Journal of Diagnostics Concepts & Practice >

2019 , Vol. 18 >Issue 03: 323 - 328

DOI: https://doi.org/10.16150/j.1671-2870.2019.03.015

Original articles

Epidemiological investigation on cardiometabolic abnormalities in Songnan Community residents with type 2 diabetes

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  • Shanghai Clinical Center for Endocrine and Metabolic Diseases, Shanghai Institute of Endocrine and Metabolic Diseases, Department of Endocrine and Metabolic Diseases, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received date: 2018-04-25

  Online published: 2019-06-25

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Abstract

Objective: To investigate the prevalence of cardiometabolic abnormalities and the association between the risk factors and cardiometabolic abnormalitiesin community residents with type 2 diabetes. Methods: A cross-sectional study was conducted among 1 322 diabetic adults aged 40 years in Songnan district, Shanghai in 2009. Clinical data, anthropometric measurements, and results of biochemical analysis were collected, and participants were categorized into male and female and divided into three groups according to the number of cardiometabolic abnormalities present (including general obesity or abdominal obesity, hypertension, dyslipidemia, albuminuria, elevated CIMTmax): group 1 (0-2 abnormality), group 2 (3 abnormalities), and group 3(4-5 abnormalities), to analyze the association between risk factors such as age, sex, glycated hemoglobin and cardiometabolic abnormalities. Results: Of the 1 322 type 2 diabetic patients, there were 501 men and 731 women, average age was (64.1±9.8) years. Ratios of cardiometabolic abnormalities in male vs. female diabetic patients were 9.8% vs. 17.4% (general obesity); 57.5% vs. 69.6% (abdominal obesity); 72.9% vs. 76.6% (hypertension); 50.1% vs. 55.3% (dyslipidemia); 26.4% vs. 23.9% (albuminuria); 19.1% vs.12.0% (elevated CIMTmax). Multiple logistic regression analysis showed that increasing age, high serum HbA1c and C reactive protein levels, current smoking,and insulin resistance were risk factors of associated cardiometabolic abnormalities(all P<0.05). Conclusions: A high prevalence of cardiometabolic abnormalities existed in community residents with type 2 diabetes in Songnan district, Shanghai.Increasing age, high serum HbA1c and C reactive protein levels, current smoking, and insulin resistance are correlated with the increase of associated cardiometabolic abnormalities.

Key words： Diabetes; Cardiometabolic abnormalities; Epidemiology

Cite this article

LIU Shanshan, Niu Jingya, WANG Tiange, LI Mian, ZHAO Zhiyun, XU Yu, LU Jieli, XU Min, BI Yufang, ZHANG Di . Epidemiological investigation on cardiometabolic abnormalities in Songnan Community residents with type 2 diabetes[J]. Journal of Diagnostics Concepts & Practice, 2019 , 18(03) : 323 -328 . DOI: 10.16150/j.1671-2870.2019.03.015

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