| 尹倩,王桦,章桂芬,等.湖北钟祥市长寿老人贫血与营养状况相关性分析[J].中国临床保健杂志,2022,25(2):213-217. |
| 湖北钟祥市长寿老人贫血与营养状况相关性分析 |
| The prevalence of anemia and nutritional status in the long-lived elderly in Zhongxiang of Hubei |
| 投稿时间：2021-12-14 |
| DOI：10.3969/J.issn.1672-6790.2022.02.017 |
| 中文关键词: 贫血 营养状况 长寿 衰老 危险因素 老年人,80以上 |
| 英文关键词: Anemia Nutritional status Longevity Aging Risk factors Aged,80 and over 〖FL |
| 基金项目: |
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| 摘要点击次数: 1922 |
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| 中文摘要: |
| 目的 调查湖北钟祥市长寿老人贫血患病率和营养状况,探讨贫血与微型营养评分(MNA)及相关性分析。方法 根据钟祥市民政局提供的人口学信息,于2013年1月至2019年3月逐一入户走访调研了湖北省钟祥市≥90岁长寿老人303名。采取面对面问卷调查,包括MNA评分、病史、体格检查、体重指数(BMI)测量和血液检测。采用我国标准定义贫血,以血红蛋白(Hb)浓度进行贫血分组(男性Hb浓度低于120 g/L；女性Hb浓度低于110 g/L),并排除慢性肾病、出血性疾病和血液系统疾病。采用二分类logistic回归分析影响长寿老人贫血的独立危险因素,用F检验比较营养良好、营养不良风险和营养不良3组间的差异,综合分析长寿老人贫血与营养状况及相关因素。结果 303名长寿老人年龄90~113(95.3±4.5)岁,其中90~99岁226名(74.59%),100~113岁77名(25.41%)；男性102名(33.66%),女性201名(66.34%),男女之比1∶2。贫血组122名,患病率40.26%,其中男性59.80%(61名)；女性30.30%(61名)。非贫血组181名(59.74%),其中男性41名,女性140名。logistic回归分析可见性别(男)、年龄高、低白蛋白(ALB)为贫血的独立危险因素,差异有统计学意义(P＜0.05)。MNA评分:营养良好组157名(51.82%),营养不良风险组121名(39.93%),营养不良组25名(8.25%)。3组间的贫血率、BMI、红细胞计数(RBC)、Hb、总蛋白(TP)、淋巴细胞计数(LY)之间差异有统计学意义(P＜0.05)；与年龄、白细胞计数(WBC)、ALB间差异无统计学意义(P＞0.05)。结论 湖北钟祥市长寿老人贫血发生率较高,男性明显多于女性。湖北钟祥市长寿老人贫血与年龄升高、性别差异、白蛋白减少之间存在明显相关性。 |
| 英文摘要: |
| Objective To investigate the prevalence of anemia and nutritional status in the long-lived elderly in Zhongxiang of Hubei,and to explore the correlation between anemia and micro-nutrition score (MNA).Methods According to the demographic information provided by the Civil Affairs Bureau of Zhongxiang,from January 2013 to March 2019,303 people who were older than 90y were interviewed and surveyed in Zhongxiang,Hubei Province.Take a face-to-face questionnaire survey,including MNA score,medical history,physical examination,body mass index (BMI) measurement and blood test.Anemia was defined using Chinese standards,and hemoglobin (Hb) concentration was used for anemia group (male Hb concentration less than 120 g/L,female Hb concentration is less than 110 g/L),and exclude the patients who are suffer from chronic kidney disease,hemorrhagic diseases and hematological diseases.The binary logistic analysis was used to analyze the independent risk factors of anemia in the elderly with longevity.The F test was used to compare the differences among the three groups of well-nourished malnutrition risk and malnutrition,and the anemia and nutritional status of the elderly with longevity and related factors were comprehensively analyzed.Results Three hundred and three long-lived elderly aged 90-113 years old,including 226 people aged 90-99 years old (74.59%),and 77 people aged 100-113 years old (25.41%),average age (95.3±4.5) years old.There were 102 males (33.66%),201 females (66.34%),male to female ratio 1:2.122 people in anemia group,the prevalence rate is 40.26%,of which 59.80% males (61),female 30.30% (61).181 people in non-anemic group (59.74%),including 41 males and 140 females.Logistic analysis showed that gender,age,and ALB were independent risk factors affecting anemia,and the difference was statistically significant (P<0.05).MNA score:157 people in the well-nourished group (51.82%),121 people in the malnutrition risk group (39.93%),malnutrition were 25 people in the group (8.25%).The anemia rate,BMI,RBC,Hb,LY,and TP among the three groups were statistically significant (P<0.05),there was no statistical difference with age,white blood cell (WBC),and ALB Significance (P>0.05).Conclusions There is a clear correlation between anemia and age,gender differences,and albumin reduction in the long-lived elderly in Zhongxiang of Hubei. |
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