|
|
|
| Comorbidity of hypertension and diabetes mellitus among residents in Urumqi City |
| ZHANG Huihui1, ZHAO E2, SUN Gaofeng2, ZHANG Mingdong1, MI Jianxiong2
|
1. School of Public Health, Xinjiang Medical University, Urumqi, Xinjiang 830054, China;
2. Urumqi Center for Disease Control and Prevention (Urumqi Institute of Public Health Supervision), Urumqi, Xinjiang 830026, China |
|
|
|
|
Abstract Objective To investigate the prevalence and influencing factors of hypertension and diabetes mellitus comorbidity among residents in Urumqi City, so as to provide the evidence for integrated prevention and management of chronic disease. Methods From May to August 2024, multistage random sampling was used to recruit permanent residents aged ≥18 years in Urumqi City. Data including demographic characteristics, lifestyles, family disease history, body mass index (BMI), waist circumference, blood pressure and blood biochemical indicators were collected through questionnaires, physical examinations and laboratory tests. Multivariable logistic regression models were used to analyze the influencing factors of hypertension-diabetes mellitus comorbidity. Results A total of 14 917 residents were included, including 6 087 males (40.81%) and 8 830 females (59.19%) . The mean age of the participants was (55.79±14.88) years. A total of 1 768 hypertension and diabetes mellitus comorbidity cases were identified, with a comorbidity rate of 11.85%. Multivariable logistic regression analysis showed that residents aged ≥35 years (35-<65 years, OR=40.744, 95%CI: 13.076-246.033; ≥65 years, OR=108.834, 95%CI: 34.744-658.624), males (OR=1.120, 95%CI: 1.006-1.146), retirees (OR=1.714, 95%CI: 1.466-2.009), insufficient fruit intake (OR=1.498, 95%CI: 1.324-1.697), poor sleep quality (OR=1.394, 95%CI: 1.251-1.555), family history of diabetes mellitus (OR=2.715, 95%CI: 2.389-3.084), family history of hypertension (OR=1.154, 95%CI: 1.029-1.293), overweight or obesity (overweight, OR=1.156, 95%CI: 1.005-1.330; obesity, OR=1.417, 95%CI: 1.197-1.678), central obesity (OR=1.436, 95%CI: 1.259-1.639) and dyslipidemia (OR=1.491, 95%CI: 1.339-1.659) had a higher risk of comorbidity. Conclusion Hypertension-diabetes mellitus comorbidity among residents in Urumqi City was associated with age, gender, occupation, fruit intake, sleep quality, family history of diabetes mellitus and hypertension, BMI, central obesity and dyslipidemia.
|
|
Received: 23 April 2026
Revised: 16 June 2026
Published: 27 July 2026
|
|
|
|
|
|
[1] 孙育春.高血压-糖尿病共患病与HTGW表型的关联及患病相关因素分析[D].贵阳:贵州医科大学,2025:51.
[2] Chen S M,Wang S S,Jia W P,et al.Spatiotemporal analysis of the prevalence and pattern of multimorbidity in older Chinese adults[J/OL].Front Med,2022,8[2026-06-16].http://doi.org/10.3389/fmed.2021.806616.
[3] 张珺,王一单,王辛平,等.中国中老年人14种慢性病经济负担研究[J].中华健康管理学杂志,2025,19(12):994-1001.
[4] 闫佳惠,刘尚昕,高超.我国老年慢性病保健管理的特征与现状[J].中国临床保健杂志,2025,28(4):469-473.
[5] 周燚然,苏银霞,殷峰,等.2016—2022年乌鲁木齐市慢性病患者共病及复杂共病流行情况与共病模式研究[J].中国全科医学,2025,28(34):4337-4343.
[6] 中国疾病预防控制中心,中国疾病预防控制中心慢性非传染性疾病预防控制中心.中国慢性病及危险因素监测报告(2018)[R].2021.
[7] 《中国成人超重和肥胖预防控制指南》修订委员会.中国成人超重和肥胖预防控制指南(2021)[M].北京:人民卫生出版社,2021.
[8] 中国营养学会.中国居民膳食指南:2022[M].北京:人民卫生出版社,2022.
[9] 樊萌语,吕筠,何平平.国际体力活动问卷中体力活动水平的计算方法[J].中华流行病学杂志,2014,35(8):961-964.
[10] 中国医师协会睡眠医学专业委员会,中国医师协会神经内科医师分会睡眠学组.中国成人失眠共病阻塞性睡眠呼吸暂停诊治指南(2024版)[J].中国全科医学,2025,28(11):1289-1303.
[11] 王增武,刘静,李建军,等.中国血脂管理指南(2023年)[J].中国循环杂志,2023,38(3):237-271.
[12] 中国高血压防治指南修订委员会,高血压联盟,中国医疗保健国际交流促进会高血压分会,等.中国高血压防治指南(2024年修订版)[J].中华高血压杂志(中英文),2024,32(7):603-700.
[13] 中国糖尿病协会.中国糖尿病防治指南(2024版)(节选一)[J].中国实用内科杂志,2025,45(10):864-874,892.
[14] 于宁,张梅,张笑,等.中国中老年居民高血压、糖尿病和血脂异常共病现状及影响因素研究[J].中华流行病学杂志,2023,44(2):196-204.
[15] Qiu L,Wang W H,Sa R N,et al.Prevalence and risk factors of hypertension,diabetes,and dyslipidemia among adults in northwest China[J/OL].Int J Hypertens,2021[2026-06-16].http://doi.org/10.1155/2021/5528007.
[16] 刘春燕,邓朝晖,宋颖博,等.新疆地区居民高血压、糖尿病、血脂异常患病及共病情况研究[J].中国全科医学,2025,28(32):4031-4037.
[17] 郑帅印,李砥,李丽丹,等.高血压合并2型糖尿病列线图预测模型建立[J].中国预防医学杂志,2022,23(2):121-127.
[18] 张莹,徐宿珍,陈进.浙江省老年人群生活方式与慢性病发生风险相关性分析[J].中外医学研究,2025,23(7):150-153.
[19] Park H A.Fruit intake to prevent and control hypertension and diabetes[J].Korean J Fam Med,2021,42(1):9-16.
[20] Usui I.Common metabolic features of hypertension and type 2 diabetes[J].Hypertens Res,2023,46(5):1227-1233. |
|
|
|
