Department of Health Management, Shenzhen Center for Chronic Disease Control, No.2021, Buxin Rd, Shenzhen, Guangdong, 518020, PR China.
BMC Public Health. 2020 Jun 26;20(1):998. doi: 10.1186/s12889-020-09045-1.
Type 2 diabetes is regarded as one of the major public health problems worldwide. We aim to investigate the prevalence, treatment, and control rate in the Chinese urban population aged 65 years or older and also identified associated risk factors.
One hundred twenty-four thousand seven participants aged 65 years old and older were recruited from January 2018 through December 2018 at local community health service centers in Shenzhen. Fasting plasma glucose, as well as other biochemical indicators, were measured by standard methods. The analysis of multivariate logistic regression was applied to assess associated risk factors of type 2 diabetes.
Approximately 22.5% of elderly urban Chinese residents had diabetes. Among people with diabetes, 54.8% received medical treatment. Only 34.4% of those who were treated had their glycemic controlled. The prevalence of T2D increased with increasing age before 80 years old, male, inadequate active physical activity, drinking, previous history of CVD, higher BMI, central obesity, and hypertension.
Our findings suggested that attention should be paid to the prevention and control of T2D in Chinese urban elderly population. The health policy department should develop effective strategies aimed at improving health care management of T2D in elderly adults.
2 型糖尿病被认为是全球主要的公共卫生问题之一。我们旨在调查中国 65 岁及以上城市人口的患病率、治疗率和控制率，并确定相关的危险因素。
2018 年 1 月至 12 月，我们在深圳的社区卫生服务中心招募了 12.47 万名 65 岁及以上的参与者。采用标准方法测量空腹血浆葡萄糖和其他生化指标。应用多变量 logistic 回归分析评估 2 型糖尿病的相关危险因素。
约 22.5%的中国城市老年居民患有糖尿病。在糖尿病患者中，54.8%接受了治疗。在接受治疗的人群中，仅有 34.4%的血糖得到了控制。T2D 的患病率在 80 岁之前随年龄的增加而增加，男性、体力活动不足、饮酒、既往 CVD 病史、更高的 BMI、中心性肥胖和高血压与 T2D 相关。
我们的研究结果表明，应关注中国城市老年人群中 T2D 的预防和控制。卫生政策部门应制定有效的策略，旨在改善老年人群 T2D 的医疗保健管理。
