空巢老人代谢综合征患病影响因素研究

Influencing factors of Metabolic Syndrome in Empty Nesters

目的分析空巢老人发生代谢综合征(metabolic syndrome,MS)的影响因素,为临床干预提供依据。方法2015年6月至12月在北京某社区60岁以上具有本地户籍的常住居民中选择愿意参与本研究的空巢老人,按照诊断结果将空巢老人分为MS组及非MS组。收集人口学信息及生化指标,采用Logisitc回归分析MS发生的危险因素。结果共入选空巢老人301例,其中105例空巢老人被诊断为MS作为MS组,196例空巢老人为非MS组,MS发生率为34.9%。其中,MS组男47例,女58例,平均年龄(62.5±24.5)岁。非MS组男89例,女107例,平均年龄(61.6±20.7)岁。MS组的文化程度低于非MS组,有吸烟史患者的比例高于非MS组,人均月收入≥5000的比例低于非MS组,月用油量、月用盐量、肉食摄入均高于非MS组,每日蔬菜量低于非MS组,规律运动、无睡眠障碍比例低于非MS组,合并慢性疾病比例高于非MS组,主动学习健康知识的比例低于非MS组,差异均有统计学意义(P<0.05)。对两组有可能影响MS发生的因素进行Logisitc回归分析,结果显示文化程度大专以下、月收入<5000、无规律运动、有睡眠障碍、不主动学习健康知识是空巢老人发生MS的影响因素。结论空巢老人MS发生率较高,应有针对性的根据空巢老人发生MS的危险因素进行干预。

Objective This study aims to analysis the influencing factors of Metabolic Syndrome （MS） in empty nesters, so as to provide an appropriate suggestion on clinical intervention. Methods Empty nesters were selected from permanent residents over the age of 60 years, who had the local household registration and had the willing to participate this study in a community in Bei- jing from 2015 Jun to 2015 Dec. And they were divided into two groups（ MS group and non-MS group）according to the diagnostic result. Results Of 301 cases enrolled, 105 diagnosed with MS were in MS group（34.9% ） , and 196 were put into non-MS group. Among them,MS group of 47 males and 58 females,had a mean age of（62.5 ±24. 5）years. And non-MS group of 89 males and 107 females, had a mean age of（61.6 ± 20.7）years. Compared with non-MS group, MS group had a lower education level, a higher pro- portion of patients with a history of smoking, a lower proportion of more than 5000 of per capita monthly income, a higher monthly a- mount of oil, salt and meat intake, a lower daily amount of vegetables intake, a lower proportion of regular exercise and no sleep dis- turbances, a higher proportion of chronic disease associated with, and a lower proportion of actively learning health knowledge （ P 〈 0. 05 ）. Logisitc regression analysis of factors that were likely to influence the occurancy of MS in two groups showed that an educa- tion level less tertiary qualifications, less than 5000 of monthly income, irregular exercise and sleep disturbances and inactively learn- ing health knowledge were factors of MS in empty nesters. Conclusion Empty nesters have a higher incidence of MS, and risk fac- tors for the occurrence of MS empty nesters should be targeted for intervention.