摘要
目的分析新疆生产建设兵团(新疆兵团)某师市成年人群慢性病患病率趋势,并探讨超重肥胖对高血压和糖尿病风险的影响。方法使用2018—2023年在新疆兵团某师市医院参加体检的成年人468404人次,2018—2023年分别为80972人次、79404人次、61316人次、73493人次、86494人次和86725人次。筛选连续6年参加体检的参与者,并排除2018年基线高血压患者和糖尿病患者,共纳入10727人,进行回顾性队列研究。结果2018—2023年,新疆兵团某师市成年人群肥胖、中心型肥胖、高血压和糖尿病患病率呈总体上升趋势(P<0.01)。高血压累计新发病率44.52%(4776/10727),糖尿病累计新发病率8.60%(923/10727)。2018—2023年,与消瘦或正常的人群相比,超重人群发生高血压和糖尿病的风险分别是1.20倍(HR=1.20,95%CI:1.13~1.28)和1.65倍(HR=1.65,95%CI:1.42~1.91),肥胖人群发生高血压和糖尿病的风险分别是1.35倍(HR=1.35,95%CI:1.24~1.48)和2.57倍(HR=2.57,95%CI:2.13~3.10)。中心型肥胖前期人群发生糖尿病的风险是1.22倍(HR=1.22,95%CI:1.14~1.29),中心型肥胖人群发生高血压和糖尿病的风险是分别是1.08倍(HR=1.08,95%CI:1.01~1.15)和1.89倍(HR=1.89,95%CI:1.61~2.21)。结论新疆兵团某师市成年人群慢性病疾病负担严重,尤其是超重肥胖及中心型肥胖人群,亟待开展有效干预措施。
Objective To analyze the trend of chronic disease prevalence among the adult population in a division city of Xinjiang Production and Construction Corps(Xinjiang Corps)and to explore the effects of overweight and obesity on the risk of hypertension and diabetes.Methods A total of 468404 adult participants underwent physical examinations in a hospital in a division city of Xinjiang Corps from 2018 to 2023,with sample sizes of 80972,79404,61316,73493,86494,and 86725 for each year.Participants who underwent continuous medical checkups for six years were selected,and 10727 individuals were included after excluding those with baseline hypertension and diabetes in 2018 for a retrospective cohort study.Results The prevalence of obesity,central obesity,hypertension,and diabetes among the adult population in the divisional city of Xinjiang Corps showed an overall increasing trend from 2018-2023(P<0.01).The cumulative new incidence of hypertension was 44.52%(4776/10727),and that of diabetes was 8.60%(923/10727).Compared to the population with normal or underweight BMI,the overweight population had a 1.20 times higher risk of developing hypertension(HR=1.20,95%CI:1.13-1.28)and a 1.65 times higher risk of developing diabetes(HR=1.65,95%CI:1.42-1.91).The obese population had a 1.35 times higher risk of developing hypertension(HR=1.35,95%CI:1.24-1.48)and a 2.57 times higher risk of developing diabetes(HR=2.57,95%CI:2.13-3.10)compared to the underweight population.The pre-diabetic population with central obesity had a 1.22 times higher risk of developing diabetes mellitus(HR=1.22,95%CI:1.14-1.29),and the population with central obesity had a 1.08 times higher risk of developing hypertension(HR=1.08,95%CI:1.01-1.15)and a 1.89 times higher risk of developing diabetes(HR=1.89,95%CI:1.61-2.21).Conclusions The burden of four chronic diseases in the adult population of a division of Xinjiang Corps is serious,especially in the overweight and obese and centrally obese populations,highlighting the urgent need to carry out effective interventions.
作者
孙孟姊
王华
白雪
栾晓倩
谢金辰
徐婷玲
张天啸
马富兵
刘时雨
彭雯
陈云国
王友发
SUN Mengzi;WANG Hua;BAI Xue;LUAN Xiaoqian;XIE Jinchen;XU Tingling;ZHANG Tianxiao;MA Fubing;LIU Shiyu;PENG Wen;CHEN Yunguo;WANG Youfa(Global Health Institute,School of Public Health,Xian Jiaotong University,Xi'an,Shaanxi 710061,China;不详)
出处
《中国预防医学杂志》
CAS
CSCD
2024年第4期428-435,共8页
Chinese Preventive Medicine
关键词
肥胖
高血压
糖尿病
患病率
趋势
Obesity
Hypertension
Diabetes
Prevalence
Trends
