Trends in the prevalence and patterns of cardiometabolic multimorbidity in Beijing, 2005—2022
10.3760/cma.j.cn311282-20250206-00054
- VernacularTitle:2005—2022年北京市心血管代谢性共病流行特征及变化趋势
- Author:
Aijuan MA
1
;
Gang LI
;
Jiayu WANG
;
Chen XIE
;
Bo JIANG
;
Li NIE
;
Yingqi WEI
;
Kai FANG
;
Jin XIE
;
Zhong DONG
;
Jun LYU
;
Liming LI
Author Information
1. 北京大学公共卫生学院流行病与卫生统计学系，北京 100091
- Publication Type:Journal Article
- Keywords:
Cardiovascular diseases;
Multimorbidity;
Hypertension;
Diabetes
- From:
Chinese Journal of Endocrinology and Metabolism
2025;41(7):561-569
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the prevalence trends and epidemiological characteristics of cardiometabolic multimorbidity(CMM) in Beijing from 2005 to 2022.Methods:A series of representative cross-sectional surveys were conducted in Beijing between 2005 and 2022 using a stratified multistage cluster random sampling method. A total of 110 496 permanent residents aged 18-79 years participated in face-to-face interviews, physical examinations, and laboratory testing. Complex sampling logistic regression models were employed to identify factors associated with CMM, and Joinpoint regression was used to assess temporal trends in prevalence. Results:The prevalence of CMM was 22.3% in 2005 and 24.3% in 2022, with an average annual percent change of 0.1%(95% CI -1.3%-1.3%, P>0.05). In rural areas, the prevalence increased by 1.3% per year(95% CI 0.2%-2.6%, P<0.05), while among obese individuals, it decreased by 1.0% annually( P<0.05). The most common CMM patterns were hypertension combined with dyslipidemia(13.2%), hypertension combined with diabetes(7.0%), and diabetes combined with dyslipidemia(5.8%). The prevalence of hypertension and dyslipidemia comorbidity showed a long-term decline among females, those aged 60-79 and obese individuals( P<0.05). In contrast, the prevalence of hypertension and diabetes comorbidity increased over time in rural residents and individuals with normal body weight( P<0.05). Furthermore, diabetes and dyslipidemia comorbidity rates increased significantly among males, adults aged 18-59 years, those with a college education or above, rural residents and individuals with normal body weight( P<0.05). Multivariable logistic regression indicated that male, older age, overweight, obese, and lower education level were independently associated with a higher risk of CMM( P<0.05). Conclusion:From 2005 to 2022, the prevalence of CMM remained high among adults in Beijing. While prevalence decreased among obese individuals, it increased significantly in rural areas. Hypertension combined with dyslipidemia was the most common multimorbidity pattern throughout the study period.
