Control Status and Correlation Analysis of Glycosylated Hemoglobin among Elderly in Malu Community of Jiading District in Shanghai

Wang Yujuan; Ge Yuanyuan; Ni Haifeng

doi:10.3969/j.issn.1001-568X.2024.11.0008

Abstract：OBJECTIVE To analyze the control status and correlation of HbA1c among the elderly population in Community.METHODS The elderly over 60 years old who participated in physical examination in Malu Community Health Service Center in 2021 and 2023 were selected as the research objects,and the correlation of HbA1c influencing factors was analyzed by T-test,χ2 test,Spearman correlation and multi-factor logistics.RESULTS The difference in control rates among different BMI groups,TC groups,LDL groups,Cr groups,and uric acid groups in 2021 is statistically significant(χ2=58.648,59.429,42.384,14.670,4.822,P＜0.05).There was a statistically significant difference in control rates among different BMI groups,AST groups,TC groups,LDL groups,Cr groups,HDL groups,and TBIL groups in 2023(χ2=21.836,4.601,1923.362,2936.174,63.548,6.280,6.837,P＜0.05).Spearman correlation analysis showed that in 2021,HbA1c was positively correlated with BMI,TC,LDL,and Cr(r=0.071,0.074,0.062,0.037,P＜0.05),and negatively correlated with uric acid and dietary habits(r=-0.021,-0.020,P＜0.05).In 2023,HbA1c was positively correlated with TC,LDL,Cr and HDL(r=0.341,0.422,0.062,0.020,P＜0.05),and negatively correlated with BMI and AST(r=-0.027,-0.017,P＜0.05).The results of multi-factor logistics analysis showed that in 2021,abnormal uric acid(OR=0.820)was a protective factor for HbA1c control,BMI was overweight(OR=1.195),TC was abnormal(OR=1.352)and abnormal Cr(OR=1.530)were risk factors for HbA1c control.In 2023,overweight BMI(OR=0.869)was a protective factor for HbA1c control,abnormal TC(OR=2.728),abnormal LDL(OR=14.109),abnormal Cr(OR=1.475),and decreased TBIL(OR=4.175)were risk factors for HbA1c control.CONCLUSION Elderly people in the community have better control over HbA1c,and BMI,TC,LDL,Cr,uric acid and TBIL have important guiding significance for the control of blood sugar.Special attention should be paid to the health management of the elderly,and corresponding measures should be taken to improve the control rate of HbA1c.