Analysis Of Health Status Of 1626 Community Middle-aged And Elderly People In Qiqihar City

Objective:To analyze diabetes, impaired fasting glucose, blood pressure, high-normal blood pressure, obesity, hyperlipemia, fatty liver disease, coronary heart disease, chronic disease and comorbidities in middle-aged and elderly people, so as to provide foundations for targeted policies and interventions.Methods: Data of the middle-aged and elderly people who were 45 years to 79 years old and volunteered in the healthy physical examination from April to July 2015 at Qiqihar City Second Hospital was reviewed. In total the data of 1626 people was collected, of which 668 were male and 938 were female, all were Han nationality. Data was recorded of age, sex, blood pressure, weight, waistline, triglyceride(TG),total cholesterol(TC), fasting blood glucose, fatty liver disease, diabetes history, hypertension history, and coronary heart disease history. Excel was used for data entry, SPSS17.0 for Statistical analysis. Count data were compared by χ2 test and rank test.Results:1.Detection rates of abnormal single physical item were hypertension(65.9%), abdominal obesity(62.7%), fatty liver disease(49.2%), overweight(42.6%), coronary heart disease(26.8%), prehypertension(24.1%), dyslipidemia(23.6%), diabetes(17.0%), impaired fasting glucose(13.8%), obesity(13.5%).Detection rates for types of lipid abnormality were hypertriglyceridemia(16.5%), hypercholesterolemia(9.2%), mix-type hyperlipemia(2.1%).2.Comorbidity: detection rates of comorbidities were hypertension concomitant with coronary heart disease(16.3%), hypertension concomitant with diabetes(10.7%), diabetes concomitant with coronary heart disease(3.4%), hypertension concomitant with diabetes and coronary heart disease(2.2%).3.Comparison by age: Detection rates of single test in the population from 45 to 59 years old, 60 to 69, 70 to 79, were respectively 33.7%, 72.5% and 72.4% for hypertensioin, respectively 30.4%, 22.6% and 23.0% for prehypertension, respectively 4.0%, 9.0% and 15.0% for isolated systolic hypertension, respectively 7.3%, 18.3% and 30.2% for increased pulse pressure, respectively 49.8%, 54.9% and 40.3% for fatty liver diseases, respectively 14.7%, 28.0% and 31.0% for coronary heart disease, respectively 42.5%, 46.7% and 36.4% for overweight, respectively 12.1%, 16.0% and 10.6% for obesity, respectively 57.9%, 66.6% and 59.2% for abdominal obesity, respectively 5.5%, 17.1% and 20.6% for hypertension concomitant with coronary heart disease, and respectively 5.5%, 11.7% and 11.9% for hypertension concomitant with diabetes. The difference was statistically significant(P<0.05 or P<0.001).4.Comparison by gender and age: there were differences in detection rates of hypertension, prehypertension, isolated systolic hypertension, diabetes, impaired fasting glucose, hypertriglyceridemia, hypercholesteremia, mix-type hyperlipemia, fatty liver disease, coronary heart disease, overweight, abdomical obesity, hypertension concomitant with coronary heart disease, hypertension concomitant with diabetes in middle-aged group(45-49) and elderly group(60-79).5.Comparison by weight: detection rates of hypertension in overweight/obesity, weight normal, and low weight group were respectively 70.8%, 59.3%, and 65.9%; hypertriglyceridemia respectively 19.6% 12.9% and 4.9%; mixed type hyperlipemia respectively 3%, 1.0 % and not detected; fatty liver disease respectively 66.4%, 28.8%, and not detected, with statistically significant difference(P<0.05 or P<0.001).6.Comparison by body shapes: detection rates of hypertension in abdominal obesity, normal waist circumstance group were rate respectively 68.6% and 61.4%; hypertriglyceridemia respectively 18.4% and 13.3%; fatty liver disease respectively62.8% and 26.4%; hypertension concomitant with diabetes respectively 11.9% and 8.7%, they were all higher in abdominal obesity group than normal waist circumstance group(P <0.05 or P <0.001).Conclusions:1. The 1626 middle-aged and elderly people who participated in the physical exams in community of Qiqihaer city have different degrees of metabolic abnormalities and chronic diseases. It was shown that hypertension(65.9%), prehypertension(24.1%), diabetes(17.0%), impaired fasting glucose(13.8%), hypertriglyceridemia(16.5%), hypercholesterolemia(9.2%), mix-type hyperlipemia(2.1%), overweight(42.6%), obesity(13.5%),abdominal obesity(62.7%), fatty liver disease(49.2%), coronary heart disease(26.8%), hypertension concomitant with coronary heart disease(16.3%), hypertension concomitant with diabetes(10.7%), diabetes concomitant with coronary heart disease(3.4%), hypertension concomitant with diabetes and coronary heart disease(2.2%).2. Male’s metabolic abnormalities and the detection rate of chronic diseases were different with female, not only in middle-aged but also in elderly group. With age increasing, detection rates of hypertension, systolic hypertension, increased pulse pressure, coronary heart disease, concomitant cardiovascular diseases were on the rise.3. Body mass index is association with hypertension, hypertriglyceridemia and fatty liver disease. Abdominal obesity is association with hypertension, hypertriglyceridemia, fatty liver disease and hypertension concomitant with diabetes.4. In population with normal weight and normal waist circumstance, there is the clustering of cardiovascular risk factors at a certain percentage.