Diet and lifestyle factors influencing comorbidity of cardiovascular disease in elderly diabetic patients in community
10.3969/j.issn.1006-2483.2025.04.031
- VernacularTitle:社区老年人糖尿病合并心血管疾病共病的膳食和生活方式影响因素
- Author:
Yawen HE
1
,
2
,
3
,
4
;
Tongneng XUE
1
,
2
,
3
,
4
;
Yu CHEN
1
,
2
,
3
,
4
Author Information
1. Department of Cardiology , Huai'
2. an First People'
3. s Hospita l, Nanjing Medical University , Huai'
4. an , Jiangsu 223001 , China
- Publication Type:Journal Article
- Keywords:
Community-dwelling elderly;
Diabetes mellitus;
Cardiovascular disease;
Comorbidity;
Diet and lifestyle
- From:
Journal of Public Health and Preventive Medicine
2025;36(4):137-140
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of diet and lifestyle on cardiovascular comorbidity in elderly diabetic patients in community. Methods A total of 437 elderly patients with diabetes mellitus in a community of Huai'an City were divided into comorbidity group and non-comorbidity group according to the presence or absence of cardiovascular comorbidity. Dietary and lifestyle data were collected by self-designed questionnaires. The differences between the two groups were compared. Multivariate logistic regression was used to analyze the influencing factors of comorbidity of diabetes mellitus with cardiovascular disease. Results Among the surveyed patients, 184 (42.11%) had at least one comorbidity of cardiovascular disease, with the most common diseases being hypertension in 93 patients (21.28%), coronary heart disease in 71 patients (16.25%), and stroke in 42 patients (9.61%). Multivariate logistic regression analysis showed that: the risk of comorbidity in the male group was 1.528 times higher than that in the female group; the risk of comorbidity among individuals with inadequate carbohydrate intake was 1.520 times higher than that of individuals with adequate carbohydrate intake; the risk of comorbidity in the group with smoking history > 30 years was 1.299 times higher than that in the group ≤ 30 years; the risk of comorbidity was 49.80% lower in the group with tea preference than that in the group without tea preference; and the risk of comorbidity in the group not meeting the standard for exercise was 1.492 times higher than that in the group meeting the standard for exercise. All these differences were statistically significant (P<0.05). Conclusion The comorbidity of cardiovascular disease in elderly diabetic patients in community should not be ignored, and targeted dietary and lifestyle interventions are helpful for the prevention and control of comorbidity.
