Risk factors of diabetes in a high risk cardiovascular population in Hainan Province
Abstract This study aimed to understand the influencing factors of diabetes among the cardiovascular high-risk population aged 35–75 in Hainan Province, in order to provide a reference basis for the development of scientific prevention strategies and intervention measures. From January 2016 to Febru...
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Nature Portfolio
2025-03-01
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| Online Access: | https://doi.org/10.1038/s41598-025-91726-1 |
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| author | Liying Zhao Xue Zhou Ying Lu Mingsi Chen |
| author_facet | Liying Zhao Xue Zhou Ying Lu Mingsi Chen |
| author_sort | Liying Zhao |
| collection | DOAJ |
| description | Abstract This study aimed to understand the influencing factors of diabetes among the cardiovascular high-risk population aged 35–75 in Hainan Province, in order to provide a reference basis for the development of scientific prevention strategies and intervention measures. From January 2016 to February 2023, a random sample of 71,819 residents aged 35–75 in Hainan Province was screened, identifying 12,936 cardiovascular high-risk individuals. All 2,908 diabetic patients were chosen as cases, with a 1:1 age- and gender-matched control group selected from the high-risk pool. Data were organized in Excel and analyzed using SPSS 27.0 for t-tests, chi-square tests, and multi-factorial logistic regression to evaluate lifestyle, dietary habits, blood glucose, and medical history as influencing factors among the high-risk cardiovascular population. BMI (OR = 1.071, 95%CI: 1.053–1.090) and elevated systolic blood pressure (OR = 1.005, 95%CI: 1.002–1.009), a frequency of seafood consumption more than three times per month (OR = 8.098, 95%CI: 7.100-9.237), and an increased ratio of triglycerides to high-density lipoprotein (OR = 1.296, 95%CI: 1.208–1.390) were risk factors for diabetes; whereas high school and below educational level (OR = 0.798, 95%CI: 0.678–0.938), high school above educational level (OR = 0.660, 95%CI: 0.491–0.886), exercise frequency of four or more times per week (OR = 0.621, 95%CI: 0.538–0.716), consumption of fresh vegetables 1–3 times per week (OR = 0.425, 95%CI: 0.283–0.640), and consumption of fresh fruits four or more times per week (OR = 0.743, 95%CI: 0.639–0.865) were protective factors against diabetes. Increased BMI, blood pressure, triglyceride-to-HDL ratio, and frequent seafood consumption were diabetes risks for Hainan’s high-risk cardiovascular population. Enhanced screening, follow-up, and promotion of healthy lifestyles, including diet and weight control, were needed to lower disease risks. |
| format | Article |
| id | doaj-art-da84427f415d433e86702a7b784f9774 |
| institution | DOAJ |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-da84427f415d433e86702a7b784f97742025-08-20T03:04:01ZengNature PortfolioScientific Reports2045-23222025-03-011511710.1038/s41598-025-91726-1Risk factors of diabetes in a high risk cardiovascular population in Hainan ProvinceLiying Zhao0Xue Zhou1Ying Lu2Mingsi Chen3School of public health, Hainan Medical UniversitySchool of public health, Hainan Medical UniversitySchool of public health, Hainan Medical UniversitySchool of public health, Hainan Medical UniversityAbstract This study aimed to understand the influencing factors of diabetes among the cardiovascular high-risk population aged 35–75 in Hainan Province, in order to provide a reference basis for the development of scientific prevention strategies and intervention measures. From January 2016 to February 2023, a random sample of 71,819 residents aged 35–75 in Hainan Province was screened, identifying 12,936 cardiovascular high-risk individuals. All 2,908 diabetic patients were chosen as cases, with a 1:1 age- and gender-matched control group selected from the high-risk pool. Data were organized in Excel and analyzed using SPSS 27.0 for t-tests, chi-square tests, and multi-factorial logistic regression to evaluate lifestyle, dietary habits, blood glucose, and medical history as influencing factors among the high-risk cardiovascular population. BMI (OR = 1.071, 95%CI: 1.053–1.090) and elevated systolic blood pressure (OR = 1.005, 95%CI: 1.002–1.009), a frequency of seafood consumption more than three times per month (OR = 8.098, 95%CI: 7.100-9.237), and an increased ratio of triglycerides to high-density lipoprotein (OR = 1.296, 95%CI: 1.208–1.390) were risk factors for diabetes; whereas high school and below educational level (OR = 0.798, 95%CI: 0.678–0.938), high school above educational level (OR = 0.660, 95%CI: 0.491–0.886), exercise frequency of four or more times per week (OR = 0.621, 95%CI: 0.538–0.716), consumption of fresh vegetables 1–3 times per week (OR = 0.425, 95%CI: 0.283–0.640), and consumption of fresh fruits four or more times per week (OR = 0.743, 95%CI: 0.639–0.865) were protective factors against diabetes. Increased BMI, blood pressure, triglyceride-to-HDL ratio, and frequent seafood consumption were diabetes risks for Hainan’s high-risk cardiovascular population. Enhanced screening, follow-up, and promotion of healthy lifestyles, including diet and weight control, were needed to lower disease risks.https://doi.org/10.1038/s41598-025-91726-1DiabetesInfluencing factorsCase controlCardiovascular disease |
| spellingShingle | Liying Zhao Xue Zhou Ying Lu Mingsi Chen Risk factors of diabetes in a high risk cardiovascular population in Hainan Province Scientific Reports Diabetes Influencing factors Case control Cardiovascular disease |
| title | Risk factors of diabetes in a high risk cardiovascular population in Hainan Province |
| title_full | Risk factors of diabetes in a high risk cardiovascular population in Hainan Province |
| title_fullStr | Risk factors of diabetes in a high risk cardiovascular population in Hainan Province |
| title_full_unstemmed | Risk factors of diabetes in a high risk cardiovascular population in Hainan Province |
| title_short | Risk factors of diabetes in a high risk cardiovascular population in Hainan Province |
| title_sort | risk factors of diabetes in a high risk cardiovascular population in hainan province |
| topic | Diabetes Influencing factors Case control Cardiovascular disease |
| url | https://doi.org/10.1038/s41598-025-91726-1 |
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