《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (7): 833-838.doi: 10.3969/j.issn.1006-9771.2017.07.021

• 残疾调查 • 上一篇    下一篇

重庆市老年人轻度认知障碍的流行率及其影响因素

王婷婷1, 曹诚1, 邓境1, 练婧曦1, 严可1, 汪曾子1, 杨珉2, 蒋祎1   

  1. 1.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,重庆市 400016;
    2.四川大学西部农村卫生发展研究中心,四川成都市 610041。
  • 收稿日期:2016-10-27 出版日期:2017-07-25 发布日期:2017-08-07
  • 通讯作者: 蒋祎,女,博士,副教授,主要研究方向:社会医学与卫生事业管理。E-mail: jiangyilaoshi@163.com。
  • 作者简介:王婷婷(1990-),女,汉族,四川西昌市人,硕士研究生,主要研究方向:社会医学与卫生事业管理。
  • 基金资助:
    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)

Prevalence and Risk Factors of Mild Cognitive Impairment among Old People in Chongqing, China

WANG Ting-ting1, CAO Cheng1, DENG Jing1, LIAN Jing-xi1, YAN Ke1, WANG Zeng-zi1, YANG Min2, JIANG Yi1   

  1. 1. School of Public Health and Management, Chongqing Medical University, Research Center for Medicine and Social Development, Innovation Center for Social Risk Governance in Health, Chongqing 400016, China;
    2. West China Research Center for Rural Health Development, Sichuan University, Chengdu, Sichuan 610041, China
  • Received:2016-10-27 Published:2017-07-25 Online:2017-08-07
  • Contact: Correspondence to JIANG Yi. E-mail: jiangyilaoshi@163.com

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(χ2>4.092, P<0.05)。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(OR>1.657, P<0.05);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(OR<0.606, P<0.05)。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。

关键词: 轻度认知障碍, 老年人, 流行率, 影响因素, 重庆市

Abstract: ObjectiveTo investigate the prevalence and risk factors of mild cognitive impairment (MCI) among the old people in Chongqing, China. MethodsFrom October to November, 2015, 1850 persons more than 60-year-old in Chongqing were cluster sampled. They were investigated with self-made general situation questionnaire, Mini-Mental State Examination (MMSE), Instrumental Activity of Daily Living Scale (IADL) and Geriatric Depression Scale (GDS) through face-to-face interview. Enumeration data were tested with χ2 test and multiple Logistic regression. ResultsMCI prevalence was 11.73% in the old people in Chongqing, and various with the residential regions, ages, marital status, literacy, career, smoking, drinking, seafood-eating, egg-eating, exercising, intensive labor, low intensity of labor, housework, outdoor activities, Mahjong/chess/cards playing, TV-watching/radio-listening/newspaper-reading, social activities, obesity, hypertension, diabetes, stroke, hyperglycemia, cerebrovascular insufficiency and depression (χ2>4.092, P<0.05). According to multiple Logistic regression, living in rural areas, aging, celibacy, obesity, hypertension and depression were the risk factors of MCI; while middle school and above years of schooling, mental workers, smoking cessation, frequent seafood-eating and egg-eating, exercising, daily intensive labor and low intensity of labor, daily and sometimes housework, daily and weekly outdoor activities at least once, daily Mahjong/chess/cards playing and daily TV-watching/radio-listening/newspaper-reading were the preventing factors. ConclusionThe morbidity of MCI is high in the old people in Chongqing. It is necessary to take effective intervention in view of the related factors of MCI as early as possible, to delay or prevent the development of MCI to dementia.

Key words: mild cognitive impairment, aged, prevalence, related factors, Chongqing

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