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中文摘要: 摘 要 ：目的：分析2024年浙江省海宁市袁花镇≥65岁老年人的健康体检结果，了解该人群常见慢性病的患病情 况、分布特征及影响因素，为制定社区老年人健康管理策略提供依据。方法：采用横断面研究方法，对2024年5 — 9月参 加健康体检的9284名≥65岁袁花镇常住老年人的体检结果进行分析。采用x² 检验和二元logistic 回归模型进行统计分 析。结果：9284名老年人的平均年龄约为72岁。体检异常率排名前5位的指标分别为血压异常(77. 13%)、腹部B 超异常 (62.45%)、血脂异常(54.48%)、体质指数( BMI) 异常(48. 13%)和心电图异常(44.64%)。多因素分析结果显示，超重/肥 胖 ( BMI≥24kg/m²) 是血压、血糖、血脂、尿酸异常及脂肪肝的共同危险因素； BMI≥24kg/m², 女性，血压、尿酸、血 糖、血脂异常老年人患脂肪肝的风险增加。结论：袁花镇社区老年人慢性病患病率较高，尤其是高血压、血脂异常和超重/ 肥胖问题突出，且多种健康指标间存在复杂的关联。应针对不同特征人群开展以体重和代谢管理为核心的综合性精准化社区 健康干预。
Abstract:Abstract: OBJECTIVE To analyze the health examination results of older adults aged≥65 years in Yuanhua Town of Haining in Zhejiang Province in 2024,to understand the prevalence,distribution characteristics,and influencing factors of common chronic diseases in this population,and to provide a basis for formulating community-based health management strategies for older adults. METHODS A cross-sectional study design was employed to analyze the health examination result of 9,284 permanent residents aged 65 years and older who participated in health examinations between May and September 2024 of Yuanhua Town.Statistical analysis was performed using the x²test and binary logistic regression mode.RESULTS A total of 9,284 elderly individuals were included in this study,with a mean age of approximately 72 years.The top five abnormal health indicators were abnormal blood pressure(77.13%), abnormal abdominal ultrasound(62.45%),abnormal blood lipids(54.48%),abnormal body mass index(BMI)(48.13%),and abnormal electrocardiogram(44.64%).Multivariate analysis result revealed that overweight/obesity(BMI≥24kg/m²)was a common risk factor for abnormalities in blood pressure,blood glucose,blood lipids,uric acid,and fatty liver.Elderly individuals with a BMI ≥24kg/m²,female sex,or abnormalities in blood pressure,uricacid,glucose,or blood lipids are at an increased risk of developing fatty liver disease. CONCLUSION The prevalence of chronic diseases among the elderly in Yuanhua Town was high,with hypertension, dyslipidemia,and overweight/obesity being particularly prominent issues.Furthermore,complex associations exist among various health indicators.Comprehensive and targeted community health interventions centered on weight and metabolic management should be implemented for populations with different characteristics.
keywords: Keywords: health examination elderly chronic diseases influencing factors community health management
文章编号：3202410003 中图分类号：R194 文献标志码：
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| 作者 | 单位 |
| 关晓玥1,赵天旺2 |
| Author Name | Affiliation |
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