| Object The study was to explore the prevalence of overweight or obesity,abdominal obesity,dyslipidemia,hypertension,type 2 diabetes(hereinafter referred to as "diabetes");the rate of awareness,treatment,and control(hereinafter referred to as "three rate")of hypertension,type 2 diabetes;and the influencing factors of major chronic diseases among the elderly people in Lu'an,Anhui province,so as to provide the basis for the next step of prevention and control of major chronic diseases.Methods The cluster sampling method was used to select the 1080 elderly people in Chengbei community in Jin'an district and Beishi community in Yu'an district of Lu'an,from June to September 2016.Then the questionnaire survey and body indicators measurement was conducted face to face,and extracting the fasting venous blood for lipid and blood glucose detection.The prevalence of 5 major chronic diseases and the "three rate" of hypertension and diabetes in the community of Lu'an city were analyzed,and the influencing factors were analyzed by multiple factors non-conditional logistic regression.Results(1)The overweight or obesity rate was 50.20% for the elderly people in the communities in Lu'an.Multi-factor analysis show that,the risk of overweight or obesity among female,public institutions were 1.51,2.11 times compared to male,agroforestry;the rate of overweight or obesity in rural were lower than in cities;the risk of overweight or obesity decreased with age;the elderly people with an annual income of more than 50,000?had a lower risk of overweight or obesity than with an annual income of less than 10,000?.(2)The abdominal obesity rate was 50.49% for the elderly people in the communities in Lu'an.Multi-factor analysis showed that the risk of abdominal obesity among male,who with an annual income of more than 50,000? were 2.84 and 2.37 times compared to female and who with an annual income of less than 10,000?;dyslipidemia was associated with abdominal obesity;living in rural was the protective factors for abdominal obesity and that of the group over 80 years old was lower than that of 60-69 years old.(3)The low HDL-C rate was 1.17%,high HDL-c rate was 15.16%,high TG rate was 19.73%,high TC rate was 38.69% and total dyslipidemia rate was 51.41% in the 1029 elderly people who were effectively surveyed.Multi-factor analysis showed that,the prevalence of dyslipidemia in rural was 2.42 times higher than in urban,females higher than males,the higher education level and had hypertensive increased risk of dyslipidemia;the rate of dyslipidemia was lower in the group aged 80 and above than that in the group aged 60-69,and had higher annual income,the rate of dyslipidemia was lower.(4)The prevalence of hypertension was 73.88% in the 1049 elderly people who were effectively surveyed.Multi-factor analysis showed that,the risk of hypertension in the group with high WHR,dyslipidemia respectively was 2.17 and 1.48 times that of the group with normal WHR,normal lipid.The awareness rate of hypertension was 69.90%,treatment rate was 36.39% and control rate was 20.16%.The results of multi-factor analysis showed that,the awareness rate of hypertension was related to residence and WHR,the rural was lower than urban and the high WHR higher than the normal WHR.The treatment rate was related to residence,marital status and professional,among which,rural was lower than urban;compared with divorced/widowed,the treatment rate of married was lower;compared with agroforestry,the treatment rate of government institutions and other professions was higher.The rate of blood glucose control was related to residence,professional,annual income,diabetes,among them,rural were lower than urban;compared with agriculture,other occupations had higher blood pressure control rate,the risk of uncontrolled blood pressure increased with annual income,the blood pressure control rate of diabetic patients was higher than that of non-diabetic patients.(5)The prevalence of diabetes was 24.63% in 1011 subjects.The results of multi-factor analysis showed that,the prevalence of diabetes was related to gender,educational level and WHR,among them,female were higher than male,middle school and above were higher than primary school and below,and high WHR were higher than normal WHR.The awareness rate of diabetes was 60.08%,the treatment rate was 26.10%,and control rate was 22.27%.After adjusting for confounding factors,the awareness rate and treatment rate were all related to residence and BMI,and the awareness rate and treatment rate were all lower in rural than in urban,and overweight or obesity were lower than normal BMI.It had not been found that the included study factors had an impact on the blood glucose control rate.Conclusions The prevalence of hypertension,diabetes,overweight or obesity,abdominal obesity and dyslipidemia were high among the elderly people in Lu'an,the "three rate" of hypertension and diabetes were low.And the high prevalence rate and low "three rate" had different high-risk groups,so the prevention and control of chronic diseases should be targeted. |
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