马来西亚低收入老年人群体运动认知风险综合征相关因素分析。
Factors associated with motoric cognitive risk syndrome among low-income older adults in Malaysia.
机构信息
Centre for Healthy Aging and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.
Program of Biomedical Science, Faculty of Health Sciences, UKM KL Jalan Raja Muda Abd Aziz, Kuala Lumpur, 50300, Malaysia.
出版信息
BMC Public Health. 2019 Jun 13;19(Suppl 4):462. doi: 10.1186/s12889-019-6869-z.
BACKGROUND
Motoric cognitive risk (MCR) syndrome is characterized by slow gait and memory complaints that could be used to predict an increased risk of dementia. This study aims to determine the MCR syndrome and its risk factors among low-income (B40) older adults in Malaysia.
METHODS
Data from TUA cohort study involving 1366 older adults (aged 60 years and above) categorized as low-income were analysed, for risk of MCR syndrome based on defined criteria. Chi-square analysis and independent t test were employed to examine differences in socioeconomic, demographic, chronic diseases and lifestyle factors between MCR and non-MCR groups. Risk factors of MCR syndrome were determined using hierarchical logistic regression.
RESULTS
A total of 3.4% of participants fulfilled the criteria of MCR syndrome. Majority of them were female (74.5%, p = 0.001), single/widow/widower/divorced (55.3%, p = 0.002), living in rural area (72.3%, p = 0.011), older age (72.74 ± 7.08 year old, p < 0.001) and had lower years of education (3.26 ± 2.91 years, p = 0.001) than non-MCR group. After adjustment for age, gender and years of education, participants living in rural area (Adjusted OR = 2.19, 95% CI = 1.10-4.35, p = 0.026), with obesity (Adjusted OR = 3.82, 95% CI = 1.70-8.57, p = 0.001), diabetes (Adjusted OR = 2.04, 95% CI = 1.01-4.11, p = 0.046), heart disease (Adjusted OR = 2.50, 95% CI = 1.00-6.20, p = 0.049) and cancer (Adjusted OR = 6.57, 95% CI = 1.18-36.65, p = 0.032) were associated with increased risk of MCR syndrome.
CONCLUSION
Only 3.4% of older adults from low-income group were identified as having MCR syndrome. Women, those living in rural areas, had obesity, diabetes, heart disease and cancer were more likely to have MCR syndrome. Further investigation on MCR as a predementia syndrome will help in development of preventive strategies and interventions to reduce the growing burden of dementia, especially among individuals with low socioeconomic status.
背景
运动认知风险（MCR）综合征的特征是步态缓慢和记忆问题，这些问题可用于预测痴呆症的风险增加。本研究旨在确定马来西亚低收入（B40）老年人中的 MCR 综合征及其危险因素。
方法
对涉及 1366 名（年龄在 60 岁及以上）老年人的 TUA 队列研究的数据进行分析，根据既定标准确定 MCR 综合征的风险。采用卡方分析和独立 t 检验，比较 MCR 组和非 MCR 组在社会经济、人口统计学、慢性疾病和生活方式因素方面的差异。采用分层逻辑回归确定 MCR 综合征的危险因素。
结果
共有 3.4%的参与者符合 MCR 综合征的标准。他们大多数是女性（74.5%，p=0.001）、单身/鳏夫/寡妇/离婚（55.3%，p=0.002）、居住在农村地区（72.3%，p=0.011）、年龄较大（72.74±7.08 岁，p<0.001）和受教育程度较低（3.26±2.91 年，p=0.001）。与非 MCR 组相比。在调整年龄、性别和受教育年限后，居住在农村地区的参与者（调整后的 OR=2.19，95%CI=1.10-4.35，p=0.026）、肥胖（调整后的 OR=3.82，95%CI=1.70-8.57，p=0.001）、糖尿病（调整后的 OR=2.04，95%CI=1.01-4.11，p=0.046）、心脏病（调整后的 OR=2.50，95%CI=1.00-6.20，p=0.049）和癌症（调整后的 OR=6.57，95%CI=1.18-36.65，p=0.032）与 MCR 综合征风险增加相关。
结论
仅有 3.4%的低收入组老年人被确定为患有 MCR 综合征。女性、居住在农村地区的人、肥胖、糖尿病、心脏病和癌症的人更有可能患有 MCR 综合征。进一步研究 MCR 作为一种前驱痴呆综合征，将有助于制定预防策略和干预措施，以减轻痴呆症的负担日益增加的问题，尤其是在社会经济地位较低的人群中。
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