Prevalence of atherosclerotic cardiovascular disease in patients with type 2 diabetes and risk assessment of its occurrence in the next 10 years
10.3969/j.issn.1006-2483.2023.03.020
- VernacularTitle:2型糖尿病患者发生/并发动脉粥样硬化性心血管疾病的患病率及未来10年发生风险评估
- Author:
Hongwen PEI
1
;
Zhuzhi ZHANG
1
;
Hong LYU
1
Author Information
1. Department of Cardiology , Tianshui Hospital of Integrated Traditional Chinese and Western Medicine , Tianshui , Gansu 741020 , China
- Publication Type:Journal Article
- Keywords:
T2DM;
Cardiovascular disease;
Risk assessment
- From:
Journal of Public Health and Preventive Medicine
2023;34(3):93-97
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the prevalence of ASCVD in adult with type 2 diabetes (T2DM) in Tianshui City and assess the incidence risk in the next 10 years, so as to provide a theoretical basis for the prevention and treatment of ASCVD. Methods A total of 904 T2DM patients aged 20~88 years admitted in the cardiology department of Tianshui Hospital from May 2018 to June 2022 were grouped according to physical index (BMI), blood pressure, triglyceride (TG) ，glycosylated hemoglobin (HbA1c) and serum levels of asprosin and the risk of ASCVD by China-PAR model. Results The prevalence of ASCVD in adults with T2DM was 36.06%, and there were significant differences in the prevalence of ASCVD between different gender, hypertension grade, BMI and serum albumin (P<0.05).China PAR risk prediction model shows that the risk of ASCVD in 10 years increases with the increase of BMI, hypertension stage, serum albumin and HbA1c levels; the number of high-risk ASCVD patients in the next 10 years will increase with male, abnormal BMI, the increase of serum albumin and TG expression levels, and the difference was statistically significant (P<0.05). The results of multiple logistic regression showed that the risk factors of ASCVD in 10 years were serum white adipose level>310 pg/mL （OR=2.873, 95% CI:2.332-4.103), grade 3 hypertension （OR=1.726, 95% CI:1.281-1.981) and BMI>24（OR>1.5）. Conclusion The occurrence of ASCVD in T2DM patients is related to a variety of factors , it is very important to control the serum albumin , BMI , hypertension to reduce the incidence rate of ASCVD within 10 years.
