Longitudinal association between sleep and 5-year incident metabolic syndrome in older Chinese adults: a community-based cohort study

2021 ◽  
Vol 81 ◽  
pp. 1-7
Author(s):  
Ying Wang ◽  
Yu-Xi Qian ◽  
Jing-Hong Liu ◽  
Yi-Ming Miao ◽  
Qing-Hua Ma ◽  
...  
2020 ◽  
Author(s):  
Jing-Hong Liu ◽  
Qing-Hua Ma ◽  
Yong Xu ◽  
Xing Chen ◽  
Chen-Wei Pan

Abstract Background There was a lack of studies focusing on older adults about the longitudinal association between metabolic syndrome (MetS) and hyperuricemia (HUA). We aimed to assess the association of baseline MetS and incident HUA among older Chinese adults, with a special focus on the associations between different combinations of MetS components and HUA. Methods Data of 3,247 Chinese adults aged 60 years or older included in a community-based longitudinal cohort study were analyzed. Anthropometric examinations and collection of blood sample were conducted both at baseline and follow-up. HUA was defined as 7 mg/dl or above for men and 6 mg/dl or greater for women. MetS was assessed based on the National Cholesterol Education Program-Adult Treatment Panel Ⅲ, and older adults with presence of at least three of MetS components were considered as having MetS. Results MetS and its components including high blood pressure (BP), high body mass index, diabetes mellitus and high triglycerides were significantly related to incident HUA. The association between high BP and incident HUA is strongest among the five MetS components. Among all combinations of MetS components, the group consisting of diabetes mellitus, high BP and high triglycerides had the highest odds for incident HUA (OR = 13.07, 95%CI = 4.95–34.54). Conclusions MetS and its components except for low high-density lipoprotein cholesterol could increase the risk of HUA among community-dwelling older adults and high BP may be the most important determinant.


2012 ◽  
Vol 50 (3) ◽  
pp. 325-331 ◽  
Author(s):  
Bríain ó Hartaigh ◽  
Chao Qiang Jiang ◽  
Jos A. Bosch ◽  
Wei Sen Zhang ◽  
Kar Keung Cheng ◽  
...  

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S637-S637
Author(s):  
Changmin Peng ◽  
Jeffery A Burr ◽  
Kyungmin Kim ◽  
Nan Lu

Abstract Home- and Community-Based Services (HCBS) are increasingly important for older adults who want to maintain their independence and remain in their communities. Although HCBS systems have been developed widely in many western countries and in some countries in Asia, China is just beginning to grapple with its rapidly aging population by offering HCBS in a limited fashion. The purpose of this study was to investigate the relationship between structural (e.g., citizenship activities, volunteering) and cognitive (e.g., social trust, a sense of belonging) social capital and HCBS utilization among older Chinese adults. The study also examined the mediating effect of structural social capital for the the relationship between cognitive social capital and HCBS utilization. We frame the study within the Andersen behavioral model of health services utilization and argue that within this framework social capital is an enabling factor. We analyzed survey data from 456 community-dwelling older adults living in the Gusu district of the city of Suzhou, China in 2015. Structural equation modeling was used to test the hypothesized relationships. The results showed that both cognitive and structural social capital were significantly associated with HCBS utilization. Structural social capital also served as a mediator between cognitive social capital and HCBS utilization, even after controlling for sociodemographic characteristics and other relevant covariates. The findings supported the utility of employing Andersen’s behavioral model and social capital theory for better understanding older Chinese adults’ utilization of HCBS. Interventions for increasing social capital may be useful for improving HCBS utilization in Chinese urban communities.


2018 ◽  
Vol 30 (2) ◽  
pp. 107-117 ◽  
Author(s):  
Junmin Wei ◽  
Linlin Fan ◽  
Yuhui Zhang ◽  
Shirley Li ◽  
Jamie Partridge ◽  
...  

Malnutrition and depression are of important concern among older adults. We investigated the association between malnutrition and depression among community-dwelling older Chinese adults and how both affect health care costs. Data from 4916 older adults (age ≥60 years) collected as part of 2013-Wave II China Health and Retirement Longitudinal Study (CHARLS) survey were analyzed. Measures of body mass index and weight loss were used as indicators of malnutrition. Malnourished subjects were 31% more likely to be depressed than their non-malnourished counterparts (odds ratio = 1.311, P < .1). Health care–related cost was ¥591.8 higher for malnourished older adult per year compared to a non-malnourished counterpart ( P < .1), thus confirming that incidence of depression coupled with malnutrition significantly increases health care–related costs. These results highlight the importance of malnutrition and depression screening and treatment for older Chinese community-dwelling adults, and the importance of community-based nutrition-specific programs that could address the needs of the affected populations.


Endocrine ◽  
2019 ◽  
Vol 66 (2) ◽  
pp. 240-248 ◽  
Author(s):  
Yu-Xi Qian ◽  
Jing-Hong Liu ◽  
Qing-Hua Ma ◽  
Hong-Peng Sun ◽  
Yong Xu ◽  
...  

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