太原市城区826名老年人智力影响因素流行病学研究

薛梅珍; 曲成毅; 苗茂华; 魏莉华; 马育林; 杨左华

Abstract

薛梅珍,曲成毅,苗茂华,魏莉华,马育林,杨左华.太原市城区826名老年人智力影响因素流行病学研究[J].Chinese journal of Epidemiology,2004,25(3):237-239

太原市城区826名老年人智力影响因素流行病学研究

Factors influencing intelligence in elderly population in a community-based study in Taiyuan city

Received:January 29, 2003

DOI：

KeyWord: 智力老年人痴呆,老年性

English Key Word: Intelligence Aged Dementia senile

FundProject:

Author Name	Affiliation	E-mail
XUE Mei-zhen	Department of Medicine, Hospital of Shanxi Cool-chamistry institude, The Chinese Academy of Science. Taiyuan 030001, China
QU Cheng-yi	山西医科大学公共卫生学院流行病学教研室	quc-y@public.ty.sx.cn
WIAO Mao-hua	山西医科大学公共卫生学院流行病学教研室
WEI Li-hua	山西医科大学第一医院神经内科
MA Yu-lin	太原机车车辆厂职工医院内科
YANG Zuo-hua	太原重型机器厂职工医院内科

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Abstract:

目的<\b> 了解太原市城区老年人智力衰退现况及其影响因素。方法<\b> 采用韦氏成人智力测量表及希-内学习能力测验量表逐人测定830名>60岁社区老年人智力,调查个人生活方式、健康状况、家庭和社会活动等104个项目,采用因子分析、逐步回归分析、典型相关分析筛选与老年人智力相关的影响因素。结果<\b> 逐步回归分析在界值0.05时引入第一因子语言理解回归方程的主要变量是蛋类食品、血压、水果、子女往来、饮酒（标准回归系数分别为:-0.118、-0.079、-0.060、-0.036、-0.117）;第二因子知觉组织相关的变量是文体活动、智力障碍遗传史（标准回归系数分别为0.035、-0.127）;第三因子记忆注意力相关的变量为接触有害化学物质、父母育龄、饮酒、夫妻关系等（标准回归系数分别为-0.063、0.055、-0.030、-0.037）。与反映老年人智力的典型变量V₁有较大相关系数的变量为文化程度低、工人（典型相关系数=0.5993,P=0.0001）;典型变量V₂有较大相关系数的变量为曾患脑血管病（典型相关系数=0.3925,P=0.0005）。结论<\b> 经常从事脑力活动、和谐的家庭生活、预防各种脑血管疾病是防止老年人智力衰退的主要手段。

English Abstract:

Objective<\b> To explore the factors which influencing the intelligence in elderly in a community, so as to provide reference on primary prevention of dementia. Methods<\b> A door to door survey was conducted. A total number of 830 elderly were assessed using WAIS-RC, H-NTLA and data collected through questionnaires on lifestyles, family and social activity were analysed, using the factor analysis, stepwise regression and canonical correlation analysis. Results<\b> The main variables related to the verbal were eggs diet, blood presure, fruit, visit their children, alcohol intake (standard coefficients of regression are -- 0. 118, -- 0. 079, -- 0. 060, -- 0. 036, -- 0. 117, respectively). The main variables related to cognition were recreation, sports and hereditary history of mental disorders (standard coefficients of regression wer 0. 035, -- 0. 127, respectively). The main variables related to memory were contact to chemica materials, age of their parents during delivery, alcohol intake and the relationship between husband and wife (standard coefficients of regression were -- 0. 063, 0. 055, -- 0. 030, -- 0. 037, respectively). The variables related to canonical variable V_1 Would include education and occupation (canonical correlation = 0. 5993, P = 0. 0001) while V_2 would include cerebrovascular accident (canonical correlation = 0. 3925, P = 0. 0005). Conclusion<\b> Intelligent work, family harmony, prevention of cerebrovascular diseases were the main areas to prevent intellectual disability in the elderly.

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