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目的 探讨东台市某社区老年人肌少症患病的相关因素。方法 于2024年4—6月，依托“国家基本公共卫生服务项目”选取东台市启平社区806名65岁及以上的老年人进行横断面调查。比较肌少症组与非肌少症组老年人的一般资料及体格检查资料，并采用Logistic回归进行多因素分析。调查期间，根据2019年亚洲肌少症工作组专家共识(Asian Working Group for Sarcopenia, AWGS)对受试者进行肌少症相关指标的检查，依据AWGS2025进行最终诊断和统计分析。结果 806例老年人的平均年龄(72.05±5.48)岁，其中男性327名(40.57%),女性479名(59.43%)。与非肌少症组相比，肌少症组老年人呈现出高龄、已婚比例较低，以及高不饮酒率、低锻炼频率的特征(P<0.05)。除体脂百分比外，肌少症组老年人低体重(BMI<18.5)及肥胖(BMI≥28.0)比例更高，腰围[(85.30±7.86)cm vs.(88.53±9.10)cm]、臀围[(91.73±6.36)cm vs.(95.33±6.51)cm]、平均大腿围[(43.84±3.97)cm vs.(46.34±4.26)cm]、肌肉量[(36.80±6.09)kg vs.(42.50±7.55)kg]及体脂肪量[(18.93±6.49)kg vs.(20.92±6.70)kg]等指标显著低于非肌少症组(P<0.05)。多因素Logistic回归分析结果显示，高龄(71～75岁：OR=2.123, 95%CI 1.241～3.630;76～80岁：OR=5.056, 95%CI 2.918～8.760;≥81岁：OR=7.134, 95%CI 3.841～13.250)、锻炼≥3次/周(OR=0.635, 95%CI 0.411～0.982)及腰围(OR=0.958, 95%CI 0.936～0.981)均与社区老年人肌少症患病显著相关(P<0.05)。结论 高龄与该社区老年人肌少症风险增加有关，而规律锻炼与肌少症风险降低有关。
Abstract：OBJECTIVE To explore the related factors of sarcopenia in the elderly in a community of Dongtai City.METHODS Based on the National Basic Public Health Service Project, a cross-sectional survey was conducted among 806 community-dwelling elderly aged 65 and over in Dongtai City from April to June 2024. The general data and physical examination data of the elderly in the sarcopenia group and the non-sarcopenia group were compared, and Logistic regression was used for multivariate analysis.RESULTS The average age of 806 community elderly was(72.05±5.48) years old, including 327 males(40.57%) and 479 females(59.43%). There were 156 patients with sarcopenia, with a detection rate of 19.35%. In terms of general data, compared with the non-sarcopenia group, the elderly in the sarcopenia group showed the characteristics of advanced age, low married proportion, high non-drinking rate and low exercise frequency(P<0.05). In terms of general data, compared with the non-sarcopenia group, the elderly in the sarcopenia group showed the characteristics of advanced age, low married proportion, high non-drinking rate and low exercise frequency(P<0.05). In terms of physical examination data, in addition to body fat percentage, the proportion of low weight(BMI<18.5) and obesity(BMI≥28.0) in the elderly in the sarcopenia group was higher. Waist circumference((85.30±7.86)cm vs.(88.53±9.10)cm), hip circumference((91.73±6.36)cm vs.(95.33±6.51)cm), average thigh circumference((43.84±3.97)cm vs.(46.34±4.26)cm), muscle mass((36.80±6.09)kg vs.(42.50±7.55)kg) and body fat mass((18.93±6.49)kg vs.(20.92±6.70)kg) were significantly lower than those in the non-sarcopenia group(P<0.05). The result of multivariate regression analysis showed that the result of multivariate regression analysis showed that advanced age(71-75 years old: OR=2.123, 95%CI 1.241-3.630; 76-80 years old: OR=5.056, 95%CI 2.918-8.760; ≥81 years old: OR=7.134, 95%CI 3.841-13.250), exercise ≥3 times/week(OR=0.635, 95%CI 0.411-0.982) and waist circumference(OR=0.958, 95%CI 0.936-0.981) were significantly associated with sarcopenia in the elderly in the community(P<0.05).CONCLUSION Advanced age is associated with an increased risk of sarcopenia in the elderly in this community, while regular exercise is associated with a decreased risk of sarcopenia.
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基本信息:
DOI：10.19813/j.cnki.weishengyanjiu.2026.04.020
中图分类号:R685
引用信息:
[1]翟池,王煚楠,钟婷,等.2024年东台市某社区老年人肌少症患病相关因素[J].卫生研究,2026,55(04):661-668.DOI:10.19813/j.cnki.weishengyanjiu.2026.04.020.
基金信息:
国家重点研发计划项目(No.2023YFF1104402); 江苏省研究生科研与实践创新计划项目(No.KYCX24＿0492); 江苏医药职业学院校地协同创新研究项目(No.202490509)
2026-07-16
2026-07-16