Full
Outline
To investigate the prevalence and influencing factors of comorbidity of hypertension, diabetes and dyslipidemia among residents aged 18 years and above in Wenzhou City, and to provide a reference basis for the targeted implementation of “triple management” of hypertension, diabetes and dyslipidemia.
From June 2023 to August 2024, a multi-stage random cluster sampling method was used for sampling. A total of 38 593 subjects were surveyed through questionnaires, physical examinations and laboratory tests. χ2 test and multivariable unconditional logistic regression analysis were conducted using SPSS 23.0.
The prevalence of hypertension, diabetes, and dyslipidemia among residents aged 18 and above in Wenzhou was 30.61%, 12.98%, and 39.75%, respectively. The comorbidity rate of hypertension, diabetes and dyslipidemia was 5.31%. Multivariable unconditional logistic regression analysis revealed that advanced age (compared with the 18-29 age group, 30-39 years: OR=5.069, 95% CI: 2.009-12.791; 40-49 years: OR=19.138, 95% CI: 7.750-47.258; 50-59 years: OR=71.447, 95% CI: 28.777-177.391; 60-69 years: OR=298.825, 95% CI: 119.102-749.750; 70-79 years: OR=570.190, 95% CI: 225.190-1 443.740; ≥80 years: OR=549.523, 95% CI: 202.033-1 494.686), regular alcohol consumption (compared with never drinking, OR=1.461, 95% CI: 1.148-1.860), excessive salt intake (OR=1.346, 95% CI: 1.150-1.575), overweight (OR=2.332, 95% CI: 1.980-2.747), obesity (OR=4.440, 95% CI: 3.453-5.710), central obesity (OR=2.909, 95% CI:2.468-3.429), family history of hypertension (OR=2.727, 95% CI: 2.333-3.187), and family history of diabetes (OR=2.900, 95%CI: 2.438-3.450) were risk factors for the coexistence of hypertension, diabetes, and dyslipidemia. High school or technical secondary education (compared with primary school and below, OR=0.715, 95% CI: 0.552-0.926), college education or above (OR=0.401, 95% CI: 0.287-0.562), and annual household income ≥200 000 CNY (compared with <50 000 CNY, OR=0.641, 95% CI: 0.439-0.937) were protective factors against the coexistence of these three conditions.
The comorbidity rate of hypertension, diabetes and dyslipidemia among adult residents in Wenzhou City is at a relatively high level. Interventions should be strengthened for high-risk groups, and a healthy lifestyle should be advocated to control weight and waist circumference, and reduce the risk of comorbidity of the three diseases.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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