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广西壮族自治区多个地区健康长寿人群分布特征及相关因素研究

[The study on the distribution characteristics and relevant factors of healthy and long-lived people in multiple regions of Guangxi Zhuang Autonomous Region].

作者信息

Ni X L, Zhang L, Wang Z P, Su H B, Pang G F, Lyu Y, Zhang W, Yuan H P, Sun L, Yang Z, Hu C Y

机构信息

The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, National Health Commission; Institute of Geriatric Medicine,Chinese Academy of Medical Sciences, Beijing 100730, China;Graduate School of Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.

The Key Laboratory of Geriatrics, Beijing Institute of Geriatrics, Beijing Hospital, National Center of Gerontology, National Health Commission; Institute of Geriatric Medicine,Chinese Academy of Medical Sciences, Beijing 100730, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Jan 10;42(1):99-105. doi: 10.3760/cma.j.cn112338-20200425-00651.

DOI:10.3760/cma.j.cn112338-20200425-00651
PMID:33503704
Abstract

To investigate the epidemiological characteristics and relevant factors among individuals characterized by their longevity in multiple regions of Guangxi Zhuang Autonomous Region, and provide a valuable scientific perspective for the research in health and longevity of the elderly in Guangxi. Registration and face-to-face questionnaire on a door-to-door basis were adopted to collect the demographic characteristics of the long-lived individuals (≥90 years old) in Bama of Hechi city, Yongfu of Guilin city, Dongxing of Fangchenggang city, Guangxi. Then, among the local general population, individuals within the age group between 40 and 85 years old were selected randomly as controls. Correlations were then analyzed between the relative health and longevity of the subjects and their gender, ethnicity, family history, disease history, marital status, the number of family generations, the number of children, smoking, drinking, outdoor activities, sleep and other health-related factors, then the result was subject to further analysis by comparing the long-lived population and the control population respectively. Among 691 500 of the permanent residents of Bama, Yongfu and Dongxing city, 1 005 cases were 90 years old and over with a ratio of 145.34 out of 100 000 persons; within the 1 005 cases, 944 were aged between 90 and 100 (longevity rate: 136.51/100 000) with an average age of (93.28±2.57); 61 cases were aged 100 or over, arriving at a centenarian rate of 8.82/100 000 with an average age of (102.00±3.05) years. Significant differences were found just among three particular factors - regional distribution (0.014), history of disease (0.002), four generations of family (0.008) between nonagenarians and centenarians (<0.05), while the other 15 indicators did not show anything noteworthy. The result indicated that longevity and centenarians might be the same group and then we combined both groups into one. By cross-comparison between the longevity-plus- centenarians and the control group in the region, factors listed below exhibited significant correlation with health and longevity: marital status (26.469, 95% 13.208-53.045), number of generations within the family (5.419, 95% 3.418-8.592), number of male offspring (2.013, 95% 1.555-2.607), number of female offspring (1.380, 95% 1.122-1.696), and the frequency of outdoor activities (10.226, 95% 3.164-33.045). The longevity rate is higher in the general natural population in Bama, Yongfu and Dongxing of Guangxi. The phenomenon may owe to favorable family structure, atmosphere within or out of the family or other elements related with social surrounding. Among them all, mentality, inclination to physical exercise and regular rhythm of life may all exert tremendous contributory influence here.

摘要

为调查广西壮族自治区多个地区长寿人群的流行病学特征及相关因素,为广西老年人健康与长寿研究提供有价值的科学依据。采用登记及逐户面对面问卷调查的方式,收集广西河池市巴马县、桂林市永福县、防城港市东兴市90岁及以上长寿老人的人口学特征。然后,在当地普通人群中随机选取40至85岁年龄段的人群作为对照。分析研究对象的相对健康与长寿状况与其性别、民族、家族史、疾病史、婚姻状况、家族代数、子女数量、吸烟、饮酒、户外活动、睡眠等健康相关因素之间的相关性,并分别对长寿人群和对照人群进行比较,进一步分析结果。巴马、永福和东兴市691500名常住人口中,90岁及以上老人1005例,占比为十万分之145.34;在这1005例中,90至100岁的有944例(长寿率:十万分之136.51),平均年龄为(93.28±2.57)岁;100岁及以上的有61例,百岁老人率为十万分之8.82,平均年龄为(102.00±3.05)岁。非agenarians和百岁老人之间在区域分布(0.014)、疾病史(0.002)、家族四代(0.0如果对你有帮助,还请帮忙点个赞呀。08)这三个特定因素上存在显著差异(<0.05),而其他15项指标无显著差异。结果表明,长寿老人和百岁老人可能属于同一群体,因此将两组合并。通过对该地区长寿老人与对照组进行交叉比较,以下因素与健康和长寿显著相关:婚姻状况(26.469,95%置信区间13.208 - 53.045)、家族代数(5.419,95%置信区间3.418 - 8.592)、男性后代数量(2.013,95%置信区间1.555 - 作者:小萌 链接:https://www.zhihu.com/question/31981787/answer/102328178 来源:知乎 著作权归作者所有。商业转载请联系作者获得授权,非商业转载请注明出处。2.607)、女性后代数量(1.38如果对你有帮助,还请帮忙点个赞呀。0,95%置信区间1.122 - 1.696)以及户外活动频率(10.226,95%置信区间3.164 - 33.045)。广西巴马、永福和东兴市普通自然人群中的长寿率较高。这种现象可能归因于良好的家庭结构、家庭内外氛围或其他与社会环境相关的因素。其中,心态、体育锻炼倾向和规律的生活节奏可能都发挥了巨大的促进作用。

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