Abstract:Objective To understand clustering of risk factors for chronic diseases among residents aged 60 years or above in Shaoxing,and to provide evidence for prevention of chronic diseases in the elderly. Methods The data of residents aged 60 years or above in five villages in Donghu Town,Yuecheng District was collected from Zhejiang health surveillance program. The clustering patterns of five common risk factors for chronic diseases in the elderly were analyzed,including smoking,drinking,overweight/obesity,no exercise and sedentary behavior. Results A total of 1 427 old adults were surveyed. The prevalence of smoking,drinking,overweight/obesity,no exercise and sedentary time more than three hours a day were 15.98%,31.67%,43.73%,73.30% and 41.56%,respectively. About 5.12% of the elderly had none of the above risk factors;24.25% had one risk factor;38.75% had two risk factors,with a clustering of no exercise and overweight/obesity as the most common pattern;31.88% had three to five risk factors,with a clustering of no exercise,overweight/obesity,sedentary time more than three hours a day and/or drinking as the most common pattern. Males,the married,the highly educated and the old people without coronary heart disease had more risk factors(P<0.05). Conclusion There are clustering of risk factors for chronic diseases among residents aged 60 years or above in Shaoxing. It is common to combine two or three items of no exercise,overweight/obesity and sedentary time more than three hours a day.
黄文,李金,陈奇峰. 绍兴市老年人群慢性病危险因素聚集性分析[J]. 预防医学, 2019, 31(11): 1112-1115.
HUANG Wen,LI Jin,CHEN Qi-feng. Co-prevalence of risk factors for chronic diseases among old people in Shaoxing. Preventive Medicine, 2019, 31(11): 1112-1115.
[1] ZHOU M,WANG H,ZHU J,et al.Cause-specific mortality for 240 causes in China during 1990-2013:a systematic subnational analysis for the Global Burden of Disease Study 2013[J]. Lancet,2016,387(10015):251-272. [2] KHAW K T,WAREHAM N,BINGHAM S,et al. Combined impact of health behaviours and mortality in men and women:the EPIC-Norfolk prospective population study[J]. PLoS Med,2008, 5(1):e12. [3] MYINT P K,SMITH R D,LUBEN R N,et al. Lifestyle behaviours and quality-adjusted life years in middle and older age[J]. Age Ageing,2011,40(5):589-595. [4] 宋秀玲,效拟,许晓君,等. 广东省居民慢性病危险因素聚集性及其影响因素分析[J]. 华南预防医学,2018,44(3):216- 220. [5] 陈志华,张梅,李镒冲,等. 2012年中国流动人口慢性病危险因素聚集性及其影响因素分析[J]. 中华流行病学杂志,2017,38(9):1226-1230. [6] 方志峰,朱婷,刘展华,等. 2010—2012 年广西5市县≥18 岁城乡居民心血管疾病危险因素及聚集状况分析[J]. 中华疾病控制杂志,2017,21(1):80-83. [7] SABIA S,ELBAZ A,ROUVEAU N,et al. Cumulative associations between midlife health behaviors and physical functioning in early old age:a 17-year prospective cohort study[J]. J Am Geriatr Soc,2014,62(10):1860-1868. [8] ARTAUD F,SABIA S,DUGRAVOT A,et al. Trajectories of unhealthy behaviors in midlife and risk of disability at older ages in the whitehall II cohort study[J]. J Gerontol A Biol Sci Med Sci,2016,71(11):1500-1506. [9] 张立平. 以大健康观为引领以慢病防控为重点积极推进健康老龄化中国建设步伐[J]. 成都医学院学报,2015,10(6):641- 643. [10]朱梓嫣,郑频频. 国内外大学生吸烟行为研究进展[J]. 健康教育与健康促进,2017,12(2):110-113. [11]World Health Organization. International guide for monitoring alcohol consumption and related harm[R]. Geneva:WHO,2000. [12]中华人民共和国卫生部疾病控制司. 中国成人超重和肥胖症预防控制指南[M]. 北京:人民卫生出版社,2006. [13]陈晓荣,姜勇,王丽敏,等. 2010年中国成年人业余锻炼和业余静态行为情况分析[J]. 中华预防医学杂志,2012,46(5):399-403. [14]胡如英,展元元,王蒙,等. 浙江省成人吸烟行为趋势研究[J]. 预防医学,2018,30(12):1189-1193,1198. [15]祝楠波,周密,余灿清,等. 中国成年人健康生活方式状况分析[J]. 中华流行病学杂志,2019,40(2):136-141. [16]王诗镔,张晴晴,吴燕华,等. 吉林省成年人慢性病相关危险因素调查[J]. 中国慢性病预防与控制,2015,23(6):409-412. [17]范依宁,张小伟,安百芬,等. 山东省城市社区老年人慢性病患病现状及影响因素分析[J]. 中国慢性病预防与控制,2017, 25(9):666-668. [18]赵艳荣,邱银伟,杨清,等. 浙江省社区健康管理老年人慢性病患病现况研究[J]. 预防医学,2017,29(3):217-220,225. [19]MCALONEY K,GRAHAM H,LAW C,et al. A scoping review of statistical approaches to the analysis of multiple health-related behaviours[J]. Prev Med,2013,56(6):365-371. [20]CECCHINI M,SASSI F,LAUER J A,et al. Tackling of unhealthy diets,physical inactivity,and obesity:health effects and cost-effectiveness[J]. Lancet,2010,376(9754):1775-1784.