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題名 | 臺灣老人補充鈣片習慣調查及服用習慣改變之相關因素分析=Factors Associated with Changes in Habitual Intake of Calcium Supplements among the Elderly in Taiwan |
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作者 | 王用亨; 許凱倫; 顏啟華; 陳宣志; 陳俊傑; 高寬容; 李孟智; Wang, Yung-heng; Sheu, Kai-lun; Yen, Chi-hua; Chen, Shiuan-chih; Chen, Chun-chieh; Kao, Kuan-zon; Lee, Meng-chih; |
期刊 | 臺灣老年醫學暨老年學雜誌 |
出版日期 | 20091100 |
卷期 | 4:4 2009.11[民98.11] |
頁次 | 頁231-242 |
分類號 | 412.86 |
語文 | chi |
關鍵詞 | 鈣質補充; 老年人; 健康行為; 改變; Calcium supplement; Elderly; Health behavior; |
中文摘要 | 背景:鈣質的攝取及補充對於老年人骨質疏鬆及髖骨骨折或脊椎壓迫性骨折等具有預防效果,亦有研究指出可以預防大腸直腸癌及大腸腺瘤的復發。本論文希望探討台灣老年人服用鈣片以補充鈣質攝取習慣改變的情況與可能影響因素以做為臨床參考。 方法:根據國民健康局台灣老年人營養及健康調查進行分析。以 1999年的資料中年齡 70歲以上且並未服用鈣片的 1,393位老人為研究對象,分析其本身的健康行為、罹病狀況、經濟狀況等因素,經四年追蹤至 2003年觀察是否有開始服用鈣片習慣的改變。經過卡方檢定後所得到具有顯著意義的自變項納入,然後進行多變項邏輯回歸分析。 結果:服用鈣片的盛行率於 1999年時為 14.7%而在 2003年時為 16.1%,雖有些微增加但不具顯著意義。整體而言經多變項邏輯回歸分析後,女性 (OR = 3.26 [2.20-4.80];p < 0.001)、有運動習慣(OR = 1.51 [1.03-2.21];p = 0.034)、教育程度較高者(OR = 2.17 [1.38-3.41];p = 0.001) 以及有服用維他命或礦物質習慣者 (OR = 1.90 [1.22-2.98];p = 0.005) 較有可能採取鈣片補充的行為。若以性別分層分析,則男性出現補充鈣質的行為改變經多變項邏輯式迴歸分析顯示具有顯著意義的為教育程度及曾有糖尿病病史者;女性經多變項邏輯式迴歸分析顯示,僅經濟狀況具有顯著意義。 結論:本研究顯示台灣老年人中女性、有運動習慣、教育程度較高者以及有服用維他命或礦物質習慣者較有可能採取鈣片補充的行為,此結果希望有助於瞭解老年人採取鈣質補充的意願及目的,以及攝取其他保健食品或營養補充品的行為模式。 |
英文摘要 | Background: Taking calcium supplements is a common health behavior among the elderly for prevention of osteoporosis and fractures. Furthermore, several studies have indicated that sufficient calcium intake might decrease the incidence of colon cancer. The purpose of this study was to explore the association between habitual intake of calcium supplements and background variables of the elderly in Taiwan. Methods: A population-based sample obtained from the Bureau of Health Promotion was followed from 1999 to 2003. A total of 1393 subjects (age>70) participated in this study during the 4-year follow-up. General background information was acquired via questionnaires from each participant based on current health behaviors, preexisting systemic diseases, having a habit of taking alternative medicine and nutritional supplements. The data were analyzed by logistic regression. Results: The prevalence rates of taking calcium supplements in 1999 and 2003 were 14.7% and 16.1%, respectively. Our results showed that female (OR: 3.26 [2.20-4.80], p <0.001), higher education level (OR=2.17 [1.38-3.41], p=0.001), regular exercise (OR=1.51[1.03-2.21], p=0.034), and taking multivitamins and minerals (OR=1.90 [1.22-2.98], p=0.005) were predictive factors for initiating calcium intake among the elderly in Taiwan. In the subgroup of female, only financial status showed a significant difference, whereas in the subgroup of male, education level and having diabetes mellitus were statistically significant. Conclusions: Based on the results of the 4-year follow-up of 1393 subjects from 1999 to 2003, factors associated with changes in habitual intake of calcium supplements among the elderly in Taiwan emerged to be female, higher education level, regular exercise and taking multivitamins and minerals. Surprisingly, subjects at high risk of developing osteoporosis and fractures did not start taking any calcium supplements for purpose of prevention. Therefore, our medical team should focus more on conveying the benefits of taking calcium supplements to the general public, particularly those elderly persons at high risk. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。