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北京市社區(qū)無社會保障老年女性居民健康狀況分析

發(fā)布時間:2019-05-23 20:31
【摘要】:目的了解2009—2012年北京市社區(qū)無社會保障老年女性居民軀體健康指標變化趨勢,為在該人群中開展健康管理服務,提高其健康水平提供參考依據(jù)。方法分別于2009—2012年在北京市海淀區(qū)永定路街道選取60歲以上無社會保障老年女性居民,其中2009年為518名,2010年為455名,2011年為449名,2012年為504名。收集調(diào)查對象健康體檢資料,軀體健康指標來自于北京市海淀區(qū)統(tǒng)一的"無社會保障老年人體檢表",包括年齡、腰圍、收縮壓、舒張壓、脂肪肝、糖尿病、空腹血糖受損(IFG)、超重、肥胖、肝囊腫、腎囊腫、膽囊結(jié)石、眼動脈硬化和代謝綜合征等。結(jié)果 2009—2012年,無社會保障老年女性居民脂肪肝、糖尿病、超重、肝囊腫、腎囊腫、膽囊結(jié)石、眼動脈硬化患病率比較,差異無統(tǒng)計學意義(P0.05)。2009—2012年,無社會保障老年女性居民年齡、腰圍、收縮壓、舒張壓比較,差異有統(tǒng)計學意義(P0.05);高血壓、IFG、肥胖、代謝綜合征患病率呈下降趨勢(P0.05)。將調(diào)查對象按照年齡分為60~64歲,65~69歲,70~74歲和74歲;2009—2012年,高血壓發(fā)生率在60~64歲、65~69歲、70~74歲中呈下降趨勢(P0.05),IFG患病率在60~64歲、70~74歲、74歲中呈下降趨勢(P0.05),肝囊腫患病率在70~74歲中呈下降趨勢(P0.05),膽囊結(jié)石患病率在74歲中呈下降趨勢(P0.05),代謝綜合征患病率在65~69歲、70~74歲中呈下降趨勢(P0.05)。將調(diào)查對象按照體質(zhì)指數(shù)(BMI)分為體質(zhì)量偏低、體質(zhì)量正常、超重和肥胖;2009—2012年,脂肪肝患病率在體質(zhì)量正常和超重人群中呈上升趨勢(P0.05),高血壓患病率在體質(zhì)量偏低和超重人群中呈下降趨勢(P0.05),IFG、眼動脈硬化患病率在體質(zhì)量正常和超重人群中呈下降趨勢(P0.05),代謝綜合征患病率在肥胖人群中呈下降趨勢(P0.05)。結(jié)論北京市無社會保障老年女性居民腰圍呈現(xiàn)逐年增大趨勢,中心性肥胖患病率逐年增高;但超重、肥胖、脂肪肝、高血壓、糖尿病、IFG、代謝綜合征患病率呈現(xiàn)總體下降趨勢;考慮可能與健康體檢發(fā)現(xiàn)問題后采取一定的健康干預措施有關。但是,該人群慢性疾病防控形勢仍然比較嚴峻,建議加強健康管理干預措施。
[Abstract]:Objective to understand the changing trend of physical health indexes of elderly female residents without social security in Beijing from 2009 to 2012, and to provide reference for carrying out health management services and improving their health level in this population. Methods from 2009 to 2012, 518 female residents over 60 years old without social security were selected from Yongding Road Street, Haidian District, Beijing, including 518 in 2009, 455 in 2010, 449 in 2011 and 504 in 2012. The physical examination data of the investigated subjects were collected. The physical health indexes came from the unified "physical examination table for the elderly without social security" in Haidian District, Beijing, including age, waist circumference, systolic blood pressure, diastolic blood pressure, fatty liver, diabetes mellitus. Damaged fasting blood glucose (IFG), is overweight, obese, liver cyst, renal cyst, gallstone, ophthalmic arteriosclerosis and metabolic syndrome. Results from 2009 to 2012, there was no significant difference in the prevalence of fatty liver, diabetes mellitus, overweight, liver cyst, renal cyst, gallstone and ophthalmic arteriosclerosis in elderly female residents without social security (P 0.05). From 2009 to 2012, there was no significant difference in the prevalence of fatty liver, diabetes mellitus, overweight, liver cyst, renal cyst, gallstone and ophthalmic arteriosclerosis. There were significant differences in age, waist circumference, systolic blood pressure and diastolic blood pressure among elderly female residents without social security (P 0.05). The prevalence of hypertension, IFG, obesity and metabolic syndrome decreased (P 0.05). According to the age, the subjects were divided into 60 years old, 65 years old, 70 years old and 74 years old. From 2009 to 2012, the incidence of hypertension decreased in 60 鹵64 years old, 65 鈮,

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