黄石市社区老年人轻度认知功能障碍的现况调查

发布时间：2018-03-03 02:32

本文选题：老年人　切入点：认知障碍　出处：《中华疾病控制杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的了解黄石市社区老年人轻度认知功能障碍(mild cognitive impairment,MCI)的患病情况及其影响因素,为MCI的早期防控提供科学依据。方法采用多阶段整群抽样方法,对黄石市社区60岁及以上老年人进行问卷调查,同时采用长沙版蒙特利尔量表(montreal cognitive assessment,Mo CA)及日常生活能力量表(activities of daily living,ADL)进行认知功能评定。结果黄石市社区1 000名老人中,MCI的患病率为29.6%。单因素分析结果显示:文化程度、职业状态、经济收入、慢性疾病、脑卒中、饮酒、饮茶、体育锻炼、兴趣爱好及邻居来往对老年人MCI的患病率均有影响(均有P0.05)。多因素Logistic回归分析显示:饮茶及体育锻炼为MCI的保护因素,低文化程度、脑卒中及吸烟为危险因素(均有P0.05)。结论黄石市MCI患病率较高。低文化程度、脑卒中、吸烟可能会增加患MCI的风险,低文化程度、脑卒中人群可能是MCI的高危人群,应进行重点关注,同时应加强控烟宣传,引导老年人适量饮茶,积极参加适当的体育锻炼。
[Abstract]:Objective to investigate the prevalence and influencing factors of mild cognitive impairment (MCI) in elderly people with mild cognitive impairment (MCI) in Huangshi community, and to provide scientific basis for early prevention and control of MCI. Methods Multi-stage cluster sampling was used. A questionnaire survey was conducted on the elderly aged 60 and above in Huangshi community. At the same time, the cognitive function was evaluated by using the Montreal cognitive assessed Mo (Changsha version) and the activities of daily activities of living (ADL). Results the prevalence rate of MCI in 1 000 elderly people in Huangshi community was 29.60.The results of univariate analysis showed that the educational level was the highest. Professional status, income, chronic illness, stroke, drinking, tea drinking, physical exercise, The prevalence of MCI in the elderly was affected by hobbies and neighbors (all P 0.05). Multivariate Logistic regression analysis showed that tea drinking and physical exercise were the protective factors of MCI and low education level. Conclusion the prevalence of MCI in Huangshi City is higher. Low education level, stroke, smoking may increase the risk of MCI, low education level, stroke population may be the high risk group of MCI. At the same time, we should strengthen tobacco control propaganda, guide the elderly to drink tea in moderation and take part in proper physical exercise.
【作者单位】：武汉科技大学公共卫生学院流行病与卫生统计学教研室;武汉科技大学公共卫生学院营养与食品教研室;
【基金】：中国营养学会营养科研基金-帝斯曼专项科研基金(CNS-DSM2014-052) 湖北省教育厅基金(Q20161103)
【分类号】：R181.3;R749.1

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