摘要
目的探讨年龄、人体成分及实验室指标等对不同性别老年人群静息能量消耗(resting energy expenditure,REE)的影响。方法选择235例在我院参加体检的老年人,其中男72例,女163例。所有纳入对象进行REE测定,生物电阻抗法分析人体成分。同时,采集年龄、生化常规、血常规、肿瘤标志物等检测结果,并分析上述指标与REE的相关性。结果老年男性REE为(1261.80±235.48)kcal/24 h,老年女性为(1043.12±169.96)kcal/24 h,差异有统计学意义(P<0.001)。老年男性的年龄、HDL-C、Hb、身高、体质量、BMI、体脂肪、腹部肥胖程度、肥胖控制、肌肉控制、臀围与REE存在相关性(P<0.05);老年女性的LDL-C、红细胞、身高、体质量、BMI、体脂肪、体脂百分比、内脏脂肪面积、腹部肥胖程度、肥胖控制、胸围、臀围、骨骼肌、去脂体质量、肌肉控制、细胞内外液与REE存在相关性(P<0.05)。多元回归分析提示,老年男性的年龄和体质量对REE存在显著影响(P<0.05),老年女性则是体质量和骨骼肌(P<0.05)。结论无论男女,体质量都是老年人群REE的独立影响因素,老年女性更需要重视骨骼肌对REE的影响。
Objective To explore the effects of age,human body composition and laboratory indexes on resting energy expenditure(REE)in the elderly people of different genders.Methods A total of 235 elderly people(72 male cases,163 female cases)who participated in medical physical examination in our hospital were enrolled.The level of REE was mearsured,and the bioelectrical impedance method was used to analyze the body composition in all cases.Meanwhile,age,biochemical parameters,blood routine and tumor markers were observed and the influence of the above indicators on REE in the elderly people of different genders was analyzed.Results The level of REE of the men was 1261.80±235.48 kcal/24 h,compared with and the difference was statistically significant 1043.12±169.96 kcal/24 h in the elderly women(P<0.01).Age,high density lipoprotein cholesterol,hemoglobin,height,weight,body mass index(BMI),body fat,abdominal obesity,obesity control,muscle control and hip circumference were correlated with REE in the elderly men(P<0.05).While REE was associated with low density lipoprotein cholesterol,red blood cell,height,weight,BMI,body fat,body fat percentage,visceral fat area,abdominal obesity,obesity control,chest and hip circumference,skeletal muscle,fat loss weight,muscle control,intracellular and extracellular fluid in the elderly women(P<0.05).Multivariate regression analysis showed that age and weight had significant influence on REE in the elderly men(P<0.05),while weight and skeletal muscle were risk factors in the elderly women(P<0.05).Conclusions Body weight is an independent factor affecting REE in both elderly men and women,elderly women need to pay more attention to the influence of skeletal muscle.
作者
单清
包云
张舒
SHAN Qing;BAO Yun;ZHANG Shu(Department of Geriatrics,the Affiliated Hospital of Yangzhou University,Yangzhou 225009,China;Department of Clinical Nutrition,the Affiliated Hospital of Yangzhou University,Yangzhou 225009,China)
出处
《实用老年医学》
CAS
2020年第2期155-158,共4页
Practical Geriatrics
基金
老年临床营养研究项目基金(2017005D)
关键词
老年人
性别
静息能量消耗
人体成分
aged
gender
resting energy expenditure
body composition
