摘要
目的研究军队某部离退休干部肌少症患病情况及健康相关生命质量(health related quality of life,HRQOL)评分的影响因素。方法通过检测握力、步速、相对四肢骨骼肌质量(relative appendicular skeletal muscle mass,RASM)诊断肌少症,使用生活质量评价量表(short form 36 questionnaire,SF-36)测量HRQOL得分,并对离退休干部的一般状况进行统计,同时使用单因素方差分析及多元逐步线性回归统计对HRQOL的影响因素进行分析。结果某部离退休干部肌少症患病率为27.8%,且肌少症患者HRQOL得分低于未患肌少症者(t=2.19,P=0.00)。不同肌力下降病程、年龄、食欲对HRQOL得分造成差异(F=4.51,P=0.00;F=4.22,P=0.00;F=3.97,P=0.01);知晓肌少症防治知识、家庭关系和睦、离异或丧偶、锻炼、预防和治疗也会影响HRQOL得分(F=4.06,P=0.00;F=3.89,P=0.01;F=4.45,P=0.00;F=4.15,P=0.00;F=4.28,P=0.00)。影响HRQOL评分的6个最主要因素依次为:预防和治疗、锻炼、肌力下降病程、年龄、食欲、离异或丧偶(标准回归系数分别为0.55,0.44,-0.37,-0.33,0.29,-0.21)。结论肌少症降低离退休干部HRQOL,应加大对年龄偏大、2年以上病程、离异或丧偶离退休干部的关注。积极预防和治疗、宣传肌少症防治知识,协助患者营造良好的家庭氛围,鼓励离退休干部多运动锻炼,注意膳食营养搭配,均可显著改善离退休干部的HRQOL评分。
Objective To study the prevalence of sarcopenia and the influencing factors on quality of life（ HRQOL） score in retired cadres of a military unit. Methods Sarcopenia was diagnosed by grip strength,walking speed and relative appendicular skeletal muscle mass（ RASM）. We use the short form 36 questionnaire（ SF-36） scalec to assess the QOL. We assess the general conditions of retired cadres of a military unit. The one-way ANOVA and stepwise regression analysis were used to study the influence factors of HRQOL. Results The incidence of sarcopenia in retired cadres of a military unit was 27. 8%. The HRQOL scores of sarcopenia patients were less than those of peoples without sarcopenia（ t = 2. 19,P = 0. 00）. Different duration of muscle strength decreased,age and appetite lead to differences in the HRQOL score（ F = 4. 51,P = 0. 00; F = 4. 22,P = 0. 00; F = 3. 97,P = 0. 01）. Awareness of sarcopenia prevention knowledge,family harmony,divorced or widowed,exercise,prevention and treatment also affect the HRQOL score（ F = 4. 06,P = 0. 00; F = 3. 89,P = 0. 01; F = 4. 45,P = 0. 00; F = 4. 15,P = 0. 00; F = 4. 28,P = 0. 00）. Prevention and treatment,physical exercise,course of muscle strength decreased,age,appetite and divorced or widowed were the main influencing factors（ the standard regression coefficients were 0. 55,0. 44,- 0. 37,- 0. 33,0. 29 and- 0. 21）. Conclusion Sarcopenia weakened the HRQOL of patients. More attention must be paid to the older patients,patients with diabetes more than 2 years,divorced or widowed retired cadres of a military unit. We should take active prevention and treatment for sarcopenia.
出处
《中华骨质疏松和骨矿盐疾病杂志》
2016年第3期264-268,共5页
Chinese Journal Of Osteoporosis And Bone Mineral Research
基金
解放军总后勤部卫生部保健专项科研课题(14BJZ53)
关键词
肌少症
退休
生命质量
影响因素
sarcopenia
retirement
quality of life
influential factors
