摘要
目的:通过对上海市徐汇区田林社区60岁以上老年人体检结果进行分析,了解本社区老年人的健康状况,为后续进一步开展健康管理工作提供依据。方法:以2020年度上海市徐汇区田林社区体检结果为依据,对2308名数据齐全老年人的体检结果进行分析,其中男性998例,占比43.2%,女性1310例,占56.8%;60~64岁17人,占0.7%,65~69岁733人,占31.8%,70~74岁707人,占30.6%,75岁以上851人,占36.9%。收集性别、年龄、体质量指数(body mass index,BMI)、血压、血糖、血脂等体检数据,分析体检人群中超重和肥胖、高血压、空腹血糖受损、血脂异常、代谢综合征等发病情况及其影响因素。结果:在2308名老年人中,超重和肥胖1242例,检出率为53.8%;高血压1509例,检出率为65.4%;空腹血糖受损324例,检出率为14.0%;三酰甘油异常684例,检出率为29.6%,总胆固醇异常809例,检出率为35.1%;代谢综合征1453例,检出率为63.0%。Logistic回归分析结果显示,年龄、BMI、血糖、总胆固醇是高血压的影响因素;BMI、总胆固醇、三酰甘油、高血压是血糖异常的影响因素;性别、年龄、BMI、高血压是血脂异常的影响因素。结论:上海市徐汇区田林社区老年人超重及肥胖、高血压、空腹血糖受损、血脂异常、代谢综合征等代谢性疾病发病率较高,应针对影响因素进行干预,防止慢性疾病的发生,提高居民生活质量。
Objective:To understand the health status of the elderly people in this community by analyzing the physical examination results of the elderly over 60 years old in Tianlin Community,Xuhui District,Shanghai,and to provide a basis for further health management work in the future.Methods:Based on the results of community physical examination in 2020,the physical examination results of 2308 elderly people with complete data in Tianlin Community,Xuhui District,Shanghai were analyzed,among them,there were 998 males,accounting for 43.2%,and there were 1310 females,accounting for 56.8%;there are 17 people aged 60-64,accounting for 0.7%,733 people aged 65-69,accounting for 31.8%,707 people aged 70-74,accounting for 30.6%,and 851 people aged over 75,accounting for 36.9%.The physical examination data such as gender,age,body mass index(BMI),blood pressure,blood sugar,and blood lipids were collected,and the incidence and influencing factors of overweight and obesity,hypertension,impaired fasting blood glucose,dyslipidemia,and metabolic syndrome in the physical examination population were analyzed.Results:Among 2308 elderly people,1242 were overweight and obese,with a detection rate of 53.8%;there were 1509 cases of hypertension,and the detection rate was 65.4%;fasting blood glucose was impaired in 324 cases,and the detection rate was 14.0%;there were 684 cases of abnormal triacylglycerol,the detection rate was 29.6%,and there were 809 cases of abnormal total cholesterol,the detection rate was 35.1%;there were 1453 cases of metabolic syndrome,and the detection rate was 63.0%.Logistic regression analysis showed that age,BMI,blood glucose and total cholesterol were the influencing factors of hypertension;BMI,total cholesterol,triglyceride and hypertension were the influencing factors of abnormal blood glucose;gender,age,BMI and hypertension were the influencing factors of dyslipidemia.Conclusion:The incidence rate of metabolic diseases such as overweight and obesity,hypertension,impaired fasting glucose,dyslipidemia and metabolic syndrome in the elderly people is higher,and the influencing factors should be intervened to prevent the occurrence of chronic diseases and improve the quality of life of residents.
作者
张源
周剑锋
徐佳
谢逸民
吕奇玮
ZHANG Yuan;ZHOU Jianfeng;XU Jia;XIE Yimin;LYU Qiwei(Community General Practice Department of Tianlin Community Health Service Center of Xuhui District,Shanghai 200030,China)
出处
《上海医药》
CAS
2022年第8期51-54,共4页
Shanghai Medical & Pharmaceutical Journal
基金
“2019-2021年度徐汇区卫生健康系统‘三级人才发展计划’”资助。
关键词
老年人
健康体检
社区
分析
the elderly people
physical examination
community
analysis
