天津体育学院学报2023，Vol.38Issue(6)：717-722,6.DOI:10.13297/j.cnki.issn1005-0000.2023.06.015
健康中国战略下社区老年人外周动脉疾病相关影响因素的分析
Analysis of Related Influence Factors of Peripheral Artery Disease in Community Elderly under Health China Strategy
摘要
Abstract
Objective:Chronic disease prevention is an important topic under the vision of Health China strategy.To census ankle brachial index(ABI)in elderly without peripheral arterial disease(PAD)clinical symptoms in the community,and explore the correlation between ABI and physical functional performance,mental state and other factors of the elderly,to achieve a strategic shift to focus on prevention and health.Methods:324 elderly people over 60 years old without PAD clinical symptoms and vitality in the community were recruited as study subjects,including 248 normal ABI group(64 males,184 females),49 borderline ABI group(13 males,36 females),and 27 abnormal ABI group(11 males,16 females).The continuous data of each group were compared by one-way ANOVA,and the classified data were analyzed by Chi square test and likelihood ratio Chi square test.Multivariate stepwise logistic regression was used to analyze the risk factors of ABI abnormality.Results:The incidence of ABI abnormality in the elderly without PAD clinical symptoms vitality in the community was 8.3%,and the incidence of borderline abnormality was 15.1%;Univariate ANOVA among the three groups showed that there were significant differences in body weight,BMI,waist hip ratio,percentage of body fat,sleep index and bilateral upper limb flexibility(P＜0.01).Multivariate stepwise logistic regression analysis showed that ABI critical abnormality was correlated with BMI(OR=1.193,95%CI[1.085,1.311])and sleep index(P＜0.05)(OR=1.088,95%CI[1.013,1.170]);Abnormality of ABI was correlated with BMI(P＜0.05)(OR=1.164,95%CI[1.031,1.314]),sleep index(P＜0.01)(OR=1.252,95%CI[1.144,1.371])and right upper limb flexibility(P＜0.05)(OR=0.965,95%CI[0.938,0.993]).Conclusion:The increase of BMI,poor sleep quality and poor body flexibility are the risk factors of ABI abnormalities in asymptomatic PAD elderly,suggesting that active physical exercise to control weight and obesity,improving sleep quality and body flexibility be the early prevention target of reducing ABI abnormality and risk of PAD.关键词
健康中国战略/外周动脉疾病/踝臂指数/睡眠指数/功能性体适能Key words
Health China strategy/peripheral arterial disease/ankle brachial index/sleep index/functional fitness分类
教育学引用本文复制引用
刘畅格,黄力平,曹龙军,王嘉智,王磊,刘宁..健康中国战略下社区老年人外周动脉疾病相关影响因素的分析[J].天津体育学院学报,2023,38(6):717-722,6.基金项目
天津市教委科研计划项目(项目编号:2020SK161) （项目编号:2020SK161）
