Prevalence, treatment, control of type 2 diabetes and the risk factors among elderly people in Shenzhen: results from the urban Chinese population

Abstract

Background: Type 2 diabetes is regarded as one of the major public health problems worldwide. We aim to investigate the prevalence, treatment, and control rate in the Chinese urban population aged 65 years or older and also identified associated risk factors. Methods: One hundred twenty-four thousand seven participants aged 65 years old and older were recruited from January 2018 through December 2018 at local community health service centers in Shenzhen. Fasting plasma glucose, as well as other biochemical indicators, were measured by standard methods. The analysis of multivariate logistic regression was applied to assess associated risk factors of type 2 diabetes. Results: Approximately 22.5% of elderly urban Chinese residents had diabetes. Among people with diabetes, 54.8% received medical treatment. Only 34.4% of those who were treated had their glycemic controlled. The prevalence of T2D increased with increasing age before 80 years old, male, inadequate active physical activity, drinking, previous history of CVD, higher BMI, central obesity, and hypertension. Conclusions: Our findings suggested that attention should be paid to the prevention and control of T2D in Chinese urban elderly population. The health policy department should develop effective strategies aimed at improving health care management of T2D in elderly adults.

Prevalence, awareness and control of type 2 diabetes mellitus and risk factors in Chinese elderly population

“…The present study found age, BMI, and central obesity to be risk factors for diabetes prevalence, which is consistent with results of previous studies on older individuals [21,37]. With rapid development of the economy and urbanisation, the way of living has changed signi cantly in Chinese individuals.…”

“…According to a national survey of a large population, the overall prevalence of diabetes in individuals aged ≥ 60 years is 20.2% [22], which is approximately consistent with the prevalence identi ed in the present study. The prevalence of T2DM in residents aged ≥ 65 in Shenzhen is approximately 22.5% [21], which is slightly higher than that found in the present study. Additionally, a national-level data from the NHANES in the United States showed that the prevalence of diabetes in individuals aged ≥ 65 years is 21.2% [23], which is similar to that identi ed in the present study.…”

“…Overweight was de ned as BMI between 24.0 and 27.9, and obesity was de ned as BMI ≥ 28.0. Central obesity was de ned as a WC ≥ 85 cm for women and 90 cm for men according to the Healthy Adult Weight Determination in China (WS/T428-2013) [21].…”

Prevalence, awareness and control of type 2 diabetes mellitus and risk factors in Chinese elderly population

“…Overweight was defined as BMI between 24.0 and 27.9, and obesity was defined as BMI ≥ 28.0. Central obesity was defined as a WC ≥ 85 cm for women and 90 cm for men according to the Healthy Adult Weight Determination in China (WS/T428–2013) [ 21 ].…”

Regular Physical Activities and Related Factors among Middle-Aged and Older Adults in Jinan, China: A Cross-Sectional Study

“…In addition, our findings showed that RPA was not associated with PDM, BMI, TG and TC. Some cross-sectional studies showed that RPA was negatively correlated with BMI, TG, TC and T2DM in older adults [ 68 , 69 , 70 ]. The above-mentioned noncorrelation or negative correlation between RPA and T2DM or metabolic indicators shown in the cross-sectional studies indicated that older adults without RPA had not changed their lifestyles due to these chronic disease conditions.…”