Study on the status and influencing factors of comorbidity of hypertension, diabetes, and dyslipidemia among middle-aged and elderly Chinese adults
10.3760/cma.j.cn112338-20220523-00451
- VernacularTitle:中国中老年居民高血压、糖尿病和血脂异常共病现状及影响因素研究
- Author:
Ning YU
1
;
Mei ZHANG
;
Xiao ZHANG
;
Zhenping ZHAO
;
Chun LI
;
Zhengjing HUANG
;
Xingxing GAO
;
Wenrong ZHANG
;
Mengting YU
;
Yushu ZHANG
;
Xiaoqing DENG
;
Limin WANG
Author Information
1. 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室，北京 100050
- Keywords:
Hypertension;
Diabetes;
Dyslipidemia;
Comorbidity;
Influencing factors
- From:
Chinese Journal of Epidemiology
2023;44(2):196-204
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the comorbidity status and influencing factors of hypertension, diabetes, and dyslipidemia among middle-aged and elderly Chinese adults and to provide support for the "co-management of three diseases".Methods:Using the relevant information collected from the National Chronic Disease and Risk Factor Surveillance in China in 2018, 134 950 permanent residents aged ≥45 years were selected as the research objects. After being weighed, the prevalence and comorbidity of hypertension, diabetes, and dyslipidemia in residents with different groups were compared; a multivariate logistic regression model was used to explore the influencing factors of comorbidity of the "three diseases".Results:The prevalence of hypertension, diabetes, and dyslipidemia among middle-aged and elderly Chinese adults were 46.0% (95% CI:45.1%-47.0%), 19.5% (95% CI:18.7%-20.2%), 43.3% (95% CI:42.3%-44.4%), respectively. The comorbidity rates of hypertension and diabetes, hypertension and dyslipidemia, and diabetes and dyslipidemia were 12.3% (95% CI:11.7%-12.8%), 22.8% (95% CI:22.1%-23.4%),11.6% (95% CI:11.1%-12.0%), respectively; the comorbidity rate of hypertension, diabetes, and dyslipidemia was 7.6% (95% CI: 7.2%-8.0%). These comorbidity rates increased with age and BMI, which was more significant in the urban areas than rural areas and more outstanding in North and Northeast China ( P<0.05). The comorbidity rate of hypertension, diabetes, and higher cholesterol was 1.9% (95% CI:1.7%-2.1%). The comorbidity rate of hypertension, diabetes, and higher low-density lipoprotein was 1.6% (95% CI:1.4%-1.7%), which was higher in women than in men ( P<0.05). Multivariate logistic regression results showed that male, age, city, overweight/obesity, excessive drinking, physical inactivity, daily sedentary behavior time ≥5 hours, and sleep duration <7 hours were risk factors for the comorbidity of the "three diseases". Conclusions:The comorbidity of hypertension, diabetes, and dyslipidemia, is common among middle-aged and elderly adults in China; comprehensive prevention and control of risk factors and "co-management of three diseases" are critical measures for health promotion in middle-aged and elderly populations.
