中老年人群中高三酰甘油等身高比与高血压合并糖尿病的关系。
The relationship between hypertriglyceridemic wait-to-height ratio and hypertension-diabetes comorbidity among older adult.
机构信息
Department of Rehabilitation Medicine, Zhumadian Central Hospital, Zhumadian, China.
Institute of Health Data Management, Huanghuai University, Zhumadian, China.
出版信息
Front Public Health. 2023 Dec 7;11:1292738. doi: 10.3389/fpubh.2023.1292738. eCollection 2023.
OBJECTIVE
Limited information is available on the effect of hypertriglyceridemic waist-to-height ratio (HTHWH) and hypertension-diabetes comorbidity (HAD) in older adult people. We aimed to explore the relationship between HTHWH and HAD for the co-management of hypertension and diabetes mellitus in the older adult.
METHODS
A cross-sectional study, randomized cluster sampling from 10 community health service centers, and multivariate logistic regression were used in this study. A total of 3,501 participants aged 65 years or older recruited between January 2019 and December 2019 completed the study.
RESULTS
Among 3,501 participants, the median age was 69.96 years, and 42.50% were men. A total of 1,207 subjects were in the HTHWH group, and the prevalence rate of HAD was 17.23% in this group. Multivariate logistic regression analysis showed that, as compared with the normal group, the risk of HAD in the HTHWH group increased by 2.05 times (OR = 3.05, 95% CI: 2.06-4.51). The risks of hypertension or diabetes mellitus (HOD), hypertension, and diabetes mellitus were also increased in the HTHWH group, with their ORs (95%CIs) being 1.82 (1.44-2.29), 1.73 (1.38-2.17), and 2.28 (1.66-3.13), respectively.
CONCLUSION
HTHWH significantly increases the risk of HAD and can be used as a reliable tool to screen the high-risk population for HAD.
目的
关于高三酰甘油腰围身高比（HTHWH）和高血压糖尿病合并症（HAD）对老年人的影响，相关信息有限。我们旨在探讨 HTHWH 与 HAD 之间的关系，以共同管理老年人的高血压和糖尿病。
方法
这是一项横断面研究，采用 10 个社区卫生服务中心的随机聚类抽样和多变量逻辑回归进行分析。本研究共纳入了 2019 年 1 月至 12 月期间年满 65 岁的 3501 名参与者。
结果
在 3501 名参与者中，中位年龄为 69.96 岁，42.50%为男性。共有 1207 名受试者为 HTHWH 组，该组 HAD 的患病率为 17.23%。多变量逻辑回归分析显示，与正常组相比，HTHWH 组 HAD 的风险增加了 2.05 倍（OR=3.05，95%CI：2.06-4.51）。HTHWH 组高血压或糖尿病（HOD）、高血压和糖尿病的风险也增加了，其 OR（95%CI）分别为 1.82（1.44-2.29）、1.73（1.38-2.17）和 2.28（1.66-3.13）。
结论
HTHWH 显著增加了 HAD 的风险，可作为筛查 HAD 高危人群的可靠工具。
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