重庆市老年人轻度认知障碍的流行率及其影响因素

发布时间：2018-03-14 21:28

本文选题：轻度认知障碍　切入点：老年人　出处：《中国康复理论与实践》2017年07期 　论文类型：期刊论文

【摘要】：目的探讨重庆市城乡老年人轻度认知障碍(MCI)的流行率及其影响因素。方法 2015年10月至11月,整群抽样1850名60岁及以上老年人,应用自制老年人一般情况调查表、简易精神状态检查(MMSE)、工具性日常生活活动能力量表(IADL)和老年人抑郁量表(GDS)进行面对面问卷调查。行单因素χ2检验、多因素Logistic回归分析。结果重庆市城乡老年人MCI流行率为11.73%。不同居住地、年龄、婚姻状况、受教育程度、职业,是否吸烟、饮酒,是否食用河鲜、禽蛋,是否锻炼、从事大强度劳动、小强度劳动、家务劳动、参加户外活动、常打麻将/棋/牌、常看电视或听广播或读报纸、常参加社会活动、肥胖、高血压、糖尿病、脑卒中、高血糖、脑供血不足及抑郁,MCI流行率有显著性差异(χ24.092,P0.05)。回归分析显示,居住在农村、增龄、独身、肥胖、高血压及抑郁是发生MCI的独立危险因素(OR1.657,P0.05);受教育程度初中及以上,脑力劳动者,戒烟,常吃河鲜、禽蛋,锻炼,每天从事大强度劳动,每天从事小强度劳动,每天及有时从事家务劳动,每天及每周至少参加一次户外活动,每天打麻将/棋/牌,每天看电视或听广播或读报纸是MCI的保护因素(OR0.606,P0.05)。结论重庆市城乡老年人MCI的流行率较高,应尽早针对MCI的影响因素采取有效措施,延缓或阻止MCI向痴呆发展。
[Abstract]:Objective to investigate the prevalence rate of mild cognitive impairment (MCI) and its influencing factors among the elderly in urban and rural areas of Chongqing. Methods from October 2015 to November, a cluster sampling of 1 850 elderly aged 60 and above was carried out, and a self-made questionnaire for the general situation of the elderly was used. MMSE, IADL (instrumental activity of Daily living scale) and GDSs (Depression scale for the elderly) were investigated face to face. Single factor 蠂 2 test was performed. Results the prevalence rate of MCI in urban and rural elderly in Chongqing was 11.733.Different place of residence, age, marital status, education, occupation, smoking, drinking, eating river fresh, eggs, exercise, etc. Heavy labor, small labor, housework, outdoor activities, mahjong / chess / cards, TV or radio or newspapers, social activities, obesity, high blood pressure, diabetes, stroke, hyperglycemia, There was significant difference in the prevalence rate of cerebral blood supply insufficiency and depression (蠂 24.092P 0.05). Regression analysis showed that living in rural areas, aging, celibacy, obesity, hypertension and depression were the independent risk factors of MCI, and those with junior middle school education and above, mental workers, were the independent risk factors of MCI. Quit smoking, eat fresh eggs, exercise, do heavy work every day, do small work every day, do housework every day and sometimes, take part in outdoor activities at least once a day and once a week, play mahjong / chess / card every day, Watching TV or listening to radio or reading newspaper every day is the protective factor of MCI. Conclusion the prevalence rate of MCI in urban and rural elderly in Chongqing is relatively high. It is necessary to take effective measures against the influencing factors of MCI to delay or prevent the development of MCI towards dementia as soon as possible.
【作者单位】：重庆医科大学公共卫生与管理学院医学与社会发展研究中心健康领域社会风险预测治理协同创新中心;四川大学西部农村卫生发展研究中心;
【基金】：四川大学西部农村卫生发展研究中心CMB合作发展基金项目(No.12-106)
【分类号】：R749.1

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