摘要
目的调查重庆市老年人阿尔茨海默病(AD)的患病情况,研究老年人的行为习惯及情绪对AD发病的影响,为AD的预防提供参考依据。方法 2016年1~2月通过网络调查的方式,使用自制老年人健康状况网络调查问卷对重庆市年龄65岁及以上老年人进行健康状况调查,采用χ2检验和非条件logistic回归方法对结果进行统计分析。结果经过严格筛选,共获取有效问卷906份,其中AD患者147例(16.23%),高血压患者高达432例(47.68%)。单因素分析结果显示,吸烟、饮酒、锻炼身体、饮食习惯,以及生气、孤独感为AD发病的影响因素(P<0.05);多因素分析结果显示,仅吸烟、生气2项为AD发病的影响因素(P<0.05);而专门针对高血压组的多因素logistic回归分析显示,饮酒、生气为AD发病的主要影响因素(P<0.05)。结论吸烟、饮酒、生气、孤独感均为诱发AD的危险因素,其中吸烟、生气为其独立危险因素,而饮酒诱发AD可能与高血压有关,锻炼身体、健康饮食是预防AD的保护因素。为了预防AD,建议老年人在日常生活中应禁烟限酒,尽量做到饮食规律,积极参加体育锻炼,并保持积极健康的心态。
Objective To investigate the prevalence of Alzheimer＇s disease （AD） of elderly people in Chongqing, study the effect of behavior and emotion on the incidence of AD of elderly people, and provide reference for the prevention of AD. Methods Through the network survey,we investigate the health status of the 65-years old people or the elder in Chongqing with self-made Health of the Elderly Network questionnaire, and analyze the results with chi-square test and unconditional logistic re- gression. Results Finally we got 906 valid questionnaire were got after strict screening, including 147 AD patients （16.23%）and hypertensive patients up to 432 cases （47.68%）. Univariate analysis showed that smoking,drinking, exercise, diet, anger and loneliness have significant effects on the incidence of AD （P〈0.05）, and the results of multivariate analysis showed that only smoking and angry have significant effects on the incidence of AD （P〈0.05）. For the hypertension group, logistic regression analy sis showed that drinking and angry have significant effects on the incidence of AD （P〈0.05）.Conclusion Smoking, drinking, anger and loneliness are AD risk factors, among which smoking and angry are the independent risk factors. Drinking-induced AD may be associated with hypertension. Exercise and healthy diet are the protective factors of AD. In order to prevent the incidence of AD,it is recommended that the elderly should quit smoking and alcohol,try to eat regular diet,participate in physical exercise actively, and maintain a positive and healthy emotions in their daily life.
出处
《现代医药卫生》
2017年第4期501-503,506,共4页
Journal of Modern Medicine & Health
关键词
行为
情绪
阿尔茨海默病
吸烟
饮酒
Behavior
Emotions
Alzheimer disease
Smoking
Alcohol drinking
