摘要
目的:调查昆明官渡区老年居民的痴呆患病率情况,为本地区提供痴呆患病率的数据参考;分析痴呆患病的相关危险、保护因素,为痴呆的早期干预研究、寻找有效预防或延缓痴呆进程的方法提供科学依据。方法:采用整群抽样结合随机抽样的方法,抽取2017年12月至2019年12月期间年龄≥60岁的官渡区居民共1097人为调查对象,运用MMSE量表、调查问卷表、ADL量表进行筛查,并参照2011年美国NIA-AA和2013年美国精神病学会DSM-5诊断痴呆。结果:年龄≥60岁的官渡区居民痴呆初始患病率为9.39%;年龄、文化程度、偏食与痴呆患病率均具有统计学意义;经多因素logistic回归统计分析后,高龄组、低文化程度组为痴呆的危险因素;娱乐活动与痴呆患病率具有统计学意义,经多因素logistic回归分析后,有娱乐活动为痴呆的保护因素。结论:昆明官渡区的痴呆患病率较全国其他地区增高;高龄和低文化程度为痴呆的危险因素,提高文化程度、增加受教育机会有利于预防痴呆;偏食可能是痴呆的危险因素,调整饮食结构,有利于规避风险;娱乐活动是痴呆的保护因素,积极参加娱乐活动有助于减少痴呆患病率。
Objective:To investigate the prevalence of dementia among old residents in Guandu district of Kunming,and provide data reference for the prevalence of dementia in this area;Analyze the risk factors and protective factors related to dementia,so as to provide scientific basis for the early intervention research of dementia in the future and to find effective methods to prevent or delay the progress of dementia.Methods:A total of 1097 residents aged≥60 years in Guandu district were selected from December 2017 to December 2019 through cluster sampling combined with random sampling.The selected population was screened using the MMSE scale,survey questionnaire 1 and ADL scale,and dementia was diagnosed according to the NIA-AA of the United States in 2011 and the DSM-5 of the American psychiatric association in 2013.Results:The initial prevalence of dementia in Guandu district residents aged≥60 years was 9.39%.Age(χ^(2)=132.078,P<0.001),education level(χ^(2)=19.658,P=0.001),partial diet(χ^(2)=19.658,P=0.001),and the prevalence of dementia were all statistically significant.After multivariate logistic regression analysis,the elderly group was 75~years old(OR=11.207,95%CI=1.229~102.198),80~years old(OR=11.090,95%CI=1.198~102.661),85~years old(OR=28.383,95%CI=3.114~258.679),and the low education level group:Primary school(OR=9.700,95%CI=1.073~87.697)and middle school(OR=10.355,95%CI=1.233~86.997)were the risk factors for dementia.Recreational activities(χ^(2)=5.796,P=0.016)were statistically significant with the prevalence of dementia.After multivariate logistic regression analysis,recreational activities(OR=0.182,95%CI=0.039-0.850)were a protective factor for dementia.Conclusion:The prevalence of dementia in Guandu district of Kunming is higher than other areas in China.Advanced age and low educational level are risk factors for dementia.Partial diet may be a risk factor for dementia,so adjusting the diet structure is conducive to avoiding the risk.Recreational activities are a protective factor for dementia.Takin
作者
王汝姣
周强
徐旭
李佩云
孙凤琴
黄微
Rujiao WANG;Qiang ZHOU;Xu XU;Peiyun LI;Fengqin SUN;Wei HUANG(Neurology Department,Wenshan People's Hospital,Yunnan Wenshan 663000,China;Neurology Department,The 3rd People's Hospital of Yunnan Province,Kunming Yunnan 650000,China;The Second Affiliated Hospital of Dali University,Yunnan Dali 671000,China)
出处
《阿尔茨海默病及相关病杂志》
2022年第3期189-194,共6页
Chinese Journal of Alzheimer's Disease and Related Disorders
基金
2018年云南省科技厅面上项目(2018FF001-064)。
关键词
昆明官渡区
痴呆
患病率
影响因素
Kunming Guandu district
Dementia
Factors affecting
