1.Related Factors of Congestive Heart Failure in Elderly Female Patients
Tiehui XIAO ; Shiwen WANG ; Yanming CHEN ; Qi CHEN ; Xinyong ZHANG ; Qinglei ZHU ; Yang LI
Chinese Journal of Rehabilitation Theory and Practice 2007;13(5):469-470
Objective To analyze the related factors of congestive heart failure (CHF) in elderly female patients. Methods 39 female patients aged over 60-year-old with chronic CHF were divided into two groups according to the cardiac functional grading. Historical features and data were compared between two groups by single factor and multifactorial regression analysis.Results There were differences between two groups in hemoglobin concentration, serum creatinine, incidence of chronic kidney disease and anemia (P<0.01), but no obvious difference between two groups in morbidity of hypertension and diabetes. And it was n by multifactorial regression analysis showed that hemoglobin concentration, serum creatinine, incidence of chronic kidney disease and anemia could not be in regression equation. Conclusion The hemoglobin concentration, serum creatinine, incidence of chronic kidney disease and anemia may associated with degree of congestive heart failure.
2.Association between sedentary life style and risks of metabolic syndrome and diabetes mellitus type 2
Ying YE ; Wenling ZHONG ; Xiuquan LIN ; Shuguang LIN ; Xi LIN ; Xiaoqing LI ; Tiehui CHEN
Chinese Journal of Epidemiology 2014;35(11):1235-1240
Objective To explore the association of sedentary life style with risk of metabolic syndrome (MS) and diabetes mellitus type 2 (T2DM).Methods A total of 6 016 local residents aged 18 years or older in Fujian province were recruited by multi-stage stratified cluster sampling method in 2010-2011.Data,including demographic information,physical activity and sedentary time were collected.Indices related to height,weight,waist circumference,blood pressure and blood lipid were determined while MS and T2DM were diagnosed by IDF (2005) and WHO (1999) criteria.Logistic regression was used to estimate the correlations between sedentary behavior and MS or T2DM.Results The prevalence rates of MS and T2DM were 19.0% and 8.0% respectively,in local residents aged 18 years or older,in Fujian province.The overall rate of sedentary behavior was 18.1%,with the mean sedentary time as 4.3 hours.Both data showed significantly differences (P<0.001) among control group,MS without T2DM group,MS with T2DM group and T2DM without MS group.Compared with the group of sedentary time <2.0 h/d,1) the group with 2.0-3.5 h/d was significantly correlated with MT group (OR=1.44,95% CI:1.03-2.03,P<0.05),2) groups of 3.5-6.0 h/d and ≥6.0 h/d were significantly correlated with M,T,MT group,respectively (OR:1.49-1.76 and 1.28-1.58 respectively,95% CI:1.19-2.45 and 1.02-2.23 respectively,P< 0.05),and 3) sedentary behavior was independently associated with an increased risk of MT group (OR=1.82,95% CI:1.33-2.48,P<0.01) and M group (OR=1.43,95%CI:1.14-1.78,P<0.01),after the adjustment for factors as age,sex,cigarette smoking,alcohol drinking,BMI,education,occupation,sedentary behavior/sedentary time.Conclusion MS and T2DM were associated with sedentary lifestyle,but these findings should be confirmed through further longitudinal studies.
3.Blood pressure control and influencing factors in hypertension patients with metabolic syndrome
Xin FANG ; Wenling ZHONG ; Ling YU ; Ze YANG ; Xiuquan LIN ; Tiehui CHEN
Chinese Journal of Epidemiology 2020;41(9):1514-1517
Objective:To investigate the blood pressure control and its influencing factors in hypertension patients with MS.Methods:Between January 2017 and December 2018, more than 78 000 residents aged 35-75 years selected through convenient sampling were invited to participant in China Patient-Centered Evaluative Assessment of Cardiac Event Million Persons Project in Fujian province, physical and laboratory tests were conducted for them, and their basic information were recorded. A total of 5 281 hypertension patients with MS were included in the study.Results:The treatment rate of hypertension patients with MS was 55.5%, and the control rate was 7.2%. The control rate was higher in patients who were older, women, had advanced education level, had history or family history of cardiovascular disease. The results of multivariate analysis indicated that living area (urban or rural), cardiovascular history, diabetes, urine protein, BMI had impacts on both treatment and control of hypertension. Family history of cardiovascular disease, age, self-management of hypertension, dyslipidemia, waist circumference and drinking had impacts on the treatments, and gender had effects on the control.Conclusions:The treatment rate of hypertension patients with MS was unsatisfactory and the control rate was low. Intervention should be strengthened in rural area, males and young age groups, and activity of self-management group of hypertension should be conducted regularly.