Analysis Of Health Status Of 798 Community Elderly People In Daqing City

Objective:To investigate the status of obesity, hypertension, high normal blood pressure, diabetes, impaired fasting glucose, dyslipidemia, coronary heart disease and comorbidities in community elderly who participated in physical examination in Daqing, and analyze the relevant factors to provide the basis for targeted policies and interventions.Methods:Physical examination data of the resident elderly aged 60-79-year-old who volunteered to participate in physical examination in Daqing Longnan hospital. Data of seven hundred and ninety-eight volunteers were collected, including 306 men and 492 women. Volunteers’ gender, weight, waist circumference, blood pressure, fasting glucose, total cholesterol, triglyceride and hypertension, and histories of diabetes, dyslipidemia and coronary heart disease were recorded. Excel and SPSS 17.0 were used for statistical data analysis. Data were analyzed and compared with χ2 test.Results:1.Abnormality of single physical item: Detection rate of abnormal physical item was hypertension(73.81%), abdominal obesity(61.78%), overweight(40.98%),coronary heart disease(30.08%), high-normal blood pressure(22.31%), hyperlipidemia(21.93%), diabetes(16.17%), impaired fasting glucose(13.53%), and obesity(12.91%).Detection rate of dyslipidemia types, in sequence, were hypertriglyceridemia(17.54%), hypercholesterolemia(6.27%), and mixed hyperlipidemia(1.88%).2.Comorbidities: The detection rates of comorbidities, in sequence, were hypertension associated with coronary heart disease(19.55%); hypertension associated with hyperlipidemia(17.54%);hypertension associated with diabetes(11.15%); and hyperlipidemia associated with diabetes(4.01%); diabetes associated with coronary heart disease(3.51%); hypertension, diabetes, yperlipidemia associated with each other(3.01%); hypertension, diabetes, hyperlipidemia and coronary heart disease associated with each other(0.50%).3.Comparison between the male and female: The detection rate of overweight was 45.75% and 38.01% respectively, and higher in males than females(x2=4.677,P=0.031); The detection rate of hypertension was 79.41% and 70.33%, respectively, and higher in males than females(x2=8.058,P=0.005). The detection rate of abdominal obesity was 52.94% and 67.28% respectively, and higher in females than males(x2=16.419,P<0.001); The detection rate of high-normal blood pressure was 17.97% and 25.00%, respectively, and higher in females than males(x2=5.374,P=0.020); The detection rateof hypercholesterolemia was 3.59% and 7.93% respectively, and higher in females than males(x2=6.028,P=0.014); The detection rates of coronary heart disease were 22.55% and 34.76%, respectively, with female’s higher than male’s(x2=13.368,P<0.001).4.The detection rates of high-normal blood pressure in the low-weight, normal-weight, overweight/obese subjects were 33.33%, 27.06%, 17.91% respectively, with a statistical difference(x2=10.856,P=0.004); hypertension detection rates in those were 61.90%, 67.72%, 79.30% respectively, with a statistical difference(x2=14.900,P=0.001); hypertriglyceridemia detection rates in those were 4.76%,13.83%,21.16% respectively, with a statistical difference( x2=9.568,P=0.008);detection rates of hypertension associated with hyperlipidemia were 19.05%,13.26%,20.93% respectively, with a statistical difference(x2= 7.851,P=0.020).5. The detection rates of hypertension in subjects with normal waist circumference and abdominal obesity were 69.84% and 76.27% respectively,and the detection rate was higher in those with abdominal obesity than in those with normal waist circumference(x2=4.032,P=0.045);The detection rates of hypertriglyceridemia were 13.77% and 19.88% respectively,and the detection rate was higher in those with abdominal obesity than in those with normal waist circumference(x2=4.859,P=0.027); The detection rates of hypertension associated with hyperlipidemia were 13.77% and 19.88% respectively, and the detection rate was higher in those with abdominal obesity than in those with normal waist circumference(x2=4.859,P=0.027); The detection rates of concomitant hypertension, diabetes and hyperlipidemia were 1.31% and 4.06% respectively, and the detection rate was higher in those with abdominal obesity than in those with normal waist circumference(x2=4.868,P=0.027).Conclusions:1. The elderly would suffer metabolic disorders and chronic diseases at varying degrees, including overweight, obesity, abdominal obesity, high-normal blood pressure, hypertension, abnormal fasting glucose, diabetes, dyslipidemia, coronary heart disease and other changes. The elderly was a high-risk population of metabolic disorders and chronic diseases.2. The body mass index could affect the prevalence rates of hypertension, hypertriglyceridemia and comorbidity of hypertension and hyperlipidemia; Abdominal obesity could affect the prevalence rate of hypertension, hypertriglyceridemia, comorbidity of hypertension and hyperlipidemia, and concomitant development of hypertension associated, diabetes and hyperlipidemia. Controlling overweight and obesity, especially abdominal obesity, should be an important part of primary prevention for cardiovascular diseases.3. Risk factors of cardiovascular disease intensively clustered in elderly people, with high detection rate. Chronic disease management and comprehensive intervention should be strengthened.4. In the population with normal weight and normal waist circumference, there is also a certain percentage of risk factors. Control of multiple risk factors should be taken as the current optimal strategy for the prevention of cardiovascular diseases.