Intorre F, Maiani G, Cuzzolaro M, Simpson E E A, Catasta G, Ciarapica D, Mauro B, Toti E, Zaccaria M, Coudray C, Corelli S, Palomba L, Polito A
National Institute for Research on Food and Nutrition, Human Nutrition Unit, Rome, Italy.
J Nutr Health Aging. 2007 Mar-Apr;11(2):165-74.
The objective of this paper is to provide descriptive information on anthropometric status, pathological conditions, cognitive impairment and lifestyle in apparently healthy elderly Italian people.
DESIGN, SETTING AND SUBJECTS: In order to recruit the volunteers for the ZENITH study, 359 Italian participants (167 men and 192 women), aged between 70 and 85 years, free living in Rome, were selected. Volunteers underwent a full clinical examination, anthropometric measurements (height, weight), a lifestyle questionnaire and mental health assessment (cognitive impairment and depression).
The prevalence of overweight and obesity was high (57% and 22% in men; 43% and 27% in women). Obesity was associated with low socio-economic profile in about 40% of participants. Although the sample was selected by family doctors and was apparently healthy, after medical screening the presence of several pathologies, particularly diabetes in 21% of participants was observed. There was a low prevalence of cognitive impairment in 4% of men and 7% of women and possible depression in 9% of men and 19% of women. The lifestyle questionnaire showed that most of their time was spent in light activities such as reading, watching TV or playing cards and significant differences between sex and BMI categories were observed (P=0.000).
The results confirm the increasingly sedentary lifestyle of modern populations and demonstrate the need for sensitive and individualised strategies to design appropriate health promotion and disease prevention programs for older adults.
本文旨在提供有关明显健康的意大利老年人的人体测量状况、病理状况、认知障碍和生活方式的描述性信息。
设计、地点和研究对象:为了招募参与ZENITH研究的志愿者,选取了359名年龄在70至85岁之间、居住在罗马且生活自理的意大利参与者(167名男性和192名女性)。志愿者接受了全面的临床检查、人体测量(身高、体重)、生活方式问卷调查以及心理健康评估(认知障碍和抑郁)。
超重和肥胖的患病率较高(男性分别为57%和22%;女性分别为43%和27%)。约40%的参与者中,肥胖与社会经济地位较低有关。尽管该样本是由家庭医生挑选且表面上健康,但经过医学筛查后,发现存在多种病理状况,尤其是21%的参与者患有糖尿病。男性认知障碍患病率较低,为4%,女性为7%;男性可能患有抑郁症的比例为9%,女性为19%。生活方式问卷调查显示,他们大部分时间都花在阅读、看电视或打牌等轻度活动上,并且在性别和体重指数类别之间观察到显著差异(P = 0.000)。
结果证实了现代人群久坐不动的生活方式日益增加,并表明需要采取敏感且个性化的策略,为老年人设计合适的健康促进和疾病预防计划。