Prevalence of autonomic dysfunction and its influencing factors in Chinese elderly

Wenzheng HU; Shuai Liu; Jinghuan Gan; Xiaoshan DU; Han Zhu; Xiyu LI; Zhihong Shi; Yong JI

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Prevalence of autonomic dysfunction and its influencing factors in Chinese elderly

VernacularTitle: 老年人自主神经功能障碍的患病率及其影响因素研究
Author: Wenzheng HU ¹ ; Shuai LIU ^{1
,

2} ; Jinghuan GAN ¹ ; Xiaoshan DU ¹ ; Han ZHU ¹ ; Xiyu LI ¹ ; Zhihong SHI ³ ; Yong JI ^{3
,

4}
Author Information

1. Graduate School of Tianjin Medical University, Tianjin 300070, China
2. Department of Neurology, Tianjin Huanhu Hospital, Tianjin 300350, China
3. Department of Neurology, Tianjin Huanhu Hospital, Tianjin 300350, China
4. Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China
Publication Type:Journal Article
Keywords: Autonomic nervous system diseases; Prevalence; Epidemiologic factors; Cross-sectional studies
From: Chinese Journal of Geriatrics 2019;38(12):1408-1412
CountryChina
Language:Chinese
Abstract: Objective:To investigate the prevalence of autonomic dysfunction and its influencing factors in the elderly in Jizhou community of Tianjin.
Methods:By using a cross-sectional study, a questionnaire survey was conducted in the elderly in order to investigate the prevalence of autonomic dysfunction and its influencing factors.
Results:A total of 1 292 elderly patients were enrolled.Of them, 196 cases had autonomic dysfunction(15.2%, 196/1 292). The main symptoms of autonomic dysfunction were frequent urination, urination urgency, urination incontinence(19.7%, 255/1 292)and constipation(15.9%, 205/1 292). Multivariate Logistic regression analysis showed that women(OR=1.808, 95%CI: 1.253~2.607), 75-85 years of age(OR=1.573, 95%CI: 1.109~2.232), general anesthesia history(OR=1.552, 95%CI: 1.044~2.307), sleep disorders(OR=2.906, 95%CI: 1.506~2.916), diabetes(OR=1.791, 95%CI: 1.197~2.678)and headache(OR=2.589, 95%CI: 1.482~4.520)were risk factors for autonomic dysfunction.
Conclusions:The prevalence of autonomic dysfunction is high in the elderly in Jizhou community of Tianjin city.It is necessary to pay great attention to potential risk factors of autonomic dysfunction in the elderly.And the autonomic dysfunction symptoms should be diagnosed and treated as early as possible.