Five-year Changes In Risk Factors For CVD And In Treatment Strategies For Community-dwelly Elderly People In Shibei District Of Qingdao

Objective To investigate and analyze the changes in common risk factors for cardiovascular disease in the elderly in Shibei District,Qingdao and explore the corresponding changes of treatment strategies in recent five years.Methods A cross-sectional study was conducted on the elderly(≥65 years old)who took physical examination in 8 communities in Shibei District.In 2016,there were 11562 people in the 8 communities for physical examination,and 13320 people in 2021.With a sampling ratio of 5%,578 individuals were sampled in 2016,and 666 in 2021,and there were totally1244 subjects.Their data including general clinical data,cardiovascular risk factors,risk factors control mode and history of coronary heart disease in 2016 and 2021 were collected and statistically analyzed.Results1.The compliance rate of physical exercise was significantly higher,and FPG and LDL-C levels and proportion of definite history of coronary heart diseases were obviously decreased in the 2021 group than the 2016 group(P<0.05,P<0.01).2.The obesity rate of the 2021 group was lower than that of the 2016 group(P<0.05,P<0.01).3.Multivariate logistic regression analysis showed that age,female,BMI,TC,LDL-C,hypertension and diabetes were important risk factors for cardiovascular disease,while HDL-C was a protective factor for the development(P<0.05,P<0.01).4.The 2021 group had statistically higher rates of well-controlled glucose,drug treatment and non-medication intervention,and usage of biguidine and SGLT-2 inhibitors in diabetes patients(P < 0.05,P < 0.01);and notably higher rates of non-medication intervention for hypertension and usage of calcium channel blockers and ACEI/ARB in hypertensive patients(P<0.05,P<0.01).Conclusion In the past five years,the management of risk factors for cardiovascular disease such as obesity,hyperlipidemia,hypertension and diabetes has been significantly improved in the cohort.Guideline-based drug therapy and non-drug therapy have achieved significant outcomes.Community health education has played an important role in the prevention and control of cardiovascular disease risk factors.