老年医学与保健2012，Vol.18Issue(2)：87-90,93,5.DOI:10.3969/j.issn.1008-8296.2012-02-08
高龄老人日常生活活动能力多维度影响因素研究
Study of multi-dimension effect factors of activities of daily life in the oldest old
摘要
Abstract
Objective To study the effect factors of activities of daily life in the oldest-old in longevity areas. Methods From seven longevity areas, all centenarians were selected and numbered. The old people aged 90-99 and 80-89, according to the age and sex, were appointed by centenarians' codes. Information including socioeconomics and demographic charac teristic, behavior lifestyles, function status and prevalence of diseases, basic activities of daily life (ADL), and instrumental activities of daily life (IADL) were collected. Health examination was checked, and waist circumstance and blood pressure were measured. The levels of triglycerides, total cholesterol, high density lipoprotein cholesterol, fasting plasma glucose were measured, respectively. Multivariate logistic regressions were used to analyze the effect factors of ADL and IADL. Results Multivariate logistic regression showed that age, nationality, marriage status, residing style, lack of physical activity, leisure activities, central obesity, diastolic blood pressure, level of TG, cognition impairment and cerebrovascular disease were effect factors for ADL impairment, with OR (95 %CI) values is 5.10 (2.78, 9.37), 5.39 (2.08, 13.91), 0.48 (0.25, 0.91), 0.25 (0.13, 0.49), 2.01 (1.34, 2.98), 0.23 (0.15, 0.34), 2.34 (1.56, 3.52), 0.98 (0.96,0.99) , 0.72 (0.54, 0.99), 2.16 (1.26, 3.70) and 3.46 (1.40, 8.52), respectively. While the effect factors for IADL function were age, sex, nationality, self-evaluation of economics level, leisure activities, total cholesterol and cognitive impairment, with OR (95%CI) was 3.08 (1.67, 5.68), 1.79 (1.11, 2.89), 1.86 (1.12, 3.11), 0.46 (0.27, 0.79), 0.19 (0.07, 0.55), 1.19 (1.02, 1.39) and 3.11 (1.93, 5.00), respectively. Conclusions increasing age, Han nationality, lack of physical activities, central obesity, cognitive impairment and cerebrovascular disease are risk factors of ADL function, while married, residing with oneself, leisure activities, higher level of DBP and- TG are protective factors of ADL. Increasing age, Han nationality, female, TC and cognitive impairment are risk factors of IADL, while self-evaluation of economics level and leisure activities are protective factors.关键词
高龄老人/日常生活活动/器具性日常生活活动/多维度/影响因素Key words
Oldest old/ Activities of daily life (ADL)/ Instrumental activities of daily life (IADL) / Multi- dimension/ Effect factors分类
医药卫生引用本文复制引用
殷召雪,施小明,曾毅,翟屹,徐建伟,柳玉芝..高龄老人日常生活活动能力多维度影响因素研究[J].老年医学与保健,2012,18(2):87-90,93,5.基金项目
国家自然科学基金(70533010) （70533010）
National Institute on Aging (Grant Ro1 AG 23627-01) （Grant Ro1 AG 23627-01）
