中国老年人群中感觉功能障碍与心脏代谢共病的关联：基于中国健康与养老追踪调查的横断面研究
Association between sensory impairment and cardiometabolic multimorbidity among older Chinese adults: a cross-sectional study based on the China Health and Retirement Longitudinal Study.
作者信息
Xi Jing, Niu Kewen, Xu Jiaqi, Lu Yangyang, Li Xinjie, Meng Hongyan, Li Chun
机构信息
Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, 215006, China.
School of Nursing, Suzhou Medical College of Soochow University, No.1 Shi zi Street, Suzhou, Jiangsu, 215006, China.
出版信息
BMC Geriatr. 2025 Jul 26;25(1):548. doi: 10.1186/s12877-025-06140-z.
BACKGROUND
Sensory impairments and cardiometabolic multimorbidity (CMM) are prevalent age-related conditions that significantly impact the health of older adults. Understanding whether sensory impairments are risk factors for CMM is crucial for developing effective intervention strategies and public health policies. This study aimed to investigate the associations between sensory impairments and CMM among older Chinese adults.
METHODS
Data were obtained from the 2018 wave of the China Health and Retirement Longitudinal Study (CHARLS). Participants aged 60 years and above were included. Sensory impairments and CMM were assessed with self-reporting methods. Binary logistic regression was used to evaluate the associations between sensory impairments and CMM. Subgroup analyses were conducted to explore the interactions between the sensory impairment–CMM association and sociodemographic, lifestyle, and psychological factors.
RESULTS
A total of 8334 participants were included in the analysis. After adjusting for potential covariates, no significant association was found between single sensory impairment and CMM. However, dual sensory impairment (DSI) was significantly associated with an increased risk of CMM (adjusted odds ratio [OR]: 1.862, 95% Confidence Interval [CI]: 1.387-2.500). Subgroup analyses revealed no significant interactions between sensory impairments and CMM across sociodemographic, lifestyle, or psychological variables.
CONCLUSIONS
This study highlights a significant association between DSI and CMM in older adults. The results advocate for the incorporation of sensory impairment assessments into the clinical assessment of CMM risk and the integration of intervention strategies such as sensory rehabilitation to enhance vision and hearing function in the management of CMM. We also recommend governments and health agencies to increase resource allocation towards hearing and vision healthcare services for older adults with CMM.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1186/s12877-025-06140-z.
背景
感觉障碍和心脏代谢多重疾病（CMM）是常见的与年龄相关的病症，会对老年人的健康产生重大影响。了解感觉障碍是否为CMM的风险因素对于制定有效的干预策略和公共卫生政策至关重要。本研究旨在调查中国老年人群中感觉障碍与CMM之间的关联。
方法
数据来自中国健康与养老追踪调查（CHARLS）2018年的调查数据。纳入60岁及以上的参与者。采用自我报告法评估感觉障碍和CMM。使用二元逻辑回归评估感觉障碍与CMM之间的关联。进行亚组分析以探讨感觉障碍与CMM关联和社会人口学、生活方式及心理因素之间的相互作用。
结果
共有8334名参与者纳入分析。在调整潜在协变量后，未发现单一感觉障碍与CMM之间存在显著关联。然而，双重感觉障碍（DSI）与CMM风险增加显著相关（调整后的比值比[OR]：1.862，95%置信区间[CI]：1.387 - 2.500）。亚组分析显示，在社会人口学、生活方式或心理变量方面，感觉障碍与CMM之间无显著相互作用。
结论
本研究强调了老年人中DSI与CMM之间存在显著关联。研究结果主张将感觉障碍评估纳入CMM风险的临床评估，并在CMM管理中整合诸如感觉康复等干预策略，以改善视力和听力功能。我们还建议政府和卫生机构增加对患有CMM的老年人听力和视力保健服务的资源分配。
补充信息
在线版本包含可在10.1186/s12877 - 025 - 06140 - z获取的补充材料。
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