Key result
Lifestyle was the strongest predictor of the coexistence of diabetes and hypertension among Chinese adults (β = 0.784, P < 0.001), followed by obesity (β = 0.353) and sociodemographics (β = 0.315).
Why the study?
Few studies with large sample sizes have investigated the coexistence of diabetes and hypertension and its influencing factors.
Cross-Sectional (n=25,356)
Lifestyle is the dominant predictor of the coexistence of diabetes and hypertension among Chinese adults, highlighting the importance of lifestyle and weight loss interventions.
Lifestyle assessment may refine CDH risk profiles; leaves open causal inference from cross-sectional data.
Background . In general, given the insufficient sample size, considerable literature has been found on single studies of diabetes and hypertension and few studies have been found on the coexistence of diabetes and hypertension (CDH) and its influencing factors with a large range of samples. This study aimed to establish a structural equation model for exploring the direct and indirect relationships amongst sociodemographic characteristics, lifestyle, obesity, and CDH amongst Chinese adults. Methods . A cross‐sectional study was conducted in a representative sample of 25356 adults between June 1, 2015, and September 30, 2018, in Hubei province, China. Confirmatory factor analysis was initially conducted to test the latent variables. A structural equation model was then performed to analyse the association between latent variables and CDH. Results . The total prevalence of CDH was 2.8%. The model paths indicated that sociodemographic characteristics, lifestyle, and obesity were directly associated with CDH, and the effects were 0.187, 0.739, and 0.353, respectively. Sociodemographic characteristics and lifestyle were also indirectly associated with CDH, and the effects were 0.128 and 0.045, respectively. Lifestyle had the strongest effect on CDH ( β = 0.784, P < 0.001), followed by obesity ( β = 0.353, P < 0.001) and sociodemographic characteristics ( β = 0.315, P < 0.001). All paths of the model were significant ( P < 0.001). Conclusion . CDH was significantly associated with sociodemographic characteristics, lifestyle, and obesity amongst Chinese adults. The dominant predictor of CDH was lifestyle. Targeting these results might develop lifestyle and weight loss intervention to prevent CDH according to the characteristics of the population.
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Wu et al. (2021) conducted a cross-sectional in Coexistence of diabetes and hypertension (CDH) (n=25,356). Sociodemographic characteristics, lifestyle, and obesity was evaluated on Coexistence of diabetes and hypertension (CDH) (β = 0.784, p=<0.001). Lifestyle was the strongest predictor of the coexistence of diabetes and hypertension among Chinese adults (β = 0.784, P < 0.001), followed by obesity (β = 0.353) and sociodemographics (β = 0.315).
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