深圳市老年人常见慢性病患病情况及其与体质指数或腰围的相关性

Correlation between the morbidity of common non-communicable diseases and body mass index or waist circumference in the elderly of Shenzhen city

目的了解深圳市65岁及以上老年人常见慢性病患病情况及其与体质指数或腰围的相关性,为制定区域老年人常见慢性病防控策略提供科学依据。方法于2017年4-9月采用多阶段整群随机抽样的方法,抽取深圳市罗湖区和南山区41个社区中65岁及以上老年人5 276名作为研究对象。进行问卷调查,测量身高、体重、腰围和血压,测定空腹血糖和血脂。采用SPSS 17.0统计软件进行t检验、χ~2检验和多因素logistic回归分析。结果本研究中深圳市65岁及以上老年人高血压、糖尿病和血脂异常患病率分别为51.86%、17.85%和40.16%,患有2种及以上慢性病者占30.48%。超重、肥胖及中心性肥胖患病率分别为37.43%、10.75%和37.02%。多因素logistic回归分析结果显示,调整性别、年龄和现在吸烟情况后,超重(OR=1.624,95%CI:1.433~1.840)、肥胖(OR=2.353,95%CI:1.919~2.886)和中心性肥胖(OR=1.166,95%CI:1.029~1.322)是高血压患病的危险因素,肥胖(OR=1.488,95%CI:1.176~1.883)和中心性肥胖(OR=1.260,95%CI:1.076~1.475)是糖尿病患病的危险因素,超重(OR=1.251,95%CI:1.103~1.418)和中心性肥胖(OR=1.228,95%CI:1.083~1.393)是血脂异常的危险因素,均有统计学意义(P<0.05,P<0.01)。结论深圳市65岁及以上老年人常见慢性病患病与体质指数或腰围存在相关性,应采取针对性的生活方式干预措施降低超重肥胖和中心性肥胖患病率。

Objective To investigate the correlation between the morbidity of common non-communicable diseases(NCDs) and body mass index(BMI) or waist circumference in the elderly in Shenzhen city,and to provide the scientific evidence for the prevention and control of the NCDs in the elderly.Methods From April to September in 2017,the multi-phase stratified cluster sampling method was used to randomly select 5 276 residents(≥65 years old) as the subjects from 41 communities in Luohu and Nanshan districts of Shenzhen city.The investigation was performed with designed questionnaires,physical examinations and fasting blood glucose and lipid.The t test and Chi-square test were used to analyze the data,the relationship between BMI or waist circumference and the morbidity of common NCDs was assessed by multivariable logistic regression analysis,the used software was SPSS 17.0.Results The morbidities of hypertension,diabetes and dyslipidemia in 5 276 subjects were 51.86%,17.85% and40.16%,respectively.The morbidity of patients with two or more common NCDs was 30.48%.The morbidities of overweight,obesity,and central obesity were 37.43%,10.75% and 37.02%,respectively.The multiple stepwise regression analysis showed that after adjusting gender,age and smoking,the overweight(OR=1.624,95%CI:1.433-1.840),obesity(OR=2.353,95%CI:1.919-2.886) and central obesity(OR=1.166,95%CI:1.029-1.322) were the risk factors of hypertension;the obesity(OR=1.488,95%CI:1.176-1.883) and central obesity(OR=1.260,95%CI:1.076-1.475) were the risk factors of diabetes;the overweight(OR=1.251,95%CI:1.103-1.418) and central obesity(OR=1.228,95%CI:1.083-1.393) were the risk factors of dyslipidemia,P<0.05 or P<0.01.Conclusion The morbidity of common NCDs in elderly residents(≥65 years old) of Shenzhen correlated positively to the mass index and waist circumference.The targeted intervention measures for lifestyle should be taken to reduce the morbidities of overweight,obesity and central obesity.