中国老年人肌肉减少症风险的相关因素-一项横断面研究

IF 2.3 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Psychology Health & Medicine Pub Date : 2025-01-17 DOI:10.1080/13548506.2024.2448303
Juan Chen, Yan-Hong Su
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引用次数: 0

摘要

许多因素,包括年龄、慢性疾病、教育水平和抑郁症,都会影响骨骼肌的健康和功能。然而,目前尚不清楚是哪些因素影响了各年龄段老年人的骨骼肌健康。本研究采用决策树和逻辑回归模型来探讨影响老年人发生肌肉减少症可能性的因素。选取2015年中国健康与退休纵向研究(CHARLS)的数据库信息,筛选符合纳入标准的2965人。逻辑回归的研究显示,而高度(p = 0.001,或者:0.979,95%置信区间ci: 0.967 - -0.992),甘油三酯(p = 0.036,或者:0.999,95%置信区间ci: 0.998 - -1.000),教育水平(p = 0.004,或者:0.684,95%置信区间ci: 0.530 - -0.883),和养老保险(p = 0.003,或者:0.598,95% ci: 0.427—-0.839)是针对老年人sarcopenia保护变量,年龄(p或者:1.094,95% ci: 1.079—-1.110)、抑郁(p = 0.003,或者:1.283,95%置信区间ci: 1.089 - -1.512),和慢性疾病(p或者:1.266,95%置信区间ci:1.054 ~ 1.522)为该疾病的危险因素。根据决策树模型,老年人患肌肉减少症的最大决定因素是年龄,其次是社会沟通、抑郁、慢性病、教育水平和养老保险。在中国老龄化人群中,肌少症风险与年龄、抑郁、慢性病正相关,与身高、甘油三酯、教育水平、养老保险负相关。教育程度是决定60-69岁老年人肌肉减少症风险的首要因素,养老保险是影响70-79岁老年人肌肉减少症风险的首要因素。为了预防和干预老年肌肉减少症的开始和进展,建议提高老年人群对这种疾病的认识。
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Related factors of sarcopenia risk in Chinese older people - a cross-sectional study.

Numerous factors, including age chronic disease, level of education, and depression, affect the health and function of skeletal muscles. However, it is still unclear which factors affect skeletal muscle health in older age groups across age range segments. Decision tree and logistic regression models were employed in this study to examine the factors that influence older adults' likelihood of developing sarcopenia. The database information of the China Health and Retirement Longitudinal Study (CHARLS) in 2015 was selected, and a sample of 2965 people who met the inclusion criteria was screened. Logistic regression research revealed that while height (p = 0.001, OR:0.979, 95%CI:0.967-0.992), triglycerides (p = 0.036, OR:0.999,95%CI:0.998-1.000), level of education (p = 0.004, OR:0.684,95%CI:0.530-0.883), and endowment insurance (p = 0.003, OR:0.598,95%CI: 0.427-0.839) were protective variables against sarcopenia in older adults, age (p < 0.001, OR:1.094,95%CI:1.079-1.110), depression (p = 0.003, OR:1.283,95%CI:1.089-1.512), and chronic disease(p < 0.012, OR:1.266,95%CI: 1.054-1.522) were risk factors for the condition. According to the decision tree model, the biggest determinant of an older person's chance of developing sarcopenia is age, which is followed by social communication, depression, chronic disease, level of education, and endowment insurance. In the aging Chinese population, sarcopenia risk is positively correlated with age, depression, and chronic disease, while it is adversely correlated with height, triglycerides, level of education, and endowment insurance. Level of education is the primary factor determining the risk of sarcopenia in older adults aged 60-69, while endowment insurance is the primary factor influencing the risk of sarcopenia in older adults aged 70-79. To prevent and intervene earlier in the beginning and progression of sarcopenia in the elderly, it is advised that knowledge of the condition be raised among the older population.

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来源期刊
Psychology Health & Medicine
Psychology Health & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.20
自引率
0.00%
发文量
200
审稿时长
6-12 weeks
期刊介绍: Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management. For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.
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