A Case-Control Study on Risk Factors and Their Interactions with Prediabetes among the Elderly in Rural Communities of Yiyang City, Hunan Province
Joint Authors
Hu, Zhao
Gao, Fan
Qin, Lulu
Yang, Yang
Xu, Huilan
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-02-18
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
The prevalence of prediabetes has been increasing significantly in recent years.
Individuals with prediabetes have an increased risk of developing diabetes and cardiovascular diseases.
The objectives of this study were to identify risk factors for prediabetes and their interactions among the elderly in rural communities of Hunan Province and to provide a scientific basis for prediabetes prevention.
Methods.
A case-control study was conducted to explore risk factors for prediabetes among the elderly in rural areas.
The general sociodemographic information, lifestyle behaviours, and physiological results of elderly individuals with prediabetes and controls were collected by a questionnaire and laboratory testing.
Conditional logistic regression was performed to identify the risk factors for prediabetes among the elderly, and additive interactions were used to analyse the interactions between risk factors.
Results.
A total of 425 elderly subjects with prediabetes were included in the case group, and 425 elderly subjects with normal plasma glucose levels were included in the control group.
The main risk factors for prediabetes among the elderly in rural communities of Hunan Province were a family history of diabetes (OR=2.48; 95% CI: 1.13, 5.46), physical inactivity (OR=3.27; 95% CI: 1.95, 5.49), a lack of health literacy on diabetes prevention and control (OR=3.26; 95% CI: 1.62, 6.55), hypertension (OR=2.01; 95% CI: 1.38, 2.93), overweight (OR=2.53; 95% CI: 1.67, 3.81), obesity (OR=3.08; 95% CI: 1.48, 6.40), and a high waist-to-hip ratio (WHR) (OR=2.26; 95% CI: 1.45, 3.51).
Additive interactions for prediabetes were detected between a high WHR and physical inactivity, with a relative excess risk due to interaction (RERI) of 6.30 (95% CI: 0.42, 12.18), and between a high WHR and overweight or obesity, with an RERI of 2.92 (95% CI: 0.56, 5.29).
Conclusion.
The independent risk factors for prediabetes are a family history of diabetes, physical inactivity, a lack of health literacy on diabetes prevention and control, hypertension, overweight or obesity, and a high WHR.
A high WHR has additive interactions with physical inactivity and overweight or obesity for the risk of prediabetes.
These findings have significant implications for prediabetes prevention among the elderly in rural areas.
American Psychological Association (APA)
Hu, Zhao& Gao, Fan& Qin, Lulu& Yang, Yang& Xu, Huilan. 2019. A Case-Control Study on Risk Factors and Their Interactions with Prediabetes among the Elderly in Rural Communities of Yiyang City, Hunan Province. Journal of Diabetes Research،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1172705
Modern Language Association (MLA)
Hu, Zhao…[et al.]. A Case-Control Study on Risk Factors and Their Interactions with Prediabetes among the Elderly in Rural Communities of Yiyang City, Hunan Province. Journal of Diabetes Research No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1172705
American Medical Association (AMA)
Hu, Zhao& Gao, Fan& Qin, Lulu& Yang, Yang& Xu, Huilan. A Case-Control Study on Risk Factors and Their Interactions with Prediabetes among the Elderly in Rural Communities of Yiyang City, Hunan Province. Journal of Diabetes Research. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1172705
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1172705