Su H B, Ni X L, Wang Z P, Zhang L, Pang G F, Lyu Y, Zhang W, Yuan H P, Sun L, Yang Z, Hu C Y
Department of Prevention and Health Protection, Jiangbin Hospital, Guangxi Zhuang Autonomous Region, Nanning 530021, 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；Graduate School of Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2021 Jan 10;42(1):106-112. doi: 10.3760/cma.j.cn112338-20200422-00624.
To explore the epidemiologic characteristics of long-lived population and influencing factors in Shanglin county of Guangxi and provide scientific basis for the study of health and longevity in Guangxi. We collected and analyzed the general demographic cross-sectional data of the long-lived individuals (≥90 years old) in 11 villages and towns by multi-source registration and face-to-face interview. The age group control design was adopted to conduct a comparison among the longevity group (90-100 years old), centenarian group (≥100 years old), the longevity plus centenarian group and control group (local population aged 40-85 years), and identify the factors related to longevity. Among the 496 007 people registered in Shanglin, 1 533 were aged ≥90 years, including 1 453 in the longevity group, with an average age of (92.84±2.46) years, and 80 in the centenarian group, with an average age of (102.67±2.60) years. The spatial distribution of long-lived individuals and centenarians was mainly in the north and central areas, and sparse in southwest area. Analysis on factors related to health and longevity indicated that old people with Zhuang ethnic (=1.551,95%:1.308-1.838), married (=55.507,95%:36.087-85.377) and moderately high waist-to-hip ratio (=258.056,95%:27.775-2 397.569), and SBP (=1.019,95%:1.013-1.026) tended to live longer. We found that the rate of longevity in Shanglin was higher than the average level in Guangxi and China. Longevity in Shanglin country had unique spatial and population distribution characterics of female longevity more than male longevity, mainly Zhuang ethnic and so on. Being women, married, family history of longevity, appropriate high waist-to-hip ratio, SBP and blood sugar level might be positive factors for longevity in Shanglin, but the impacts of other factors on longevity need further study.
为探究广西上林县长寿人群的流行病学特征及其影响因素，为广西健康长寿研究提供科学依据。我们通过多源登记和面对面访谈，收集并分析了11个乡镇长寿个体（≥90岁）的一般人口学横断面数据。采用年龄组对照设计，对长寿组（90 - 100岁）、百岁老人组（≥100岁）、长寿加百岁老人组和对照组（当地40 - 85岁人群）进行比较，确定与长寿相关的因素。上林县登记的496007人中，≥90岁者有1533人，其中长寿组1453人，平均年龄为（92.84±2.46）岁，百岁老人组80人，平均年龄为（102.67±2.60）岁。长寿个体和百岁老人的空间分布主要集中在北部和中部地区，西南部地区较为稀疏。健康长寿相关因素分析表明，壮族老人（=1.551,95%:1.308 - 1.838）、已婚（=55.507,95%:36.087 - 85.377）、腰臀比适度偏高（=258.056,95%:27.775 - 2397.569）以及收缩压（=1.019,95%:1.013 - 1.026）者往往寿命更长。我们发现上林县的长寿率高于广西和全国平均水平。上林县长寿具有独特的空间和人群分布特征，女性长寿多于男性长寿，主要为壮族等。女性、已婚、长寿家族史、适度偏高的腰臀比、收缩压和血糖水平可能是上林县长寿的积极因素，但其他因素对长寿的影响有待进一步研究。
