摘要
基于2018年中国健康与养老追踪调查数据,分析了中国老年人(≥60岁)多病共存流行现状,探讨了不同多病状态与身体活动水平及失能的关系。利用因子分析法基于四分相关矩阵获得老年人的多病模式,采用有序logistic和Poisson回归分析多病模式与身体活动水平及失能的关系。结果表明:在9 634名老年人中,多病(≥2种)的患病率为94.6%。提取出的5种多病模式分别为内脏疾病、呼吸系统疾病、心脑血管与退行性疾病、精神与关节疾病和代谢紊乱疾病。呼吸系统疾病、心脑血管与退行性疾病和代谢紊乱疾病的因子得分水平越高,老年人的身体活动水平越低;同时,5种多病模式因子得分越高,老年人的失能风险也越高。我国老年人多病问题严峻,多病状态是其身体活动水平低和发生失能的高危因素,老年人的多病问题亟须采取干预措施。
The study aimed to measure the prevalence of multimorbidity among the elderly(≥ 60 years old) in China, and examine their associations with physical activity levels and disability.An exploratory factor analysis based on tetrachoric correlation matrix was used to extract multimorbidity patterns. Ordinal logistic regression or Poisson regression was used to determine the associations between multimorbidity pattern and physical activity levels and disability.Among 9 634 participants, the prevalence of multimorbidity(≥2) was 94.6%. 5 clusters of multimorbidity patterns: visceral disease pattern, respiratory pattern, heart brain and vessel disease/degenerative diseases pattern, psychiatric problems/joint pattern and metabolic disorder pattern were obtained.Higher factor scores of respiratory pattern, heart brain and vessel disease/degenerative diseases pattern and metabolic disorder pattern were significantly associated with lower levels of physical activity. The 5 patterns scores were significantly associated with the risk of disability.Multimorbidity was highly prevalent in the Chinese older people, and were high-risk factors of low physical activity level and disability. Interventions on multimorbidity problem in elderly are urgently needed.
作者
肖文娟
陈诗琪
李中英
梁云羿
舒婧
张婧
郭建军
苟波
史祖民
孙晓敏
XIAO Wenjuan;CHEN Shiqi;LI Zhongying;LIANG Yunyi;SHU Jing;ZHANG Jing;GUO Jianjun;GOU Bo;SHI Zumin;SUN Xiaomin(Global Health Institute,School of Public Health,Xi'an Jiaotong University,Xi’an 710061,Shaanxi,China;School of Physical Education,Shaanxi Normal University,Xi’an 710119,Shaanxi,China;Sports Medicine Integration Center,Capital University of Physical Education and Sports,Beijing 100191,China;Department of Health Science,Xi’an Physical Education University,Xi’an 710068,Shaanxi,China;College of Health Sciences,Qatar University,Doha 2713,Qatar)
出处
《陕西师范大学学报（自然科学版）》
CAS
CSCD
北大核心
2022年第6期87-94,共8页
Journal of Shaanxi Normal University：Natural Science Edition
基金
国家自然科学基金(81703220)。
关键词
老年人
多病模式
身体活动
失能
older people
multimorbidity pattern
physical activity
disability
