南京市老年人群高血压合并糖尿病的流行特征

doi:10.3969/j.issn.1003-9198.2022.08.011

摘要/Abstract

摘要： 目的了解南京市60岁及以上老年人群高血压合并糖尿病的患病情况和流行特征,为老年人群慢性病的精准防控提供参考依据。方法于2017年4~10月,采用多阶段分层整群抽样方法在南京市抽取20 883名≥60岁居民作为调查对象,对其进行问卷调查、体格检查以及实验室检测。结局变量为已诊断和新发现的高血压、糖尿病,采用χ²检验分析不同人群疾病患病率的差异。结果南京市老年人群高血压患病率为59.0%(95%CI:0.584~0.597),糖尿病患病率为28.7%(95%CI:0.281~0.293),高血压和糖尿病共病的患病率为20.7%(95%CI:0.202~0.213)。不同年龄、性别、居住地、BMI、文化程度、民族、体力活动情况、医保类型人群的高血压和糖尿病共病患病率差异均有统计学意义(P＜0.05)。在新发现的高血压和糖尿病共病病人中,不同居住地、BMI、医保类型人群的患病率差异有统计学意义(P＜0.05)。结论南京市老年人群高血压和糖尿病及其共病的患病率较高,可重点关注城区居住、超重或肥胖及使用职工医保的老年人群。

关键词: 高血压, 糖尿病, 共病, 老年人, 流行特征

Abstract: Objective To investigate the prevalence and distribution characteristics of hypertension combined with diabetes among the elderly people in Nanjing. Methods From April to October 2017, 20 883 regular residents aged ≥60 years old were selected in Nanjing by multistage stratified cluster sampling method, and they were investigated by general information questionnaire, physical examination and laboratory examination. The outcome variables were diagnosed and newly-identified hypertension and diabetes. The differences in the prevalence of hypertension and diabetes among the different sub-populations were analyzed. Results The prevalence of hypertension and diabetes in the elderly population of Nanjing was 59.0% (95%CI:0.584-0.597) and 28.7% (95%CI:0.281-0.293), respectively; While the prevalence of comorbidity of hypertension and diabetes was 20.7% (95%CI:0.202-0.213). There were significant differences in the prevalence of comorbidity of hypertension and diabetes among the elderly with different age, gender, place of residence, body mass index (BMI), education level, ethnicity, physical activity situation and medical insurance types (P<0.05). Among the newly discovered patients with the comorbidity of hypertension and diabetes, there were significant difference in the prevalence among the elderly with different place of residence, BMI and medical insurance types (P<0.05). Conclusions The prevalence of hypertension, diabetes and their co-morbidities are high in the elderly population of Nanjing. We should pay attention to the elderly who live in urban, being overweight or obese and using employee medical insurance.

Key words: hypertension, diabetes, comorbidity, aged, epidemiological characteristics

中图分类号:

姚铸玲, 王志勇, 熊亚晴, 徐斐. 南京市老年人群高血压合并糖尿病的流行特征[J]. 实用老年医学, 2022, 36(8): 796-800.

YAO Zhu-ling, WANG Zhi-yong, XIONG Ya-qing, XU Fei. Epidemiological characteristics of hypertension combined with diabetes among the elderly people in Nanjing, China[J]. Practical Geriatrics, 2022, 36(8): 796-800.

参考文献

[1] 刘月姣. 《中国居民营养与慢性病状况报告(2020年)》[J]. 中国食物与营养, 2020, 26(12):2.
[2] 国家统计局. 国务院第七次全国人口普查领导小组办公室. 第七次全国人口普查公报(第五号)[EB/OL]. (2021-05-11)[2021-08-01] . http://www.stats.gov.cn/ztjc/zdtjgz/zgrkpc/dqcrkpc/ggl/202105/t20210519_1817698.html.
[3] TINETTI M E, FRIED T R, BOYD C M. Designing health care for the most common chronic condition-multimorbidity[J]. JAMA, 2012, 307(23):2493-2494.
[4] 曹丰, 王亚斌, 薛万国, 等. 中国老年疾病临床多中心报告[J]. 中华老年多器官疾病杂志, 2018, 17(11):801-808.
[5] 朱仁敏, 赵慧华. 老年患者共病现状及其健康管理的研究进展[J]. 护士进修杂志, 2020, 35(6):521-524.
[6] 黄毓, 樊春笋, 施亚男. 基于CLHLS项目2018年横断面数据的高龄人群高血压、糖尿病患病率及相关因素研究[J]. 实用临床医药杂志, 2021, 25(2):49-53.
[7] 《中国高血压基层管理指南》修订委员会. 中国高血压基层管理指南(2014年修订版)[J]. 临床荟萃, 2015, 30(7):725-744.
[8] 中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版)[J]. 中华糖尿病杂志, 2018, 10(1):4-67.
[9] KAKINAMI L, WISSA R, KHAN R, et al. The association between income and leisure-time physical activity is moderated by utilitarian lifestyles: a nationally representative US population (NHANES 1999-2014)[J]. Prev Med, 2018, 113:147-152.
[10] 侯宜坦, 江冬冬, 刘晓君, 等. 武汉市社区老年人慢性病共病现状及相关因素分析[J]. 中国公共卫生, 2020, 36(11):1604-1607.
[11] 崔娟, 毛凡, 王志会. 中国老年居民多种慢性病共存状况分析[J]. 中国公共卫生, 2016, 32(1):66-69.
[12] 王醴湘, 樊萌语, 余灿清, 等. 中国成年人体质指数与主要慢性病死亡风险的前瞻性研究[J]. 中华流行病学杂志, 2017, 38(2):205-211.
[13] FAUZIANA R, JEYAGURUNATHAN A, ABDIN E, et al. Body mass index, waist-hip ratio and risk of chronic medical condition in the elderly population: results from the Well-being of the Singapore Elderly (WiSE) Study[J]. BMC Geriatr, 2016, 16:125.
[14] SALEHINIA F, ABDI H, HADAEGH F, et al. Abdominal obesity phenotypes and incident diabetes over 12 years of follow-up: the Tehran Lipid and Glucose Study[J]. Diabetes Res Clin Pract, 2018, 144:17-24.
[15] 刘晓迪, 修璟威, 李欣阳, 等. 中国中老年人群高血压患病影响因素分析[J]. 中国公共卫生, 2018, 34(6):795-797.
[16] SAADEDDINE D, ITANI L, KREIDIEH D, et al. Association between levels of physical activity, sarcopenia, type 2 diabetes and the quality of life of elderly people in community dwellings in Lebanon[J]. Geriatrics, 2021, 6(1):28.
[17] 任亚萍, 柏品清, 胡卉, 等. 上海市浦东新区老年居民膳食模式与慢性病的相关性分析[J]. 职业与健康, 2021, 37(3):342-346.
[18] HU D S, SUN L, FU P Y, et al. Prevalence and risk factors for type 2 diabetes mellitus in the Chinese adult population: the InterASIA Study[J]. Diabetes Res Clin Prac, 2009, 84(3):288-295.
[19] 杜彦斌, 吕媛, 洪秀琴, 等. 中国人群糖尿病患病影响因素meta分析[J]. 中国公共卫生, 2020, 36(9):1378-1383.