Second Department of Cadre Health Care Center, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China.
Second Department of Cadre Health Care Center, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China
BMJ Open. 2022 Aug 18;12(8):e058400. doi: 10.1136/bmjopen-2021-058400.
The clustering of multiple cardiovascular disease (CVD) risk factors (CRFs) increases the risk of CVD prevalence and mortality. Little is known about CRF clustering among community-dwelling older people in Xinjiang. The objective of this study was to explore the prevalence of CRF clustering in this population.
Cross-sectional study.
Xinjiang, China.
Multilevel random sampling was used to survey individuals aged ≥60 in six regions of Xinjiang. In total, 87 000 participants volunteered, with a response rate of 96.67%; 702 participants with incomplete data were excluded and data from 86 298 participants were analysed.
The prevalence of smoking, hypertension, diabetes, dyslipidaemia and overweight/obesity was 9.4%, 52.1%, 16.8%, 28.6% and 62.7%, respectively. The prevalence of CRF clusters among people of different ages, regions and ethnic groups differed significantly. The 85.7% of the participants presented at least one CRFs and 55.9% of the participants presented clustering of CRFs. The proportion of CRF clusters tended to be higher in men, 60-69-year-old group, northern Xinjiang and the Kazakh population. After adjusting for age and sex, logistic regression analysis revealed that men, 60-69-year-old group, northern Xinjiang and the Kazakh population were more likely to have clustering of CRFs, compared with their counterparts.
The prevalence of CRFs in the older Xinjiang population is high and their clustering differs by sex, age, region and ethnicity. CRF prevention and management should be active in this population, and strategies to reduce CVD risk based on sex, age, ethnic group and region are warranted.
多种心血管疾病（CVD）风险因素（CRF）的聚集增加了 CVD 患病率和死亡率的风险。关于新疆社区老年人的 CRF 聚集情况知之甚少。本研究旨在探讨该人群 CRF 聚集的流行情况。
横断面研究。
中国新疆。
采用多级随机抽样方法调查了新疆六个地区≥60 岁的人群。共有 87000 人自愿参加，应答率为 96.67%；排除了 702 名数据不完整的参与者，对 86298 名参与者的数据进行了分析。
吸烟、高血压、糖尿病、血脂异常和超重/肥胖的患病率分别为 9.4%、52.1%、16.8%、28.6%和 62.7%。不同年龄、地区和民族人群 CRF 聚集的患病率差异有统计学意义。85.7%的参与者至少存在一种 CRF，55.9%的参与者存在 CRF 聚集。CRF 聚集的比例在男性、60-69 岁组、北疆和哈萨克族中较高。在调整年龄和性别后，logistic 回归分析显示，与对照组相比，男性、60-69 岁组、北疆和哈萨克族更有可能存在 CRF 聚集。
新疆老年人群 CRF 的患病率较高，其聚集情况因性别、年龄、地区和民族而异。应积极在该人群中开展 CRF 预防和管理工作，并根据性别、年龄、民族和地区制定降低 CVD 风险的策略。
