Guan Fangxu, He Yuna, Su Chang, Wei Yanli, Zhang Xiaofan, Huang Feifei, Ouyang Yifei, Li Li, Bai Jing, Jia Xiaofang, Zhang Jiguo, Du Wenwen, Wang Huijun
NHC Key Laboratory of Public Nutrition and Health, National Institute for Nutrition and Health, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Wei Sheng Yan Jiu. 2024 Nov;53(6):887-892. doi: 10.19813/j.cnki.weishengyanjiu.2024.06.006.
To describe the prevalence and epidemic trends of several chronic multimorbidy among adult residents in 10 provinces(autonomous regions)of China over the past 14 years, and to analyze their multimorbidity patterns.
According to the fasting blood physiological and biochemical tests, physical measurements and questionnaires of 17 000 adult residents aged 18 years and above who were surveyed in 4 rounds of follow-up surveys in 2009, 2015, 2018 and 2023, the relevant indicators and disease history information of obesity, hypertension, diabetes mellitus, dyslipidemia, hyperuricemia, and various chronic diseases were obtained. Descriptive analysis was carried out to identify and compare several common combinations of multimorbidity in the population with 2 or more chronic disease conditions and the changing trends of 4 rounds of surveys.
35 712 observations from 17 000 adults revealed that the prevalence of multimorbidity in each round rose from 28.3% in 2009 to 38.9% in 2023, an increase of 10.6 percent. The prevalence of multimorbidity in different gender, age groups, and urban/rural populations showed an upward trend, while the prevalence of multimorbidity in urban and rural populations gradually tended to be the same over time. After grouping various patterns of multimorbidity, it was found that the prevalence of multimorbidity increased over the past 14 years. The main multimorbidity pattern in adults was hypertension combined with dyslipidemia and(or) other chronic disease conditions. The elderly multimorbidity pattern was mainly hypertension combined with dyslipidemia, while young and middle-aged people mainly had dyslipidemia combined with obesity or hyperuricemia.
The chronic disease status of the population is mostly combined. There are differences in the multimorbidity patterns of different age groups and genders due to their physiological differences.
描述中国10个省（自治区）成年居民在过去14年中几种慢性共病的患病率及流行趋势，并分析其共病模式。
根据对2009年、2015年、2018年和2023年4轮随访调查中17000名18岁及以上成年居民进行的空腹血液生理生化检测、体格测量和问卷调查，获取肥胖、高血压、糖尿病、血脂异常、高尿酸血症及各种慢性病的相关指标和病史信息。进行描述性分析，以识别和比较人群中2种或更多慢性病情况下几种常见的共病组合以及4轮调查的变化趋势。
来自17000名成年人的35712份观察结果显示，每轮共病患病率从2009年的28.3%上升至2023年的38.9%，上升了10.6个百分点。不同性别、年龄组和城乡人群的共病患病率呈上升趋势，且城乡人群共病患病率随时间推移逐渐趋于一致。对各种共病模式进行分组后发现，过去14年共病患病率有所上升。成年人的主要共病模式为高血压合并血脂异常和（或）其他慢性病情况。老年人的共病模式主要为高血压合并血脂异常，而中青年主要为血脂异常合并肥胖或高尿酸血症。
人群慢性病状况多为合并存在。不同年龄组和性别的共病模式因生理差异而有所不同。
