The cardiometabolic risk profile of Chinese adults with diabetes: A nationwide cross-sectional survey

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• 作者：Lin Ding^a ; ¹ ; Yu Xu^a ; ¹ ; Limin Wang^b ; ¹ ; Min Xu^a ; ¹ ; Yong Jiang^b ; ^c ; Mei Zhang^b ; Yichong Li^b ; Jieli Lu^a ; Tiange Wang^a ; Meng Dai^a ; Di Zhang^a ; Weiqing Wang^a ; Wenhua Zhao^d ; ² ; ^{whzhao@ilsichina.org} ; Linhong Wang^b ; ² ; ^{linhong@chinawch.org.cn} ; Yufang Bi^a ; ² ; ^{byf10784@rjh.com.cn} ; Guang Ning^a ; on behalf of the 2010 China Non-communicable Disease Surveillance Group³
• 关键词：Cardiometabolic risk ; Diabetes ; Obesity ; Hypertension ; Dyslipidemia ; Chinese
• 刊名：Journal of Diabetes and its Complications
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：31
• 期：1
• 页码：43-52
• 全文大小：548 K
• 卷排序：31

文摘

We aimed to estimate the cardiometabolic risk profile of Chinese adults with diabetes.MethodsWe conducted a nationally representative survey of 98,658 noninstitutionalized Chinese adults aged ≥ 18 years using a complex, multistage, probability sampling design in 2010. Diabetes was defined in 12,607 participants according to the 2010 American Diabetes Association criteria. All estimates were weighted to represent the overall Chinese adults with diabetes.ResultsAmong Chinese adults with diabetes, the weighted prevalence estimates were 47.5% (95% confidence interval (CI): 46.4%–48.7%) for low fruit and vegetable intake, 20.3% (19.3%–21.2%) for low physical activity, 27.2% (26.2%–28.3%) for current smoking, 10.9% (10.3%–11.7%) for obesity, 52.2% (51.0%–53.3%) for systolic blood pressure (BP) ≥ 140 mmHg, 46.8% (45.6%–47.9%) for low-density lipoprotein (LDL) cholesterol ≥ 100 mg/dL, 36.4% (35.3%–37.5%) for hemoglobin A1c (HbA1c) ≥ 7.0% (53 mmol/mol), and 69.5% (68.4%–70.6%) for metabolic syndrome. Proportions of Chinese patients with diabetes with 0, 1, 2, 3, and 4 cardiometabolic risk factors including current smoking, systolic BP ≥ 140 mmHg, LDL cholesterol ≥ 100 mg/dL, and HbA1c ≥ 7.0% (53 mmol/mol) were 13.4% (12.6%–14.2%), 32.9% (31.8%–33.9%), 35.0% (33.9%–36.1%), 16.2% (15.4%–17.0%), and 2.6% (2.3%–3.0%), respectively.ConclusionsCardiometabolic risk factors were highly prevalent among Chinese with diabetes. Effective interventions should be taken.