室

来源：

中华老年医学杂志 | 2015年 / 34卷 / 05期

关键词：

肌疾病; 握力;

D O I：

暂无

中图分类号：

R685 [肌肉疾病及损伤];

学科分类号：

100220 [骨科学];

摘要：

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。

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