| 中国老年人不同严重程度跌倒风险与慢性病和睡眠的关联研究 |
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| 引用本文： | 林进龙,魏玥,陈功,裴丽君.中国老年人不同严重程度跌倒风险与慢性病和睡眠的关联研究[J].中华疾病控制杂志,2021,25(1):25-31. |
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| 作者姓名： | 林进龙 魏玥 陈功 裴丽君 |
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| 作者单位： | 100871 北京，北京大学人口研究所，北京大学人口与健康发展研究中心 |
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| 基金项目： | 国家自然科学基金(41871360);国家重点研发计划(2018YFC2000603)。 |
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| 摘 要： | 目的 探索老年人慢性疾病和睡眠状况与不同严重程度跌倒风险之间的关联，为老年人跌倒所致伤害的预防和干预提供线索。 方法 采用病例对照研究发生风险，以“中国健康与养老追踪调查项目”数据为基础，利用2011-2015年抽样调查数据，运用多因素Logistic回归分析模型分析慢性疾病和睡眠的暴露与中国老年人普通跌倒和跌倒就医发生风险的关联。 结果 11 912例老年人两年内普通跌倒报告率和跌倒就医报告率分别为7.82%和17.09%;多因素Logistic回归分析模型结果显示，听力退化、身体疼痛、有抑郁症状、肾脏病、关节炎和日常生活自理能力(activities of daily living, ADL)受损与老年人普通跌倒和跌倒就医发生风险存在关联(均有P < 0.05);患高血糖与普通跌倒发生风险存在关联(OR=1.43, 95% CI: 1.13~1.81, P=0.002)，患脑卒中与跌倒就医发生风险存在关联(OR=1.34, 95% CI: 1.03~1.75, P=0.031);睡眠时长5~ h和≥7 h与老年人两类跌倒发生风险存在负关联(均有P < 0.05)。 结论 老年人退行性疾病及慢性疾病可能是跌倒发生的共同危险因素，充足的睡眠可能是两类跌倒的共同保护因素，应当针对高危老年人群体和暴露因素开展跌倒的预防和干预。
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| 关 键 词： | 老年人 跌倒 严重程度 危险因素 |
| 收稿时间： | 2020-06-16 |
Chronic diseases and sleep duration in association with falls of different severity among the Chinese elderly |
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| LIN Jin-long,WEI Yue,CHEN Gong,PEI Li-jun.Chronic diseases and sleep duration in association with falls of different severity among the Chinese elderly[J].Chinese Journal of Disease Control & Prevention,2021,25(1):25-31. |
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| Authors: | LIN Jin-long WEI Yue CHEN Gong PEI Li-jun |
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| Affiliation: | Institute of Population Research, China Center on Population Health and Development, Peking University, Beijing 100871, China |
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| Abstract: | Objective To explore the relationship between chronic diseases, sleeping time and the risk of falls of different severity in the elderly,so as to provide effective prevention of falls scientifically. Methods Based on the data of China Health and Retirement Longitudinal Study(CHARLS) from 2011 to 2015, a case-control study was conducted to analyze the relationship between multiple exposure factors and the risk of falls in different severity in the elderly. Results The report rate of common falls and serious falls medical in 11 912 elderly Chinese within two years were 7.82% and 17.09%, respectively;logistic regression results show that, hearing impairment, body pain, depression, kidney disease, arthritis and disability were the same risk factors of common falls and serious falls in the elderly(all P<0.05). Hyperglycemia was associated with the risk of common falls(OR=1.43, 95% CI: 1.13-1.81, P=0.002) and stroke(OR=1.34, 95% CI: 1.03-1.75, P=0.031) was associated with the risk of serious falls;sleep duration of 5-hours and ≥ 7 hours were negatively associated with the risk of two types of falls(all P<0.05). Conclusions The common falls and serious falls have multiple same risk factors in the elderly, and adequate sleep is the common protective factor for both. It is suggested that fall prevention education should be carried out for the elderly and risk factors should be effectively intervened. |
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| Keywords: | Elderly Fall Severity Risk factors |
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