Cardiometabolic comorbidities and epidemiological features among rural Chinese elderly people
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ORIGINAL ARTICLE
Cardiometabolic comorbidities and epidemiological features among rural Chinese elderly people Shasha Yu1 · Xiaofan Guo1 · Hongmei Yang1 · Liqiang Zheng2 · Yingxian Sun1 Received: 14 May 2019 / Accepted: 14 September 2019 © Springer Nature Switzerland AG 2019
Abstract Background China had already entered the aging society and taken up the largest number of elderly among the world. Aims We intend to estimate cardiometabolic comorbidities situation among elderly coming from rural China. Methods We conducted a survey during 2012 to 2013 which enrolled 1744 elderly from rural Northeast China. Data regarding the demographic and lifestyle characteristics and the blood biochemical indexes of these participants were collected by well-trained personnel. Results Data in this study shows that the prevalence of hypertension, diabetes, dyslipidemia, obesity, stroke and hyperuricemia was 74.8%, 14.9%, 67.4%, 39.9%, 18.9% and 13.1%, respectively. Female had significantly higher prevalence of dyslipidemia (79.3% vs. 55.9%), diabetes (18.4% vs. 11.4%) and obesity (42.1% vs. 37.7%) than male. Elder subjects (> 75 years) had higher prevalence of hypertension (80.4% vs. 73.4%) than younger ones (65–75 years) while obesity was more prevalent among younger subjects (41.4% vs. 34.1%). Multivariate logistic regression revealed that moderate physical activity and current smoking show beneficial effect on cardiometabolic comorbidities. Higher family income (> 20, 000 CNY/year) was risk factor of diabetes and obesity only while sleep duration between 7 and 8 h/day and married status were risk factors for hypertension only. Current drinking increases the risk of hypertension and dyslipidemia but as protective factor for obesity and stroke. Conclusion The prevalence of cardiometabolic comorbidities among was high among rural elderly from China. Physical activity, current smoking and drinking, family income, sleep duration and married status were associated with cardiometabolic comorbidities. Metabolic screen was recommended in the older subjects in rural China. Keywords Prevalence · Cardiometabolic comorbidities · Rural · Elderly
Introduction With the improvements in medical prevention and treatment and living environments, the pace of population aging has increased dramatically. Furthermore, the aging transition is more dramatic in less-developed countries [1]. The sixth nationwide population census conducted by the Chinese government in 2010 reported that over 118 million Chinese were over 65 years old, accounting for 8.87% of the total population [2]. China had already entered the aging * Yingxian Sun [email protected] 1
Department of Cardiology, The First Hospital of China Medical University, Shenyang, Liaoning, China
Department of Clinical Epidemiology, Shenjing Hospital of China Medical University, Shenyang, Liaoning, China
2
society and accounted for the largest number of elderly people worldwide. Nearly half of the 202 million elderly individuals had noncommunicable diseases (NCDs), and NCDs be
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