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首页> 外文期刊>Diabetes therapy >Cluster Analysis of Unhealthy Lifestyles among Elderly Adults with Prediabetes: A Cross-Sectional Study in Rural China
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Cluster Analysis of Unhealthy Lifestyles among Elderly Adults with Prediabetes: A Cross-Sectional Study in Rural China

机译：糖尿病前期老年人不良生活方式的聚类分析：中国农村的跨部门研究

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IntroductionTo explore the clustering and influencing factors of unhealthy lifestyles among elderly adults with prediabetes in rural China. MethodsA cross-sectional study was conducted in Yiyang, Hunan Province, China. Through multistage cluster random sampling and an oral glucose tolerance test, we screened 461 elderly adults aged 60?years and older with prediabetes out of 2144 elderly adults who were sampled. The prediabetic adults completed a survey examining four common lifestyle factors: diet, exercise, smoking, alcohol use and the ability to acquire diabetes-related knowledge and thereby promote one’s own health-diabetes health literacy. The influencing factors were analyzed retrospectively with the Kruskal-Wallis test and ordinal logistic regression. ResultsA total of 425 elderly adults completed the survey, of whom 325 were identified with unhealthy lifestyle clustering. The Kruskal-Wallis test showed significant differences between unhealthy lifestyle clusters by age, gender, marital status, occupation and hyperlipidemia ( P ?0.05). Ordinal logistic regression showed that female gender (OR?=?0.23, 95% CI: 0.15 0.37), personal annual income?≥?2800 CNY (OR?=?0.61, 95% CI: 0.38 0.99) and occupation as a worker (OR?=?0.56, 95% CI: 0.34 0.92) were protective factors against unhealthy lifestyle clustering. An unsatisfactory marital status (OR?=?1.60, 95% CI: 1.02 2.51) and low diabetes health literacy (OR?=?3.17, 95% CI: 1.03 9.81) were risk factors. ConclusionIn total, 76.47% of the prediabetic elderly adults in rural China showed unhealthy lifestyle clusters. Being male and having an unsatisfactory marital status, a low personal annual income, an occupation as a farmer and low diabetes health literacy were the main risk factors for unhealthy lifestyle clustering. More effective interventions should be implemented based on these risk factors to prevent diabetes in rural elderly adults.
机译：引言探讨中国农村老年人糖尿病前期不良生活方式的聚类及其影响因素。方法在中国湖南省益阳市进行横断面研究。通过多阶段整群随机抽样和口服葡萄糖耐量试验，我们从2144名被抽样的老年人中筛选了461名60岁及以上的老年人患有前驱糖尿病。糖尿病前成年人完成了一项调查，调查了四种常见的生活方式因素：饮食，运动，吸烟，饮酒和获得与糖尿病相关知识的能力，从而提高了自己的健康糖尿病健康素养。使用Kruskal-Wallis检验和序数逻辑回归对影响因素进行回顾性分析。结果总共425名老年人完成了调查，其中325名被确定为不良生活方式聚类。 Kruskal-Wallis检验显示，不健康的生活方式群之间在年龄，性别，婚姻状况，职业和高脂血症之间存在显着差异（P <？0.05）。有序逻辑回归分析表明，女性（OR？=？0.23，95％CI：0.15 0.37），个人年收入≥？2800 CNY（OR？=？0.61，95％CI：0.38 0.99）和从事工作的职业为女性（ OR≥0.56，95％CI：0.34 0.92）是预防不良生活方式聚类的保护因素。危险因素包括婚姻状况不佳（OR≥1.60，95％CI：1.02 2.51）和低糖尿病健康素养（OR≥3.17，95％CI：1.03 9.81）。结论在中国农村地区，糖尿病患者中有76.47％的人表现出不良的生活方式。男性，婚姻状况不理想，个人年收入低，农民职业和糖尿病健康素养低是造成不良生活方式聚类的主要危险因素。基于这些危险因素，应采取更有效的干预措施，以预防农村老年人的糖尿病。

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