PMID- 36572466 OWN - NLM STAT- MEDLINE DCOM- 20221228 LR - 20230103 IS - 0254-6450 (Print) IS - 0254-6450 (Linking) VI - 43 IP - 12 DP - 2022 Dec 10 TI - [The prevalence and risk factors of diabetic peripheral artery disease in Chinese communities]. PG - 1932-1938 LID - 10.3760/cma.j.cn112338-20211026-00823 [doi] AB - Objective: To investigate the prevalence and risk factors of diabetic peripheral artery disease (PAD) in patients with type 2 diabetes mellitus (T2DM) managed in primary health care in China. Methods: A total of 2 528 T2DM patients were selected using a two-stage cluster random sampling method based on the baseline survey of the "China Diabetic Foot Prevention Model Project." The study was conducted in 2015 among T2DM patients in 8 primary healthcare centers in Changshu county and Jiang'an district of Wuhan, China. Data collection methods included a questionnaire, body measurement, and blood glucose detection. The Ankle-Brachial Index (ABI) is the most widely used noninvasive vascular test. A binary logistic regression model was used to analyze the influence factors. Results: The prevalence of PAD was 11.2% among the diabetic patients managed in primary health care in the two cities. The prevalence of PAD under 55 years old, 55- years old, 65- years old, and >/=75 years old were 7.8%, 6.0%, 12.9% and 22.5%, respectively. Multivariate stepwise logistic regression identified influence factors included older age, higher education level, smoking, drinking, postprandial glucose uncontrol, and prior myocardial infarction or angina. Compared to age <55 years, the odds ratio for PAD were 0.74 for 55- years (95%CI: 0.43-1.28), 1.72 for 65- years (95%CI: 1.05-2.81), 3.56 for 75 years and above (95%CI: 2.07-6.11), respectively. Compared to patients with education in primary school and below, the odds ratio was 1.37 (95%CI: 0.97-1.94), 2.48 (95%CI: 1.73-3.55), 1.99 (95%CI: 1.26-3.13) for those with education levels of junior high school, senior high school, and college, respectively. Current smoking (OR=1.49, 95%CI: 1.02-2.17), current drinking (OR=0.45, 95%CI: 0.28-0.71), postprandial glucose uncontrol (2 h postprandial plasma glucose >10.0 mmol/L: OR=1.72, 95%CI: 1.22-2.43), and prior myocardial infarction or angina (OR=2.32, 95%CI: 1.50-3.61) were influencing factors of PAD. Conclusions: Despite the high prevalence of PAD in diabetes managed in primary health care; multiple risk factors are not effectively aware of and under control. It is urgent to promote ABI screening and standardized management for diabetes, especially in primary health care. FAU - Qin, L AU - Qin L AD - National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China Center for Tuberculosis Control and Prevention, Beijing Center for Disease Prevention and Control, Beijing 100035, China. FAU - Chen, B AU - Chen B AD - National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China. FAU - Niu, J Y AU - Niu JY AD - National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China. FAU - Wang, J AU - Wang J AD - National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China. FAU - Wang, Z G AU - Wang ZG AD - National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China. FAU - Wu, M AU - Wu M AD - Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China. FAU - Zhou, J Y AU - Zhou JY AD - Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China. FAU - Zhang, Q J AU - Zhang QJ AD - Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China. FAU - Zhou, F AU - Zhou F AD - Hubei Provincial Center for Disease Control and Prevention, Wuhan 430079, China. FAU - Zhou, Z Y AU - Zhou ZY AD - Changshu Center for Disease Control and Prevention, Changshu 215500, China. FAU - Zhang, N AU - Zhang N AD - Changshu Center for Disease Control and Prevention, Changshu 215500, China. FAU - Lyu, G Y AU - Lyu GY AD - Jiang'an District Center for Disease Control and Prevention, Wuhan 430014, China. FAU - Sheng, H Y AU - Sheng HY AD - Changshu Center for Disease Control and Prevention, Changshu 215500, China. FAU - Wang, W J AU - Wang WJ AD - National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China. LA - chi GR - 2017YFC1309804/National Key Research and Development Program of China/ GR - WDF13-805/World Diabetes Foundation Project/ PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Liu Xing Bing Xue Za Zhi JT - Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi JID - 8208604 RN - 0 (Blood Glucose) SB - IM MH - Humans MH - Middle Aged MH - Aged MH - *Diabetes Mellitus, Type 2/epidemiology MH - Prevalence MH - East Asian People MH - Risk Factors MH - *Diabetic Neuropathies MH - *Myocardial Infarction MH - Blood Glucose MH - *Peripheral Arterial Disease/epidemiology/diagnosis MH - Ankle Brachial Index EDAT- 2022/12/27 06:00 MHDA- 2022/12/29 06:00 CRDT- 2022/12/26 20:38 PHST- 2022/12/26 20:38 [entrez] PHST- 2022/12/27 06:00 [pubmed] PHST- 2022/12/29 06:00 [medline] AID - 10.3760/cma.j.cn112338-20211026-00823 [doi] PST - ppublish SO - Zhonghua Liu Xing Bing Xue Za Zhi. 2022 Dec 10;43(12):1932-1938. doi: 10.3760/cma.j.cn112338-20211026-00823.