摘要
目的:调查绝经后女性肌少症的患病率,并分析其影响因素。方法:选取2023年1至9月于河南中医药大学第一附属医院体检中心体检的388例绝经后女性为研究对象,采用一般资料调查表、肌少症筛查量表、微型营养评定简表(MNA-SF)、国际身体活动短问卷对受试者进行评估,采用Logistic回归分析肌少症的影响因素。结果:388例绝经后女性中76例(19.6%)被诊断为肌少症。绝经时间≥10 a、合并骨质疏松、雌激素替代治疗、维生素D摄入≥3次/周、MNA-SF得分、高体力活动水平是绝经后女性肌少症发生的影响因素,OR(95%CI)分别为3.167(1.316~7.622)、2.175(1.117~4.233)、0.310(0.147~0.651)、0.214(0.086~0.533)、0.771(0.657~0.906)、0.226(0.095~0.536)。结论:绝经后女性肌少症患病率较高,绝经时间≥10 a、合并骨质疏松、营养不良是其高危因素,雌激素替代治疗、维生素D摄入≥3次/周、高体力活动水平是其保护因素。
To survey the situation of sarcopenia in postmenopausal women and explore the influencing factors.Methods:From January to September 2023,388 postmenopausal women from Physical Examination Center of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine were selected as the research subjects.The subjects were evaluated by general information questionnaire,screening scale for sarcopenia,mini-nutrition assessment short form(MNA-SF)and international physical activity short questionnaire,and the influencing factors of sarcopenia were analyzed by Logistic regression.Results:Out of 388 postmenopausal women,76(19.6%)were diagnosed as sarcopenia.Menopausal years≥10 years,osteoporosis,estrogen replacement therapy,vitamin D intake≥3 times/week,MNA-SF score and high physical activity level were influencing factors for sarcopenia in postmenopausal women,with OR(95%CI)of 3.167(1.316-7.622,2).175(1.117-4.233),0.310(0.147-0.651),0.214(0.086-0.533),0.771(0.657-0.906),0.226(0.095-0.536),respectively.Conclusion:The incidence of sarcopenia in postmenopausal women is high.The menopause years≥10 years,osteoporosis and malnutrition are risk factors for sarcopenia,and estrogen replacement therapy,vitamin D intake≥3 times/week and high physical activity level are protective factors.
作者
周一帆
张勇勤
孟长海
张世远
张琦
江英婵
ZHOU Yifan;ZHANG Yongqin;MENG Changhai;ZHANG Shiyuan;ZHANG Qi;JIANG Yingchan(Department of Nursing,the Affiliated Zhengzhou Central Hospital,Zhengzhou University,Zhengzhou 450007;School of Nursing,Henan University of Traditional Chinese Medicine,Zhengzhou 450046;Department of Endocrinology,the First Affiliated Hospital,Henan University of Traditional Chinese Medicine,Zhengzhou 450000;Department of Endocrinology,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052)
出处
《郑州大学学报(医学版)》
北大核心
2025年第5期723-726,共4页
Journal of Zhengzhou University(Medical Sciences)
关键词
绝经后女性
肌少症
影响因素
postmenopausal woman
sarcopenia
influencing factor