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上海市嘉定区新成路街道老年人主观认知下降的相关影响因素分析

武海萍 吴士豪 吴吟 李宇航 张悠扬 马文林

同济大学学报(医学版)2024,Vol.45Issue(4):521-528,8.
同济大学学报(医学版)2024,Vol.45Issue(4):521-528,8.DOI:10.12289/j.issn.2097-4345.24185

上海市嘉定区新成路街道老年人主观认知下降的相关影响因素分析

Prevalence and influencing factors of subjective cognitive decline among community-dwelling elderly

武海萍 1吴士豪 2吴吟 3李宇航 4张悠扬 4马文林5

作者信息

  • 1. 同济大学医学院,上海 200092||上海市嘉定区新成路街道社区卫生服务中心,上海 201822
  • 2. 同济大学医学院,上海 200092
  • 3. 上海市嘉定区新成路街道社区卫生服务中心,上海 201822
  • 4. 同济大学附属同济医院老年科,上海 200065
  • 5. 同济大学附属同济医院老年科,上海 200065||上海老年医学临床研究中心,上海 200040
  • 折叠

摘要

Abstract

Objective To investigate the prevalence and influencing factors of subjective cognitive decline(SCD)among community-dwelling elderly.Methods A total of 961 residents aged ≥60 years undergoing health check-up in Xincheng Community Health Service Center of Shanghai Jiading District from January 2022 to December 2022 were enrolled in the study.The cognition status was avaluated with subjective cognitive decline questionnaire 9(SCD-Q9).The influencing factors of SCD were examined with univariate and multivariate Logistic regression analysis.Results Among 961 subjects,902 completed the survey,including 373 males and 529 females,SCD was detected in 190 cases with a prevalence rate of 21.1% .Univariate Logistic regression analysis showed that sex,age,education background,years of education,uric acid,hemoglobin,diabetes,coronary heart disease,body water content,fat-free body weight,basal metabolism,inorganic salt contents,muscle mass,protein mass,and frailty were significantly correlated with SCD(P<0.05).Multivariate Logistic regression analysis showed that years of education(OR=0.894,95% CI:0.850-0.939,P<0.001)was an independent protective factor for SCD,female sex(OR=1.455,95% CI:1.015-2.086,P=0.041)and frailty(OR=2.639,95% CI:1.964-3.546,P<0.001)were independent risk factors for SCD.Conclusion The prevalence rate of SCD was 21.1% among the community-dwelling elderly of the study site;female sex and frailty are risk factors for SCD,while years of education is a protective factor.

关键词

主观认知下降/老年人/患病率/影响因素

Key words

subjective cognitive decline/elderly/prevalence/influencing factors

分类

医药卫生

引用本文复制引用

武海萍,吴士豪,吴吟,李宇航,张悠扬,马文林..上海市嘉定区新成路街道老年人主观认知下降的相关影响因素分析[J].同济大学学报(医学版),2024,45(4):521-528,8.

基金项目

国家自然科学基金(82271586,82200970) (82271586,82200970)

国家重点研发计划(2023YFC3604501) (2023YFC3604501)

上海市卫生健康委员会科研基金(20234Y0156) (20234Y0156)

同济大学附属同济医院临床研究培育项目[ITJ(ZD)2002-1、ITJ(QN)2213] (ZD)

同济大学学报(医学版)

OACSTPCD

1008-0392

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