老年人躯体功能的相关影响因素分析

Analysis of related factors of physical function in elderly man

目的分析影响离退休老年人躯体功能的相关因素。方法对160例离退休老干部进行横断面研究,采用中文版简易躯体能力测试工具(CMPPT)测试躯体功能,简易精神状态检查量表(MMSE)测试认知功能,通过体检报告和电子病历档案收集社会人口学和健康状况等信息。结果多元线性回归结果显示,年龄(b=-0.298,P<0.001),MMSE(b=0.369,P<0.001)和帕金森综合征(b=-2.557,P=0.014)与CMPPT具有独立相关性,既往卒中与CMPPT的相关性接近统计学意义(P=0.069);Lo-gistic回归分析结果显示,≥80岁、MMSE每减少5分和帕金森综合征具有低水平CMPPT(<9分)的OR值分别为9.064(2.464～23.621)、2.031(1.213～3.401)和5.741(1.142～29.014)。结论老龄化、认知和运动相关性疾病与老年人躯体功能下降相关,因此,对认知和运动障碍疾病的预防和干预是延缓和改善其躯体功能下降的关键。

Objective To analyze the correlative factors of influencing physical function in retired elderly man. Methods A coross-sectional survey was carried out in 160 cases of retired veterans. Their physical function was measured by Chinese mini- physical performance testing（CMPPT） and their cognition was tested by mini-mental status examination （MMSE）. The demographics and health status （included physical measures,chemical measures of blood sample,chronic diseases） were collected from their entire report of health examination and electric record of case history. Results Multiple linear regression analysis showed that age （b=-0.298 ,P〈0.001 ）, MMSE （b=0.369,P〈0.001）and parkinsonism（b=-2.557 ,P=0.014）were independently associated with CMPPT, while the correlation between past stroke and CMPPT had statistical significance （P=0.069）. Logistic regression analysis showed that the OR of lower CMPPT （〈9 score） for more than 80 years,per 5 decline in MMSE and parkinsonism were 9.064 （2.464-23.621）, 2.031 （1.213-3.401）and 5.741 （1.142-29.014） respectively. Conclusions Aging,cognition and motor-related diseases were independently associated with the decline of physical function in retired veterans. Therefore,prevention and intervention on cognition and motor disorders was the key to delay and improve their physical function decline.