頁籤選單縮合
題 名 | 臺灣肥胖及非肥胖老人的自覺健康狀況及其相關因子=Perceived Health Status and Its Related Factors among Elderly Population with and without Obesity in Taiwan |
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作 者 | 羅斤汎; 高敏真; 顏啟華; 陳宣志; 陳俊傑; 汪正青; 李孟智; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 3:4 2008.11[民97.11] |
頁 次 | 頁298-309 |
分類號 | 412.86 |
關鍵詞 | 老人; 自覺健康狀況; 肥胖; Elderly population; Perceived health; Obesity; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:了解台灣肥胖及非肥胖老人的自覺健康狀況及其相關因子之分佈情形及差異。 方法:本研究使用行政院衛生署國民健康局「2002年台灣地區國民健康促進知識、 態度與行為調查」資料,以台灣地區及縣市代表性15歲以上戶籍登記實住人口為訪查對 象,全部實際抽出樣本數為32,660人,全部實際完訪樣本數為26,755人,完訪率為81.9% 。本研究以樣本母群體中所有在65歲以上之肥胖(N=596)及非肥胖(N=3,343)者為對象。 結果:肥胖老人男女性分別為44.3 %及55.7%,平均年齡為72.1歲;非肥胖老人則男 女性分別為53.7 %及46.3%,平均年齡為73.3歲;肥胖老人的慢性病中,有高血壓的比例 最高(52.6%),其次依序為骨質疏鬆症、高血脂、心臟病、糖尿病、腎臟病、中風及氣喘 ;非肥胖老人的慢性病中高血壓(36.9%)所佔比例最高,其次依序為骨質疏鬆症、心 臟病、高血脂、糖尿病、腎臟病、中風及氣喘。台灣地區肥胖老人的醫療服務利用狀況 中,過去一個月看過西醫門診的比例(67.4%)高於看過中醫門診的比例(10.1%)與使 用民俗療法比例(6.4%);非肥胖老人的醫療服務利用狀況中,三者的比例略低分別是 (60.8%、8.5%與5.5%)。而以卡方檢定(Chi-Square test)比較發現肥胖老人目前自覺 健康狀況比一年前差,達顯著差異(p<0.05);在非肥胖老人也有類似發現。再以斯皮 爾曼等級相關(Spearman rank-order correlation)分析肥胖老人的自覺健康狀況及其相關 因子之相關性,發現慢性病中以高血壓、高血脂、心臟病、中風、糖尿病、骨質疏鬆症 及腎臟病與肥胖老人的自覺健康狀況有相關;而非肥胖老人的自覺健康狀況及慢性病之 相關性中,除了跟肥胖老人一樣外,還與氣喘有相關;個人健康行為方面,運動習慣與 肥胖及非肥胖老人的自覺健康狀況均有相關。用自覺健康狀況的獨立危險因子進入羅吉 斯迴歸模型發現運動行為跟肥胖老人的自覺健康狀況是相關的,有運動及非獨居的老人 有較好之自覺健康狀況。 結論:台灣肥胖及非肥胖老人自覺健康狀況均較一年前差,可見年紀衰老將伴隨身 體功能快速衰退;不管是肥胖或非肥胖老人的自覺健康狀況與某些慢性病及運動行為是 相關的,所以,當國家衛生政策擬定健康促進計畫時,慢性病的控制及培養老人運動習 慣方面也應該多加注意。 |
英文摘要 | Objectives: To explore the relationship and demographic characteristics of the perceived health status and its related factors among the elderly population with obesity and without obesity in Taiwan. Methods: This study utilized cross-sectional data from the Bureau of Health Promotion, Department of Health in Taiwan. The information was collected during the National Survey on Health Promotion Knowledge, Attitude, and Practice (HP-KAP Survey) in 2002. In the HP-KAP survey, 32,660 Taiwanese aged 15 and older were randomly selected to take part in the study and 26,755 Taiwanese (81.9%) completed the HP-KAP Survey with face-to-face interviews. The subjects participating in this study were those aged 65 or above. With obesity defined as BMI higher than 27, 596 subjects with obesity and 3,343 subjects without obesity were selected in total. Means, percentages, frequency, Chi-Square, Spearman correlation and Logistic regression were used for data analysis. Results: Chronic diseases, utilization of medical service, and lifestyle were used to analyze the data. Those variables among the elderly subjects with obesity led to the following results: gender ratio was 44.3% (male) to 55.7% (female) and the mean age was 72.1 years; those variables among the elderly subjects without obesity led to the following results: gender ratio was 53.7% (male) to 46.3% (female) and the mean age was 73.3 years. Among the 596 elderly subjects with obesity, hypertension was the most common (52.6%), followed respectively by osteoporosis (37.9%), hyperlipidemia (33.9%) , coronary heart disease (29.9%), diabetic mellitus (24.1%), renal disease (13.1%), stroke (7.1%) and asthma (6.9%). In those 3343 elderly subjects without obesity, similar sequence was observed except for coronary heart disease and hyperlipidemia. As learned from the survey, approximately 67.4% of the elderly subjects with obesity visited their physicians at least once in the past 1 month, which was more often than seeking help in Chinese medicine and alternative medicine; similar pattern was noted in the elderly subjects without obesity. Compared the perceived health status between now and one year ago, the subjects with obesity indicated that their perceived health status was getting worse. When using Spearman rank-order method to analyze the obese group, our study found prominent correlations between the current perceived health status and chronic diseases, such as hypertension, hyperlipidemia, coronary heart disease, stroke, diabetes mellitus, osteoporosis, and renal disease. Similar results were seen in the non-obese group. However, in the non-obese group additional correlation was found between asthma and the current perceived health status. When using Logistic regression, a correlation was identified in the elderly population in which those having regular exercise and not living independently usually reported a better self-perceived health status. Conclusion: Current perceived health status among the elderly population with and without obesity is worse than one year ago, indicating that aging is commonly associated with decay of physical function. Furthermore, perceived health status among the elderly population is correlated with the presence of chronic diseases as well as regular exercise. Therefore, our health care systems should be fully aware of these issues and consequently provide better control or care for those elderly patients with chronic diseases and simultaneously encourage them to participate more in regular exercise. |
本系統中英文摘要資訊取自各篇刊載內容。