【摘要】 目的 了解华南区域老年人的健康老龄化分布特征及其影响因素，为促进科学健康老龄化提供依据。方法 基于华南区域自然人群慢性病前瞻性队列的基线数据，采用多重线性回归模型探讨健康老龄化评分的影响因素。结果 23 837名华南区域老年人年龄60～89岁，平均年龄（67.3±5.5）岁，男性占36.6%。健康老龄化水平不健康者4 623例（19.4%），中等健康15 936例（66.9%），最健康3 278名（13.8%）。多重线性回归分析结果显示，年龄较高（β’=0.280）、女性（β’=0.024）、家庭成员数量≥3人（β’=0.015、0.049）、睡眠时长<7 h(β’=0.018)或睡眠时长>8 h(β’=0.033)、BMI较高（β’=0.187）与较高的健康老龄化评分正相关，而高教育水平（β’=-0.050）、年收入>3万元（β’=-0.057）、无业/退休状态（β’=-0.044）、中高强度体力活动（均β’=-0.029）、步行时间增加（β’=-0.046）、低频率红肉摄入（β’=-0.016）与较高的健康老龄化评分负相关（P<0.05）。结论 华南区域女性整体健康老龄化水平较低，中高强度体力活动、步行时间、睡眠时长、膳食模式、BMI等是华南区域老年人群健康老龄化水平的重要可改变因素。更多还原

【Abstract】 Objective To investigate the distribution and determinants of healthy aging among the elderly in the South China region, thereby providing a scientific basis for promoting healthy aging. Methods Utilizing baseline data from a prospective cohort study on chronic diseases in a natural population of South China, a multiple linear regression model was employed to explore the factors influencing healthy aging scores. Results The study included 23 837 elderly individuals aged 60-89 years, with a mean age of(67.3±5.5) years; males constituted 36.6% of the cohort. The distribution of healthy aging status was as follows: 4 623(19.4%) were classified as unhealthy, 15 936(66.9%) as moderately healthy, and 3 278(13.8%) as optimally healthy. The multiple linear regression analysis revealed that older age(β’=0.280), female sex(β’=0.024), household size ≥3 persons(β’=0.015, 0.049), sleep duration <7 hours(β’=0.018) or >8 hours(β’=0.033), and higher BMI(β’=0.187) were associated with higher healthy aging scores. Conversely, higher educational attainment(β’=-0.050), annual income >30 000 RMB(β’=-0.057), unemployment/retirement(β’=-0.044), moderate-to-vigorous physical activity(both β’=-0.029), increased walking time(β’=-0.046), and low-frequency red meat consumption(β’=-0.016) were correlated with lower healthy aging scores(P<0.05). Conclusions The overall level of healthy aging is lower among females in the South China region. Modifiable factors such as moderate-to-vigorous physical activity, walking duration, sleep duration, dietary patterns, and BMI are significant determinants of healthy aging in this elderly population.更多还原