| 不同肥胖指标与社区老年人认知功能关系研究 |
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| 引用本文： | 冯钰惠,乐璐潇,张德应,陶剑文,黄延焱.不同肥胖指标与社区老年人认知功能关系研究[J].老年医学与保健,2021,27(1). |
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| 作者姓名： | 冯钰惠 乐璐潇 张德应 陶剑文 黄延焱 |
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| 作者单位： | 上海市宝山区大场镇大场社区卫生服务中心社区科,上海200442;浙江省普陀医院消化科,舟山316100;上海市宝山区大场镇大场社区卫生服务中心办公室,上海200442;复旦大学附属华山医院老年科,上海200040 |
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| 基金项目： | 上海市“脑与类脑智能”市级重大科技专项资助(2018SHZDZX03);张江实验室;宝山卫生青年医学人才培养计划(bswsyq-2017-A17);上海市宝山区大场镇大场社区卫生服务中心院级课题(19-A-01)。 |
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| 摘 要： | 目的探讨不同肥胖指标(BMI、WC、WHR)与社区老年人认知功能的关系。方法采用分层随机抽样调查方法对上海宝山区大场社区366名65岁及以上居民进行面对面的问卷调查及进行肥胖指标测量,同时采用蒙特利尔认知评估基础量表(MoCA-B)进行认知评估。肥胖相关指标主要包括身体质量指数(BMI)、腰围(WC)和腰臀比(WHR)。结果年龄、教育、BMI及WHR是社区老年人认知的影响因素。大专及以上教育水平(OR=0.177,95%CI0.039~0.809)和高BMI(OR=0.886,95%CI0.807~0.972)是保护因素,年龄(OR=1.087,95%CI1.302~1.145)和WHR(~*10)(OR=2.255,95%CI1.330~3.823)是危险因素。结论WHR是社区老年人认知功能障碍的危险因素。对老年人的认知功能而言,控制腰臀比(WHR)比控制身体质量指数(BMI)更重要。
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| 关 键 词： | 体质指数 腰臀比 腰围 老年人 认知功能障碍 |
The relationship between different obesity indicators and cognitive function of the elderly in community |
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| Feng Yuhui,Le Luxiao,Zhang Deying,Tao Jianwen,Huang Yanyan.The relationship between different obesity indicators and cognitive function of the elderly in community[J].Geriatrics & Health Care,2021,27(1). |
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| Authors: | Feng Yuhui Le Luxiao Zhang Deying Tao Jianwen Huang Yanyan |
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| Institution: | (Department of Community,Health Service Center of Dachang Community,Dachang Town,Baoshan District,Shanghai,200442,P.R.China;Department of Gastroenterology,Zhejiang Putuo Hospital,Zhoushan,Zhejiang,316100,P.R.China;Administrating Office,Health Service Center of Dachang Community,Dachang Town,Baoshan District,Shanghai,200442,P.R.China;Department of Geriatrics,Huashan Hospital Affiliated to Fudan University,Shanghai,200040,P.R.China) |
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| Abstract: | Objective To explore the relationship between different obesity indicators and cognitive function of the elderly in community.Methods A stratified random sampling survey method was used to conduct a face-to-face questionnaire survey among 366 residents aged 65 and above in Dachang Community of Baoshan District and their obesity indicators were measured.Meanwhile,the Montreal Cognitive Assessment-Basic(MOCA-B)was used for cognitive assessment.Obesity indicators mainly included body mass index(BMI),waist circumference(WC)and waist-to-hip ratio(WHR).Results Age,education level,BMI and WHR were the influencing factors of cognitive function of the elderly in the community.College education level and above(OR=0.177,95%CI 0.039-0.809)and high BMI(OR=0.886,95%CI 0.807-0.972)were protective factors,while age(OR=1.087,95%CI 1.302-1.145)and WHR(~*10)(OR=2.255,95%CI 1.330-3.823)were risk factors.Conclusion WHR is a risk factor for cognitive impairment in the elderly in community.For the cognitive function of the elderly,controlling WHR is more important than controlling BMI. |
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| Keywords: | body mass index waist circumference waist-to-hip ratio elderly cognitive impairment |
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