广西壮族自治区南宁市上林地区长寿人群分布特征和影响因素研究

苏华斌; 倪晓琳; 王钊平; 张丽; 庞国防; 吕渊; 张为; 原慧萍; 孙亮; 杨泽; 胡才友

Abstract

苏华斌,倪晓琳,王钊平,张丽,庞国防,吕渊,张为,原慧萍,孙亮,杨泽,胡才友.广西壮族自治区南宁市上林地区长寿人群分布特征和影响因素研究[J].Chinese journal of Epidemiology,2021,42(1):106-112

广西壮族自治区南宁市上林地区长寿人群分布特征和影响因素研究

Analysis of distribution characteristics and influencing factors of healthy and long-lived people in Shanglin area of Nanning, Guangxi Zhuang Autonomous Region

Received:April 22, 2020

DOI：10.3760/cma.j.cn112338-20200422-00624

KeyWord: 长寿流行特征横断面研究保护因素

English Key Word: Longevity Epidemiologic characteristics Cross-sectional study Protective factors

FundProject:国家自然科学基金（9184910151，81870552，81400790，81460203，3176029，81571385，91849132，81872096）；国家重点研发计划（2018YFC2000400）；广西自然科学基金（2014GXNSFDA118028，2018GXNSFAA138156，桂科自0991198）；广西壮族自治区卫生和计划生育委员会自筹经费科研课题（Z20170162）；北京医院创新项目（BJ-2018-139）；中国医学科学院研究院基金（2018RC330003）

Author Name	Affiliation	E-mail
Su Huabin	Department of Prevention and Health Protection, Jiangbin Hospital, Guangxi Zhuang Autonomous Region, Nanning 530021, China
Ni Xiaolin	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
Wang Zhaoping	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
Zhang Li	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
Pang Guofang	Neurological Department, Jiangbin Hospital, Guangxi Zhuang Autonomous Region, Nanning 530021, China
Lyu Yuan	Neurological Department, Jiangbin Hospital, Guangxi Zhuang Autonomous Region, Nanning 530021, China
Zhang Wei	Neurological Department, Jiangbin Hospital, Guangxi Zhuang Autonomous Region, Nanning 530021, China
Yuan Huiping	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
Sun Liang	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
Yang Ze	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
Hu Caiyou	Neurological Department, Jiangbin Hospital, Guangxi Zhuang Autonomous Region, Nanning 530021, China	cyhu.hua@163.com

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Abstract:

目的阐明广西南宁市上林地区长寿人群的特征分布以及影响因素，为广西壮族自治区的长寿研究提供科学依据。方法采用多来源登记和入户面询的方法，收集和分析上林地区11个乡镇的长寿老人（≥ 90岁）的一般人口学横断面资料；采用年龄组对照设计，分别对长寿老人（≥ 90岁且<100岁）和百岁老人（≥ 100岁）、长寿+百岁和当地40~85岁自然人群即对照组进行比较，分析与长寿相关的因素。结果纳入上林地区登记的≥ 90岁老年人1 533例，其中长寿组1 453例，年龄（92.84±2.46）岁，长寿率为292.94/10万；百岁组80例，年龄（102.67±2.60）岁，百岁率为16.13/10万。长寿和百岁老人的空间分布均呈现中部北部聚集，西南部稀疏的特点。壮族（OR=1.551，95%CI：1.308~1.838）、已婚（OR=55.507，95%CI：36.087~85.377）和适度偏高的腰臀比（OR=258.056，95%CI：27.775~2 397.569）及SBP（OR=1.019，95%CI：1.013~1.026）的老年人更倾向于长寿。结论研究发现上林地区长寿老人比率高于广西壮族自治区和全国平均水平，女性长寿多于男性，以壮族为主，且存在其特有的空间和人群分布特征；女性、壮族、已婚、适当偏高的腰臀比及SBP可能有益于该地区人群长寿，但其他因素对长寿的影响值得深入研究。

English Abstract:

Objective 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. Methods 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. Results 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 (OR=1.551,95%CI:1.308-1.838), married (OR=55.507,95%CI:36.087-85.377) and moderately high waist-to-hip ratio (OR=258.056,95%CI:27.775-2 397.569), and SBP (OR=1.019,95%CI:1.013-1.026) tended to live longer. Conclusions 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.

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