Objectives This paper aimed to investigate the prevalence of diabetes mellitus(DM)and explore the associated risk factors in a very elderly southwest Chinese population.Methods From September 2015 to June 2016,a cross...Objectives This paper aimed to investigate the prevalence of diabetes mellitus(DM)and explore the associated risk factors in a very elderly southwest Chinese population.Methods From September 2015 to June 2016,a cross-sectional survey was conducted to obtain a representative sample of 1,326 participants over 80 years old living in Chengdu.The presence of DM was based on fasting plasma glucose(FPG)and 2-h plasma glucose(2-h PG)levels during an oral glucose tolerance test(OGTT).A logistic regression model was used to calculate the odds ratios(ORs)and 95%confidence intervals(CIs)of the potential associated factors.Results The participants’mean age was 83.5±3.1 years.The overall prevalence of DM was 27.4%.The prevalence was higher in males(30.2%)than females(24.7%)(P=0.02).The prevalence of DM increased with body mass index(BMI)and decreased with aging.The multivariate analysis suggested that male sex(OR=1.433;95%CI,1.116–1.843),hypertension(OR=1.439;95%CI,1.079–1.936),overweight or obesity(OR=1.371;95%CI,1.023–1.834),high heart rate(≥75 beats/min;OR=1.362;95%CI,1.063–1.746),and abdominal obesity(OR=1.615;95%CI,1.216–2.149)were all significantly positively correlated with DM.However,age was negatively correlated with DM(OR=0.952;95%CI,0.916–0.989).Conclusions The prevalence of DM and newly diagnosed DM in a very elderly southwest Chinese population was high.OGTT screening should be performed regularly in people aged≥80 years to ensure timely diagnosis of DM.展开更多
The community is a necessary environment with the help of which people with mental disorders can be rehabilitated and can return to society.The WHO(World Health Organization)advocates that mental health services shoul...The community is a necessary environment with the help of which people with mental disorders can be rehabilitated and can return to society.The WHO(World Health Organization)advocates that mental health services should be available at the grassroots level and be integrated systematically into the primary healthcare(PHC)system[1].The WHO's Comprehensive Mental Health Action Plan 2013-2020 also sets one of the four objectives in community-based settings:the provisi on of comprehe nsive,in tegrated mental health and social care services[2].According to the WHO's Project Atlas,published in 2001,community care facilities for mental health exist in 63.4%of countries(n=183),covering 79.9%of the world's population[3].Specialists and researchers in numerous countries have recognized and affirmed the effectiveness of community-based management for mental disorders[4,5] associated with the reform[6,7].展开更多
The high prevalence of diabetes has become a major public health issue worldwide[1], particularly in middle-and low-income countries[2]. The prevalence of diabetes in China, the largest developing country,has more tha...The high prevalence of diabetes has become a major public health issue worldwide[1], particularly in middle-and low-income countries[2]. The prevalence of diabetes in China, the largest developing country,has more than quadrupled in recent decades, and many cases of diabetes are undiagnosed[3]. The problem with missed diabetes diagnoses is a challenge faced both by China and the rest of the world[4].展开更多
基金supported by the health projects of Chengdu Municipal Science and Technology Bureau[10YTYB272SF-182,2014-HM01-00357-SF]。
文摘Objectives This paper aimed to investigate the prevalence of diabetes mellitus(DM)and explore the associated risk factors in a very elderly southwest Chinese population.Methods From September 2015 to June 2016,a cross-sectional survey was conducted to obtain a representative sample of 1,326 participants over 80 years old living in Chengdu.The presence of DM was based on fasting plasma glucose(FPG)and 2-h plasma glucose(2-h PG)levels during an oral glucose tolerance test(OGTT).A logistic regression model was used to calculate the odds ratios(ORs)and 95%confidence intervals(CIs)of the potential associated factors.Results The participants’mean age was 83.5±3.1 years.The overall prevalence of DM was 27.4%.The prevalence was higher in males(30.2%)than females(24.7%)(P=0.02).The prevalence of DM increased with body mass index(BMI)and decreased with aging.The multivariate analysis suggested that male sex(OR=1.433;95%CI,1.116–1.843),hypertension(OR=1.439;95%CI,1.079–1.936),overweight or obesity(OR=1.371;95%CI,1.023–1.834),high heart rate(≥75 beats/min;OR=1.362;95%CI,1.063–1.746),and abdominal obesity(OR=1.615;95%CI,1.216–2.149)were all significantly positively correlated with DM.However,age was negatively correlated with DM(OR=0.952;95%CI,0.916–0.989).Conclusions The prevalence of DM and newly diagnosed DM in a very elderly southwest Chinese population was high.OGTT screening should be performed regularly in people aged≥80 years to ensure timely diagnosis of DM.
文摘The community is a necessary environment with the help of which people with mental disorders can be rehabilitated and can return to society.The WHO(World Health Organization)advocates that mental health services should be available at the grassroots level and be integrated systematically into the primary healthcare(PHC)system[1].The WHO's Comprehensive Mental Health Action Plan 2013-2020 also sets one of the four objectives in community-based settings:the provisi on of comprehe nsive,in tegrated mental health and social care services[2].According to the WHO's Project Atlas,published in 2001,community care facilities for mental health exist in 63.4%of countries(n=183),covering 79.9%of the world's population[3].Specialists and researchers in numerous countries have recognized and affirmed the effectiveness of community-based management for mental disorders[4,5] associated with the reform[6,7].
基金supported by the Szechwan Province Science and Technology Agency Fund Project [2009FZ 0027]Chengdu,China and the Population and Health Project of the Chengdu Municipal Science and Technology Bureau[10YTYB272SF-182]
文摘The high prevalence of diabetes has become a major public health issue worldwide[1], particularly in middle-and low-income countries[2]. The prevalence of diabetes in China, the largest developing country,has more than quadrupled in recent decades, and many cases of diabetes are undiagnosed[3]. The problem with missed diabetes diagnoses is a challenge faced both by China and the rest of the world[4].