老人日常活動能力與心血管疾病危險因子相關性之研究：以中興新村為例

Association between Activities of Daily Living and Cardiovascular Risk Factors in Elderly People in Chung-Shing-Shin-Tseun Community

林正介(Cheng-Chieh Lin) ； 李采娟(Tsai-Chung Li) ； 賴世偉(Shih-Wei Lai) ； 李佳霙(Chia-Ing Li) ； 王國哲(Kuo-Che Wang) ； 劉文斌(Wen-Pin Liu) ； 賴明美(Ming-May Lai) ； 劉秋松(Chiu-Shong Liu)

《中華民國復健醫學會雜誌》 28卷1期 (2000/03) Pp. 11-17

摘要

為了瞭解老人日常活動能力有障礙者的盛行率和此障礙者與心血管疾病危險因子之相關性，於1998年5月以1774個設籍於中興新村之六十五歲或以上的老人進行橫斷式研究，共有1093人完成問卷調查，完成率為61.6%。總共有586人同時完成抽血檢查與問卷調查，本次研究即以這586人為基礎。其中男生佔66.2%，女生佔33.8%，平均年齡為73.1±5.3歲。老人日常活動能力有障礙者的盛行率為9.22%。在控制其他變項之後，以多變項羅吉斯迥歸分析來看，80歲或以上的老人日常活動能力有障礙的勝算比是65-69歲老人的3.28倍（95%信賴區間為1.29-8.40）。血糖值偏高的老人，其日常活動能力有障礙的勝算比是無糖尿病病史且血糖值正常者的2.75倍（95%信賴區間為1.25-6.05）。我們得到以下結論，年齡越高者及血糖值偏高者是老人日常活動能力有障礙的危險因子，因此越早發現糖尿病並將血糖值控制在正常範圍，以減少日常活動能力的障礙，進而提供老人更好的生活品質是非常重要的。

關鍵字

老人 ； 日常活動能力 ； 心血管疾病危險因子

並列摘要

In order to understand the prevalence of limitation in activities of daily living in elderly people and the relationship between limitation in activities of daily living and the cardiovascular risk factors among elderly people, we conducted a cross-sectional study in Chung-Shing-Shin-Tseun community of Taiwan in May 1998. All of individuals aged 65 and over were collected. A total of 1093 persons, out of a 1774 registered residents, finished questionnaires. The response rate was 61.6%. However, only 586 respondents had blood tests and completed questionnaires. Analysis in this study was based on these 586 subjects. Our results showed that 66.2% were men and 33.8% were women.The mean age was 73.1±5.3 years. The prevalence of limitation in activities of daily living in elderly people was 9.22%. After controlling the other covariates, the multivariate logistic regression analysis showed that the significant related factors of limitation in activities of daily living were aged 80 or more (odds ratio = 3.28, 95% confidence interval = 1.29-8.40) and hyperglycemia (odds ratio = 2.75, 95% confidence interval = 1.25-6.05). In our conclusion, the older age and the hyperglycemia are risk factors for limitation in activities of daily living in elderly people. Therefore, maintaining normal serum glucose will reduce the probability of limitation in activities of daily living in elderly people.

並列關鍵字

elderly ； activities of daily living ； cardiovascular risk factors