The distribution of blood pressure and associated factors of the elderly with type 2 diabetes in Jiangsu Province.
10.3760/cma.j.cn112150-20221111-01101
- Author:
Jia Hui LIU
1
;
Han Kun XIE
1
;
Jian SU
2
;
Zheng ZHU
2
;
En Chun PAN
3
;
Yan LU
4
;
Fu Ping WAN
5
;
Qing Yang YAN
6
;
Ning ZHANG
7
;
Shu Jun GU
7
;
Ming WU
2
;
Jin Yi ZHOU
2
;
Chong SHEN
1
Author Information
1. Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China.
2. Department of Non-communicable Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China.
3. Center for Disease Control and Prevention of Huai'an City, Huai'an 223002, China.
4. Department of Non-communicable Chronic Disease Control, Center for Disease Control and Prevention of Suzhou City, Suzhou 215004, China.
5. Department of Non-communicable Chronic Disease Control, Center for Disease Control and Prevention of Qingjiangpu District in Huai'an City, Huai'an 223021, China.
6. Department of Non-communicable Chronic Disease Control, Center for Disease Control and Prevention of Huai'an District in Huai'an City, Huai'an 223229, China.
7. Center for Disease Control and Prevention of Changshu and Suzhou City, Suzhou 215500, China.
- Publication Type:Journal Article
- MeSH:
Adult;
Aged;
Humans;
Male;
Female;
Middle Aged;
Aged, 80 and over;
Blood Pressure/physiology*;
Diabetes Mellitus, Type 2/epidemiology*;
Antihypertensive Agents/therapeutic use*;
Smoking;
Body Mass Index;
Hypertension/epidemiology*
- From:
Chinese Journal of Preventive Medicine
2023;57(5):614-625
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the distribution of blood pressure and analyze the associated factors of blood pressure of the elderly with type 2 diabetes in Jiangsu Province. Methods: The elderly over 60 years old participants with type 2 diabetes in the communities of Huai'an City and Changshu City, Jiangsu Province were selected in this study. They were divided into two groups: taking antihypertensive drugs and not taking antihypertensive drugs. The demographic characteristics, such as age and sex, and relevant factors were collected by questionnaire. The systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured by physical examination. The percentile of SBP and DBP in each age group of men and women were described. The kernel density estimation curve was used to show the blood pressure distribution. The trend of blood pressure with age was fitted by locally weighted regression. The logistic regression model was used to analyze relevant factors of blood pressure. Results: A total of 12 949 participants were included in this study, including 7 775 patients in the antihypertensive drug group and 5 174 patients in the group without antihypertensive drugs. The SBP of participants was concentrated at 140-160 mmHg, and their DBP was concentrated at 75-85 mmHg. There were significant differences in the distribution of blood pressure among the subgroups of body mass index (BMI) and rural areas whether taking antihypertensive drugs and not. For participants aged under 80 years old, the SBP showed an increasing trend with age and the DBP showed a decreasing trend with age. Age, BMI ≥24 kg/m2, fasting blood glucose ≥7.0 mmol/L, living in rural areas and no smoking were influencing factors of the elevated SBP; BMI ≥24 kg/m2, male, living in rural areas, no smoking, drinking alcohol and not receiving drug hypoglycemic treatment were influencing factors of the elevated DBP. Conclusion: The SBP of older diabetic adults in Jiangsu Province is at a high level, and the distribution of blood pressure is significantly different between men and women in taking antihypertensive drugs group. The SBP presents a rising trend and the DBP is decreasing at the age of 60-80 years. The blood pressure level of this population are mainly affected by age, BMI, urban and rural areas, smoking.
