Study on the status and correlation factors of multiple chronic conditions among health examination participants aged ≥45 years in a community in Taizhou City

LIANG Xinyue; CHEN Xiaoxiao; WANG Liangyou; WANG Tingting; WANG Shanling; XIE Yali; LIN Haijiang; HE Na

doi:10.16462/j.cnki.zhjbkz.2024.02.017

Volume 28 Issue 2

Feb. 2024

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2024 > 28(2): 233-240

LIANG Xinyue, CHEN Xiaoxiao, WANG Liangyou, WANG Tingting, WANG Shanling, XIE Yali, LIN Haijiang, HE Na. Study on the status and correlation factors of multiple chronic conditions among health examination participants aged ≥45 years in a community in Taizhou City[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(2): 233-240. doi: 10.16462/j.cnki.zhjbkz.2024.02.017

Citation:

LIANG Xinyue, CHEN Xiaoxiao, WANG Liangyou, WANG Tingting, WANG Shanling, XIE Yali, LIN Haijiang, HE Na. Study on the status and correlation factors of multiple chronic conditions among health examination participants aged ≥45 years in a community in Taizhou City[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(2): 233-240. doi: 10.16462/j.cnki.zhjbkz.2024.02.017

Citation:

LIANG Xinyue, CHEN Xiaoxiao, WANG Liangyou, WANG Tingting, WANG Shanling, XIE Yali, LIN Haijiang, HE Na. Study on the status and correlation factors of multiple chronic conditions among health examination participants aged ≥45 years in a community in Taizhou City[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2024, 28(2): 233-240. doi: 10.16462/j.cnki.zhjbkz.2024.02.017

PDF( 7736 KB)

Study on the status and correlation factors of multiple chronic conditions among health examination participants aged ≥45 years in a community in Taizhou City

doi: 10.16462/j.cnki.zhjbkz.2024.02.017

1.
Department of Epidemiology, Key Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, China
2.
Taizhou City Center for Disease Control and Prevention, Taizhou 318000, China

Funds:

Special Support Program for High Level Talents in Taizhou TZ2022-2

More Information

Corresponding author: LIN Haijiang, E-mail: fudanlhj@qq.com; HE Na, E-mail: nhe@fudan.edu.cn
Received Date: 2023-05-09
Rev Recd Date: 2023-08-23

Available Online: 2024-03-30

Publish Date: 2024-02-10

Abstract

Abstract

Objective To investigate the distribution characteristics and risk factors of common chronic health conditions and multiple chronic conditions(MCCs) among the physical examination population aged ≥45 years in Taizhou City. Methods Based on a cross-sectional study, the health records of people aged ≥45 years who participated in routine health examination at a community health service center in a District of Taizhou city from January to December 2021 were collected. Chi-square test, t test and variance analysis were used to analyze the distribution of chronic health conditions and related health risk factors. Ordered logistic regression was used to analyze the co-existing factors of MCCs. Results A total of 13 020 subjects were included in the study. The overall detection rate of chronic health conditions was 93.07%, with the following rates: hypertension (58.22%), fatty liver (41.31%), abnormal renal function (34.55%), abnormal electrocardiogram (31.80%), dyslipidemia (23.47%), abnormal liver function (20.60%), diabetes (13.45%), and anemia (10.43%). The study identified five chronic disease-related risk factors among the subjects, including lack of exercise (77.26%), unbalanced diet (71.27%), central obesity (55.98%), smoking (32.84%) and alcohol consumption (32.28%). 71.87% of the subjects had MCCs, with hypertension, fatty liver, abnormal renal function, and dyslipidemia being the main components. The results of ordered logistic regression indicated that for each year of age increase (aOR=1.010, 95% CI: 1.006-1.014, P < 0.001), females (aOR=1.396, 95% CI: 1.291-1.510, P < 0.001) and the presence of 2 (aOR=1.169, 95% CI: 1.054-1.295, P=0.003), 3 (aOR=1.561, 95% CI: 1.409-1.730, P < 0.001) and 4 or more (aOR=1.887, 95% CI: 1.668-2.134, P < 0.001) health risk factors were associated with an increased risk of MCCs. Conclusions The aggregation of health risk factors is common in the physical examination population aged ≥45 years in Taizhou City, and the prevalence of multiple chronic conditions is notably high. Advanced age, female gender, and the presence of multiple risk health factors may significantly increase the risk of experiencing multiple chronic conditions, necessitating the enhancement of relevant policies.
- Chronic health conditions,
- Multiple chronic conditions,
- Epidemiology

FullText(HTML)

References(19)

References

[1]	唐天娇, 曹立, 董碧蓉, 等. 老年人多病共存名词和定义专家共识(2022) [J]. 中华老年医学杂志, 2022, 41(9): 1028-1031. DOI: 10.3760/cma.j.issn.0254-9026.2022.09.002. Tang TJ, Cao L, Dong BR, et al. Chinese expert consensus on the term and definition of multimorbidity in older adults(2022) [J]. Chin J Geriatr, 2022, 41(9): 1028-1031. DOI: 10.3760/cma.j.issn.0254-9026.2022.09.002.
[2]	Zhou M, Wang H, Zeng X, et al. Mortality, morbidity, and risk factors in China and its provinces, 1990-2017: a systematic analysis for the global burden of disease study 2017 [J]. Lancet, 2019, 394(10204): 1145-1158. DOI: 10.1016/s0140-6736(19)30427-1.
[3]	Wang R, Yan Z, Liang Y, et al. Prevalence and patterns of chronic disease pairs and multimorbidity among older Chinese adults living in a rural area [J]. PLoS One, 2015, 10(9): e0138521. DOI: 10.1371/journal.pone.0138521.
[4]	黄改荣, 刘祥. 老年人衰弱与失能[J]. 中华老年医学杂志, 2019, 38(10): 1085-1087. DOI: 10.3760/cma.j.issn.0254-9026.2019.10.006. Huang GR, Liu X. Frailty and disability in the elderly [J]. Chin J Geriatr, 2019, 38(10): 1085-1087. DOI: 10.3760/cma.j.issn.0254-9026.2019.10.006.
[5]	中国高血压防治指南修订委员会, 高血压联盟(中国), 中华医学会心血管病学分会中国医师协会高血压专业委员会, 等. 中国高血压防治指南(2018年修订版) [J]. 中国心血管杂志, 2019, 24(1): 24-56. DOI: 10.3969/j.issn.1007-5410.2019.01.002. Writing Group of 2018 Chinese Guidelines for the Management of Hypertension, Chinese Hypertension League, Chinese Society of Cardiology, et al. 2018 Chinese guidelines for the management of hypertension [J]. Chin J Cardiovasc Med, 2019, 24(1): 24-56. DOI: 10.3969/j.issn.1007-5410.2019.01.002.
[6]	中国成人血脂异常防治指南修订联合委员会. 中国成人血脂异常防治指南(2016年修订版) [J]. 中华全科医师杂志, 2017, 16(1): 15-35. DOI: 10.3760/cma.j.issn.1671-7368.2017.01.006. Joint Committee Issued Chinese Guideline for the Management of Dyslipidemia. 2016 Chinese guideline for the management of dyslipidemia in adults [J]. Chin J Gen Pract, 2017, 16(1): 15-35. DOI: 10.3760/cma.j.issn.1671-7368.2017.01.006.
[7]	中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2017年版) [J]. 中华糖尿病杂志, 2018, 10(1): 4-67. DOI: 10.3760/cma.j.issn.1674-5809.2018.01.003. Chinese Diabetes Societ. Guideline for the prevention and treatment of type 2 diabetes mellitus in China (2020 edition) [J]. Chin J Diabetes Mellitus, 2018, 10(1): 4-67. DOI: 10.3760/cma.j.issn.1674-5809.2018.01.003.
[8]	World Health Organization. Iron deficiency anaemia: assessment, prevention and control [EB/OL] (2001-01-01)[2024-01-12]. https://cdn.who.int/media/docs/default-source/2021-dha-docs/ida_assessment_prevention_control.pdf?sfvrsn=fb8c459c_1&download=true.
[9]	Benjamin E J, Muntner P, Alonso A, et al. Heart disease and stroke statistics-2019 update: a report from the American Heart Association [J]. Circulation, 2019, 139(10): e56-e528. DOI: 10.1161/cir.0000000000000659.
[10]	翟屹, 赵文华, 周北凡, 等. 中国成年人中心性肥胖腰围切点值的进一步验证[J]. 中华流行病学杂志, 2006, 27(7): 560-565. DOI: 10.3760/j.issn:0254-6450.2006.07.003. Zhai Y, Zhao WH, Zhou BF, et al. Verification of the cut-off waist circumference for defining central obesity in Chinese adults [J]. Chin J Epidemiol, 2006, 27(7): 560-565. DOI: 10.3760/j.issn:0254-6450.2006.07.003.
[11]	曹新西, 徐晨婕, 侯亚冰, 等. 1990-2025年我国高发慢性病的流行趋势及预测[J]. 中国慢性病预防与控制, 2020, 28(1): 14-19. DOI: 10.16386/j.cjpccd.issn.1004-6194.2020.01.004. Cao XX, Xu CJ, Hou YB, et al. The epidemic trend and prediction of chronic diseases with high incidence in China from 1990 to 2025 [J], Chin J Prevent Control Chronic Dis, 2020, 28(1): 14-19. DOI: 10.16386/j.cjpccd.issn.1004-6194.2020.01.004.
[12]	Ward BW, Schiller JS, Goodman RA. Multiple chronic conditions among US adults: a 2012 update [J]. Prev Chronic Dis, 2014, 11: E62. DOI: 10.5888/pcd11.130389.
[13]	Bähler C, Huber CA, Brüngger B, et al. Multimorbidity, health care utilization and costs in an elderly community-dwelling population: a claims data based observational study [J]. BMC Health Serv Res, 2015, 15: 23. DOI: 10.1186/s12913-015-0698-2.
[14]	闫伟, 路云, 张冉, 等. 基于CHARLS数据分析的我国老年人共病现状研究[J]. 中华疾病控制杂志, 2019, 23(4): 426-430. DOI: 10.16462/j.cnki.zhjbkz.2019.04.012. Yan W, Lu Y, Zhang R, et al. Multimorbidity status of the elderly in China-research based on CHARLS data [J]. Chin J Dis Control Prev, 2019, 23(4): 426-430. DOI: 10.16462/j.cnki.zhjbkz.2019.04.012.
[15]	崔娟, 毛凡, 王志会. 中国老年居民多种慢性病共存状况分析[J]. 中国公共卫生, 2016, 32(1): 66-69. DOI: 10.11847/zgggws2016-32-01-20. Cui J, Mao F, Wang ZH. Comorbidity of common chronic diseases among the elderly in China [J]. Chin J Public Health, 2016, 32(1): 66-69. DOI: 10.11847/zgggws2016-32-01-20.
[16]	潘婉玉, 张春慧, 张振香, 等. 老年慢性病共病患者多重用药管理分析与评论[J]. 中国全科医学, 2022, 25(13): 1545-1550. DOI: 10.12114/j.issn.1007-9572.2022.00.009. Pan WY, Zhang CH, Zhang ZX, et al. Polypharmacy management in elderly patients with multimorbidity [J]. Chin Gen Prac, 2022, 25(13): 1545-1 550. DOI: 10.12114/j.issn.1007-9572.2022.00.009.
[17]	Huon JF, Lenain E, LeGuen J, et al. How drug use by French elderly patients has changed during the last decade [J]. Drugs Real World Outcomes, 2015, 2(4): 327-333. DOI: 10.1007/s40801-015-0041-6.
[18]	Davis JW, Chung R, Juarez DT. Prevalence of comorbid conditions with aging among patients with diabetes and cardiovascular disease [J]. Hawaii Med J, 2011, 70(10): 209-213.
[19]	庞元捷, 余灿清, 郭彧, 等. 中国成年人行为生活方式与主要慢性病的关联—来自中国慢性病前瞻性研究的证据[J]. 中华流行病学杂志, 2021, 42(3): 369-375. DOI: 10.3760/cma.j.cn112338-20210111-00024. Pang YJ, Yu CQ, Guo Y, et al. Associations of lifestyles with major chronic diseases in Chinese adults: evidence from the China Kadoorie Biobank [J]. Chin J Epidemiol, 2021, 42(3): 369-375. DOI: 10.3760/cma.j.cn112338-20210111-00024.