Xin Wei, Xu Dan, Dou Zulin, Jacques Angela, Umbella Josephine, Fan Yuling, Zhang Longsheng, Yang Haiwen, Cai Hong, Hill Anne-Marie
Curtin Medical School, Curtin University, Perth, WA, Australia.
Rehabilitation Medicine Department, The Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Front Public Health. 2025 Mar 5;13:1435385. doi: 10.3389/fpubh.2025.1435385. eCollection 2025.
Chronic diseases among older adults are recognised as a serious public health problem in China, causing rising social and economic burden. The aim of the study was to evaluate the association between chronic diseases and lifestyle risk factors among community-dwelling older adults who attended community health service centres (CHSC) in Southern China.
A retrospective cross-sectional study ( = 361) was conducted using a random sample of cases from a primary care database registry of two CHSC in Guangzhou city, Guangdong province, China. The sample consisted of community-dwelling older adults aged 60 years and over who receive free annual medical examinations provided by the Chinese government. Data collected included biomarkers for chronic diseases, medical history, levels of physical activity, and lifestyle risk factors.
There were 361 cases [mean age 74.65 (SD = 5.61) years] included in the sample (from total registry records = 6,351). The top five chronic diseases were hypertension (55.68%), being overweight or obese (43.77%), hyperuricemia (40.60%), fatty liver disease (34.35%) and hypercholesterolemia (17.17%). Being overweight or obese was significantly associated with having fatty liver disease (OR = 1.22, 95% CI 1.05-1.41), higher WC was significantly associated with having hypertension (OR = 1.05, 95% CI 1.02-1.07), hyperuricemia (OR = 1.04, 95% CI 1.01-1.07), dyslipidemia (OR = 1.09, 95% CI 1.03-1.16), and fatty liver disease (OR = 1.22, 95% CI 1.05-1.41). Smoking was significantly associated with having hyperuricemia (OR = 2.40, 95% CI 1.13-5.07).
Data collected via medical examination identified the top five chronic diseases among older adults of Guangzhou city, China. Lifestyle risk factors are significantly associated with chronic diseases. Findings from the study will inform future design and evaluation of targeted, new services for these older adults. Further research to evaluate lifestyle interventions that can improve the health of older adults living with chronic disease is required.
Ethical approval ([2022]02-014-01) was obtained from the Health Research Ethics Committee of the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China. The study was registered on the Chinese Clinical Trial Registry Centre (registry number: ChiCTR2200066750).
在中国，老年人慢性病被视为严重的公共卫生问题，导致社会和经济负担不断加重。本研究旨在评估中国南方社区卫生服务中心（CHSC）中社区居住老年人慢性病与生活方式风险因素之间的关联。
采用回顾性横断面研究（n = 361），从中国广东省广州市两家CHSC的初级保健数据库登记中随机抽取病例样本。样本包括60岁及以上接受中国政府提供的免费年度体检的社区居住老年人。收集的数据包括慢性病生物标志物、病史、身体活动水平和生活方式风险因素。
样本中纳入了361例（平均年龄74.65岁，标准差=5.61岁）（来自总登记记录n = 6351）。排名前五的慢性病为高血压（55.68%）、超重或肥胖（43.77%）、高尿酸血症（40.60%）、脂肪肝疾病（34.35%）和高胆固醇血症（17.17%）。超重或肥胖与脂肪肝疾病显著相关（比值比[OR]=1.22，95%置信区间[CI]1.05 - 1.41），腰围较高与高血压（OR = 1.05，95% CI 1.02 - 1.07）、高尿酸血症（OR = 1.04，95% CI 1.01 - 1.07）、血脂异常（OR = 1.09，95% CI 1.03 - 1.16）和脂肪肝疾病（OR = 1.22，95% CI 1.05 - 1.41）显著相关。吸烟与高尿酸血症显著相关（OR = 2.40，95% CI 1.13 - 5.07）。
通过体检收集的数据确定了中国广州市老年人中排名前五的慢性病。生活方式风险因素与慢性病显著相关。本研究结果将为针对这些老年人的未来有针对性的新服务设计和评估提供参考。需要进一步研究评估可改善患有慢性病的老年人健康的生活方式干预措施。
获得了中国广州中山大学附属第三医院健康研究伦理委员会的伦理批准（[2022]02 - 014 - 01）。该研究在中国临床试验注册中心注册（注册号：ChiCTR2200066750）。
