探索与多发性老年人低腿周长相关的风险因素:横截面潜伏类分析
Xilin Peng1,2, Xudong Chen1,2, Ruihao Zhou1,2
1Department of Anesthesiology, National Clinical Research Center for Geriatrics, West China Hospital, Sichuan University, No. 37 Guoxue Lane, Wuhou District, Chengdu, Sichuan, 610041, China, 86 18980601577.
JMIR aging
|October 2, 2025
概括
低小腿周长 (CC) 在老年人中很常见,通常与多种慢性疾病同时发生. 识别低CC和多病症的特定风险因素对于针对这一群体的针对性卫生干预至关重要.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 标志着骨肌肉质量丧失的萨尔科佩尼亚,随着全球人口老龄化而增加.
- 低小腿周长 (CC) 是减少骨肌肉质量和肉症的公认指标.
- 在中国社区生活的老年人中,低CC与多病症结合的风险因素的研究有限.
研究的目的:
- 调查与多病症的老年人低小腿周长 (CC) 相关的风险因素.
- 通过以个人为中心的方法,在低CC人群中识别不同类型的多病症.
主要方法:
- 隐性类别分析用于对2018年中国纵向健康长寿调查的7956名符合条件的参与者进行多病症模式分类.
- 多重后勤回归,具有弹性网可变选择,确定了低CC和多病症的风险因素.
主要成果:
- 27.2%的参与者具有低CC的多发病率;随着年龄的增加,患病率增加到89岁.
- 确定了五个不同的多发症组:多系统性疾病,关节炎/风湿症,糖尿病/高血压,呼吸道/心脏病和心血管疾病.
- 人口,行为和健康因素影响了这些群体;自我报告的健康状况不佳和城市生活是显著的风险因素.
结论:
- 低CC在社区居住的老年人中普遍存在,通常与多病症并肩存在,并不严格地随着年龄的增长而增加.
- 确定了五个不同的多病症组,具有独特的风险因素.
- 建议针对老年人多病症的低CC进行有针对性的公共卫生干预,以改善健康结果.
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