Journal of Capital Medical University ›› 2014, Vol. 35 ›› Issue (1): 56-59.doi: 10.3969/j.issn.1006-7795.2014.01.013

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The prevalence of metabolic syndrome and its distribution characteristics in elderly people with type 2 diabetes mellitus in Beijing Wenquan community

Ma Namin, Yu Shilin, Geng Yahui, Dong Jianquan, Yuan Meiying   

  1. Department of Endocrinology, Beijing Geriatric Hospital, Beijing 100095, China
  • Received:2013-11-27 Online:2014-02-21 Published:2014-02-21
  • Supported by:

    This study was supported by Beijing Municipal Science and Technology commission (D121100004412001);Scientific Research Foundation of Capital Medical Development (2009-Z-SQ03).

Abstract:

Objective To investigate the prevalence of metabolic syndrome and its distribution characteristics in elderly people with type 2 diabetes mellitus in Beijing Wenquan community.Methods Data such as body weight, height, body mass index, blood glucose, and blood lipid were collected from 3 050 elderly patients who have been diagnosed with type 2 diabetes mellitus in Beijing Haidian Wenquan community by the method of random sampling,to analyze the prevalence of metabolic syndrome and relationship between each component and age and sex. Results 1 Among 3 050 type 2 diabetes mellitus patients, 156(5.1%)had isolated type 2 diabetes mellitus diabetes, 2 894 (94.9%) had type 2 diabetes mellitus with one or more metabolic abnormalities, 1 772(58.1%)had type 2 diabetes mellitus with hypertension,2 083(68.3%)had type 2 diabetes mellitus with hypertriglyceridemia,1 661(54.5%)had type 2 diabetes mellitus with low high-density lipoprotein cholesterol,2070 (67.9%)had type 2 diabetes mellitus with central obesity, 1 729(56.7%)had type 2 diabetes mellitus with metabolic syndrome. 2 With the growth of age, the prevalence of metabolic syndrome and its components in type 2 diabetes mellitus in elderly patients is increased year by year, the difference was statistically significant, but the prevalence of dyslipidemia and obesity has declined in the group of older than seventy years.3 Female type 2 diabetic patients with metabolic syndrome and its components had higher prevalence than that of males, especially in the low high-density lipoprotein cholesterol was most obvious. Conclusion Among the elderly patients with type 2 diabetes mellitus in Wenquan community of Beijing, 94.9% of them with other metabolic abnormalities,56.7% of them had metabolic syndrome. So, community diabetic management must be implemented in an all-round way, including control of blood pressure, blood lipids, body weight and so on, in addition to control of blood sugar. Age and gender differences are risk factors for type 2 diabetes mellitus combined with metabolic syndrome and its components prevalence, we should strengthen the prevention of metabolic syndrome in elderly and women patients.

Key words: diabetes mellitus, metabolic syndrome, elderly

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