摘要
目的分析海南省百岁老年人群贫血与营养不良的关联性。方法选取2014年8月~2015年5月入户走访的海南省百岁老人300名,进行问卷调查及体格检查,同时抽取静脉血进行血常规、肝功能肾功能等生化指标的检测。采用世界卫生组织(WHO)标准定义百岁老人贫血,以血红蛋白浓度作贫血分组(男性血红蛋白浓度低于120 g/L;女性血红蛋白浓度低于110 g/L),比较百岁老人贫血组与非贫血组间以及不同性别的营养指标的差异,同时,以血红蛋白浓度作因变量,营养指标作为自变量,进行多重线性回归相关分析。结果本研究纳入300名百岁老人,其中女性239名(79.67%),男性61名(20.4%);贫血人数115名(38.3%)。贫血组百岁老人白蛋白、胆固醇水平均明显低于非贫血组,差异有显著的统计学意义(P <0.05)。多重线性回归分析显示,百岁老人的性别、白蛋白和胆固醇是影响血红蛋白浓度的主要因素(P <0.05),而年龄、身高、体重和体质量指数不是血红蛋白浓度的主要影响因素(P> 0.05)。结论百岁老人有较高的贫血发生率,白蛋白和胆固醇浓度与贫血的发生有关,注重百岁老年人群的营养补充改善百岁老人贫血状况,利于提高百岁老人的生活质量。
Objective The aim of this study was to investigate the association between anemia and malnutrition with centenarian in Hainan province. Methods From August 2014 to May 2015,we surveyed 300 centenarians in their household and give their healthy checkup in the study. Venous blood was extracted for analysis of blood routine,liver function and other biochemical indicators. The WHO criteria were used to define anemia. It was divided into anemia group and non-anemia group. Hemoglobin(Hb) was defined as the dependent variable and malnutrition was defined as the independent variable. Correlation between nutritional parameters and Hb levels were determined using multiple linear regression analysis. Results The study included 300 centenarians(239 female & 61 men). The overall prevalence of anemia was 38.3%. The levels of albumin and cholesterol were lower in the centenarian anemia group than in the non-anemia group. Multiple linear regression analysis showed that sex,albumin and cholesterol were the main factors affecting hemoglobin concentration in centenarians(P < 0.05),while age,sex,height,and body mass index were not the main factors affecting hemoglobin concentration(P > 0.05). Conclusion Centenarians have a higher incidence of anemia,albumin and cholesterol concentration is related to the occurrence of anemia,the nutritional supplement of centenarians needs to be focused to improve the anemia status of centenarians,and they will improve the quality of life of centenarians.
作者
丛琳
于帅
刘双
周汉王
孙佟
肖征
赵亚力
栾复新
张福
Cong Lin;Yu Shuai;Liu Shuang(National Clinical Research Center for Geriatric Disease,Clinical Laboratory,National Clinical Research Center for Geriatric Disease,Hainan Branch of Chinese PLA General Hospital,Sanya 572013,China)
出处
《中华保健医学杂志》
2019年第2期107-109,共3页
Chinese Journal of Health Care and Medicine
基金
海南省重点研发计划(ZDYF2016135
ZDYF2017095)
国家老年疾病临床医学研究中心开放课题(NCRCG-PLAGH-2017018)
关键词
贫血
营养不良
百岁老人
海南
Anemia
Malnutrition
Centenarians
Hainan Province