广州市从化地区老年人健康增龄实现状况分析

doi:10.12183/j.scjpm.2025.0503

华南预防医学 ›› 2025, Vol. 51 ›› Issue (5): 503-507.doi: 10.12183/j.scjpm.2025.0503

广州市从化地区老年人健康增龄实现状况分析

李建华^1,2, 熊倩灵³, 杨嘉璐³, 莫凯明⁴, 刘志剑⁵, 曾国纬⁶, 柳雁³, 夏敏³

1.中山大学公共卫生学院,广东广州 510080;
2.广州市从化区卫生健康局;
3.广东省营养膳食与健康重点实验室,中山大学公共卫生学院营养与食品卫生学系;
4.广州市从化区鳌头镇中心卫生院;
5.广州市从化区鳌头镇龙潭卫生院;
6.广州市从化区温泉镇卫生院

收稿日期:2024-10-15 发布日期:2025-06-27
通讯作者: 夏敏,E-mail：xiamin@mail.sysu.edu.cn
作者简介:李建华（1979—）,女,硕士研究生,副主任医师,研究方向为公共卫生
基金资助:
国家重点研发计划（2022YFC3600600）

Healthy aging achievement of the elderly in Conghua District, Guangzhou, China

LI Jianhua^1,2, XIONG Qianling³, YANG Jialu³, MO Kaiming⁴, LIU Zhijian⁵, ZENG Guowei⁶, LIU Yan³, XIA Min³

1. School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510080, China;
2. Health Bureau of Conghua District, Guangzhou;
3. Guangdong Provincial Key Laboratory of Food, Nutrition, and Health, Department of Nutrition, School of Public Health, Sun Yat-sen University;
4. Aotou Town Central Health Center, Conghua District, Guangzhou;
5. Aotou Town Longtan Health Center, Conghua District, Guangzhou;
6. Wenquan Town Health Center, Conghua District, Guangzhou

Received:2024-10-15 Published:2025-06-27

摘要/Abstract

摘要： 目的评估广州市从化地区老年人群健康增龄目标的实现情况,探讨不同亚组人群在健康增龄目标实现方面的差异,为制定针对性健康管理策略、促进老年人群健康增龄提供科学依据。方法 2023年7—9月采用整群随机抽样方法,对广州市从化区鳌头镇中心卫生院、龙潭卫生院、温泉镇卫生院及其管辖区域内接受健康调查的老年人进行调查。采用logistic回归模型评估5项健康指标（收缩压、最大肺活量、血肌酐、空腹血糖、心率）及总体健康增龄状态在调整年龄和性别后的实现情况,并采用多元logistic回归模型分析不同亚组（性别、年龄、家庭年收入、独居状态）人群在健康增龄目标实现方面的差异。结果共纳入1 455名广州市从化地区年龄≥60岁的老年人,男性635人,占43.64%。调整年龄和性别后的总体健康增龄目标的实现占比为9.46%（95% CI：7.92%~11.26%）,空腹血糖达标率最高（39.14%,95% CI：36.64%~41.69%）,收缩压最低（27.57%,95% CI：25.31%~29.95%）。亚组分析结果显示,年龄≥70岁、家庭年收入≥30 000元和独居老年人健康增龄目标达标比例显著降低（P <0.05）,而性别亚组及所有亚组在心率和空腹血糖目标的实现差异无统计学意义（P>0.05）。结论广州市从化地区老年人总体健康增龄目标的实现比例较低,高龄、中高收入及独居老年人在实现健康增龄目标方面面临更大挑战,需针对不同亚组特点制定个性化健康支持策略,以提升老年人整体健康水平和生活质量。

关键词: 健康增龄, 老年人群, 健康指标, 亚组分析, 健康管理

Abstract: Objective To evaluate the achievement of healthy aging goals in the elderly population of Conghua District, Guangzhou, and to explore differences in the achievement of these goals across various subgroups, providing a scientific basis for developing targeted health management strategies to promote healthy aging. Methods From July to September 2023, a cluster random sampling method was used to survey elderly individuals aged ≥60 years who underwent health assessments at the Aotou Town Central Health Center, Longtan Health Center, and Wenquan Town Health Center in Conghua District, Guangzhou. Logistic regression was used to assess the achievement of five health indicators (systolic blood pressure, maximum vital capacity, serum creatinine, fasting blood glucose, heart rate) and overall healthy aging status, adjusted for age and gender. Multivariate logistic regression models were employed to analyze differences in the achievement of healthy aging goals across subgroups (gender, age, annual household income, living alone status). Results A total of 1 455 elderly individuals were included, with 635 males (43.64%). The overall achievement of healthy aging goals, adjusted for age and gender, was 9.46% (95% CI: 7.92%-11.26%). Fasting blood glucose had the highest compliance rate (39.14%, 95% CI: 36.64%-41.69%), while systolic blood pressure had the lowest (27.57%, 95% CI: 25.31%-29.95%). Subgroup analysis revealed significantly lower compliance in individuals aged ≥70 years, with an annual household income ≥30 000 yuan, and those living alone (P<0.05). No significant differences were observed in gender subgroups or across all subgroups regarding the achievement of heart rate and fasting blood glucose targets (P>0.05). Conclusions The overall achievement of healthy aging goals in the elderly population of Conghua District, Guangzhou, is low. Elderly individuals who are older, have middle-to-high incomes, or live alone face greater challenges in achieving these goals. Personalized health support strategies tailored to the characteristics of different subgroups are needed to enhance the overall health and quality of life of the elderly.

Key words: Healthy aging, Elderly population, Health indicators, Subgroup analysis, Health management

中图分类号:

R195.2

李建华, 熊倩灵, 杨嘉璐, 莫凯明, 刘志剑, 曾国纬, 柳雁, 夏敏. 广州市从化地区老年人健康增龄实现状况分析[J]. 华南预防医学, 2025, 51(5): 503-507.

LI Jianhua, XIONG Qianling, YANG Jialu, MO Kaiming, LIU Zhijian, ZENG Guowei, LIU Yan, XIA Min. Healthy aging achievement of the elderly in Conghua District, Guangzhou, China[J]. South China Journal of Preventive Medicine, 2025, 51(5): 503-507.

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广州市从化地区老年人健康增龄实现状况分析

Healthy aging achievement of the elderly in Conghua District, Guangzhou, China

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