The prevalence rates of major chronic diseases in retired and in-service Chinese military officers (2000–2016): a meta-analysis

Thermite Mara; Long-Teng Ma; Shuo Wang; Ling Wang; Fan Yang; Jia-Hui Song; Yi-Chun Cao; Jian-Hua Yin; Guang-Wen Cao

doi:10.1186/s40779-017-0148-z

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The prevalence rates of major chronic diseases in retired and in-service Chinese military officers (2000–2016): a meta-analysis

RESEARCH | Updated：2026-03-12

- The prevalence rates of major chronic diseases in retired and in-service Chinese military officers (2000–2016): a meta-analysis
- The prevalence rates of major chronic diseases in retired and in-service Chinese military officers (2000–2016): a meta-analysis
- MMR 2018年5卷第3期页码：231-241
- Affiliations：
  
  Department of Epidemiology, Second Military Medical University, Shanghai 200433, China
- Author bio：
  
  *: gcao@smmu.edu.cn
- Funds：
  
  the Chinese Military System(AWS16J023)
- DOI：10.1186/s40779-017-0148-z
  中图分类号：
- 纸质出版：2018-09
- Accepted：
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The prevalence rates of major chronic diseases in retired and in-service Chinese military officers (2000–2016): a meta-analysis[J]. MMR, 2018,5(3):231-241.

Mara et al.: The prevalence rates of major chronic diseases in retired and in-service Chinese military officers (2000–2016): a meta-analysis. Mil Med Res, 2018, 5: 4
The prevalence rates of major chronic diseases in retired and in-service Chinese military officers (2000–2016): a meta-analysis[J]. MMR, 2018,5(3):231-241. DOI： 10.1186/s40779-017-0148-z.

Mara et al.: The prevalence rates of major chronic diseases in retired and in-service Chinese military officers (2000–2016): a meta-analysis. Mil Med Res, 2018, 5: 4 DOI： 10.1186/s40779-017-0148-z.

摘要

Abstract

Background:

Chronic diseases cause a tremendous burden to the military medical system. However

the prevalence rates of major chronic diseases among military officers remain unclear in China.

Methods:

China National Knowledge Infrastructure (CNKI)

Wanfang Database

VIP Database for Chinese Technical Periodicals (VIP)

PubMed and Web of Science were searched for studies (from 2000 to 2016) concerning 6 major chronic diseases: hypertension

hyperlipidemia

diabetes mellitus

heart diseases

cerebrovascular diseases

and chronic obstructive pulmonary diseases (COPD) in Chinese military officers following strict inclusion and exclusion criteria. Three researchers independently extracted data from the included studies

and a fourth researcher reviewed and solved every disagreement. Statistical analysis was performed with STATA 14.0 and R 3.3.2. Heterogeneity was evaluated by the

value. A random effect model was performed to combine the heterogeneous data. The Egger test was performed to test the publication bias.

Results:

A total of 90

758 military officers derived from 75 articles were pooled together. Publication bias was only observed in 37 studies reporting heart disease (

Egger test

=0.01). The overall prevalence rates of hypertension

hyperlipidemia

diabetes mellitus

heart diseases

cerebrovascular diseases

and COPD were 46.6%(95% CI 41.8%–51.5%)

30.9%(26.4%–35.7%)

20.7%(16.5%–25.7%)

48.2%(41.7%–54.9%)

20.2%(14.8%–26.9%) and 16.6%(12.9%–21.0%)

respectively. The prevalence rates of hypertension

diabetes

heart disease

cerebrovascular disease

and COPD

rather than hyperlipidemia

increased with age in Chinese military officers. Heart diseases (

Q-test

0.001) and hypertension (

Q-test

0.001) increased sharply in retired officers compared with officers in service. Cerebrovascular disease was more frequent in Northern Theater Command than in any other theater command (

Q-test

0.001).

Conclusion:

Major chronic diseases heavily affect Chinese military officers

especially retirees. Medical intervention should be enforced on the prevention of cerebrovascular diseases in those working in cold areas in the north

as well as hypertension and heart diseases in retirees.

关键词

Keywords

references

Zhou M , Wang H , Zhu J , Chen W , Wang L , Liu S , et al . Cause-specific mortality for 240 causes in China during 1990-2013: a systematic subnational analysis for the global burden of disease study 2013 . Lancet . 2016 ; 387 : 251 - 72 .

Gao Y , Chen G , Tian H , Lin L , Lu J , Weng J , et al . Prevalence of hypertension in China: a cross-sectional study . PLoS One . 2013 ; 8 ( 6 ): e65938 .

Yang L , Shao J , Bian Y , Wu H , Shi L , Zeng L , et al . Prevalence of type 2 diabetes mellitus among inland residents in China (2000-2014): a meta-analysis . J Diabetes Investig . 2016 ; 7 ( 6 ): 845 - 52 .

Zhong N , Wang C , Yao W , Chen P , Kang J , Huang S , et al . Prevalence of chronic obstructive pulmonary disease in China: a large, population-based survey . Am J Respir Crit Care Med . 2007 ; 176 ( 8 ): 753 - 60 .

Patel V , Joharapurkar A , Kshirsagar S , Patel HM , Pandey D , Patel D , et al . Central and peripheral glucagon reduces hyperlipidemia in rats and hamsters . Drug Res (Stuttg) . 2017 ; 67 ( 6 ): 318 - 26 .

Havel RJ , Rapaport E . Management of primary hyperlipidemia . N Engl J Med . 1995 ; 332 ( 22 ): 1491 .

Perry IJ . Dietary salt intake and cerebrovascular damage . Nutr Metab Cardiovasc Dis . 2000 ; 10 ( 10 ): 229 - 35 .

Wang XY , Barnett AG , Hu W , Tong S . Temperature variation and emergency hospital admissions for stroke in Brisbane, Australia, 1996-2005 . Int J Biometeorol . 2009 ; 53 ( 6 ): 535 - 41 .

Gu D , Reynolds K , Wu X , Chen J , Duan X , Muntner P , et al . Prevalence, awareness, treatment, and control of hypertension in China . Hypertension . 2002 ; 40 ( 6 ): 920 - 7 .

Xu Y , Wang L , He J , Bi Y , Li M , Wang T , et al . Prevalence and control of diabetes in Chinese adults . JAMA . 2013 ; 310 ( 9 ): 948 - 59 .

Huang Y , Gao L , Xie X , Tan SC . Epidemiology of dyslipidemia in Chinese adults: meta-analysis of prevalence, awareness, treatment, and control . Popul Health Metr . 2014 ; 12 ( 1 ): 28 .

Cheng L , Zhang W , Zhao C , Chen Y , Yang C . The occurrence of youth hypertension in army troop and the relative factors . Chin J Hypertens . 2000 ; 1 : 69 - 71 . [in Chinese]

Wu Q , Liu P . An analysis on the medical examination of 128 military officer in research institution . Chin J Convalescent Med . 2011 ; 20 : 185 - 6 . [in Chinese]

He H . The prevalence of chronic disease in 141 military officers . Chin J Convalescent Med . 2013 ; 22 : 1135 - 6 . [in Chinese]

Pan J . Prevalence study on chronic diseases among retired officers in army . Healthy Required . 2013 ; 12 : 49 . [in Chinese]

Zhang J . Survey and follow-up of health status of 201 retired officers in army . Med J Chin Peoples Health . 2001 ; 25 : 130 - 3 . [in Chinese]

Tian X . Prevalence of hypertension in a military academy . Chongqing Med . 2009 ; 38 : 479 - 80 . [in Chinese]

Zhan J , Yang Z , Liu Y . Investigation on the prevalence of chronic diseases among 109 retired officers . Prev Med Trib . 2003 ; 9 : 521 - 2 . [in Chinese]

Zheng Z , Tao Y , Li G . A survey of the disease spectrum on retired officers in nursing hospital . J Navy Med . 2007 ; 28 : 142 - 3 . [in Chinese]

Zhao J , He J . Analysis of life quality of retired veteran officers and influencing factors in Tai’an . Chin J Health Care Med . 2011 ; 13 : 39 - 41 . [in Chinese]

Chen S . Investigation and analysis on the health status of 173 navy retired officers . J Pre Med Chin PLA . 2000 ; 18 : 202 - 3 . [in Chinese]

Zhang R . Clinical analysis of 102 cases of retired veteran officers . Chin J Clin Pract Med . 2005 ; 8 : 107 - 9 . [in Chinese]

Xie S , Chen H , Lin H , Li Z , Shi K , Chen J , et al . Analysis on health examination of 836 officers in military academies . J Prev Med Chin PLA . 2016 ; 34 : 730 - 1 . [in Chinese]

Wen Y , Shun L . An analysis on the medical examination of 328 military officers . Peoples Mil Surg . 2010 ; 8 : 561 . [in Chinese]

Lv X , Li Z , Wang Y . Analysis on the rank of prevalence among retired army officers . Chin Med Her . 2008 ; 5 : 114 - 5 . [in Chinese]

Liu L , Yue L , Zhong Z , Zhu H . Investigation and countermeasure on the health status of in-service army officers . Chin J Health Care Med . 2003 ; 5 : 103 - 4 . [in Chinese]

Ji X , Yun T , Wang X . Prevalence study in 235 retired officers in the army . J Navy Med . 2013 ; 34 : 257 - 8 . [in Chinese]

Wang S , Zhu B , Wu D , Zhang Q . Investigation and analysis of medical examination results among military retired officers for more than three years . Chin J Health Care Med . 2015 ; 17 : 132 - 3 . [in Chinese]

Ta N , Sun C , Jiang Y , Shi Q , Zhao X . Prevalence research on retied officers over 70 years old of army . Chin J Geriatr . 2008 ; 51 : 123 - 7 . [in Chinese]

Jing L , Jia HD . Investigation and analysis on medical needs of healthy subjects of retired cadres in the army . Chin Hosp . 2010 ; 14 : 25 - 7 . [in Chinese]

Zhang J , Jiang S , Liu Q . Analysis of Health Examination Results of Retired Veteran Cadres in a Military Hospital . Peoples Mil Surg . 2016 ; 17 : 1135 . [in Chinese]

Ma H , Fan H , Ding W , Ma Q , Fang Y , Yang J . Analysis on health examination results of middle-aged and aged officers in desert district . Chin J Clin Healthc . 2008 ; 11 : 526 - 7 . [in Chinese]

Fang Y , Li G . Investigation on the prevalence of non-communicable diseases, NCDs in 276 military retired officers from Jinan . J Community Med . 2013 ; 11 : 9 - 11 . [in Chinese]

Yang X , Guo T , Song S . Investigation on health status of 275 retied officers in the army . Peoples Mil Surg . 2013 ; 8 : 908 . [in Chinese]

Wu S , Qi R . Epidemiologic study of hypertension in elderly veterans . Clin J Med Off . 2006 ; 34 : 206 - 8 . [in Chinese]

Xu J , Shen W , Li Y . Analysis on the prevalence of 355 retirees in different age groups . J Prev Med Chin PLA . 2005 ; 23 : 358 - 9 . [in Chinese]

Zhang H , Yang Y , Gao Y , Wang Y . Investigation on the prevalence of metabolic syndrome in the elderly in Dalian officers rest department . Chin J Convalescent Med . 2013 ; 22 : 688 - 90 . [in Chinese]

Wang H , Huang J , Li X , Zhao H , Liu X . An analysis of the physical examination among army officers in Shenyang in 2011 . Chin J Health Stat . 2011 ; 28 : 709 . [in Chinese]

Zhang Y , Xu Y , Guan Y . Investigation on the common diseases of 1126 cases of senile convalescence . Clin J Med Off . 2007 ; 35 : 377 . [in Chinese]

Ni H , Yin Z , Li X , Wang G , Hu L . Analysis on the physical examination of 874 military officers . Mil Med J Southeast China . 2013 ; 15 : 246 - 8 . [in Chinese]

Xu D , Yang D , Zhang Y , Wang Y , Wang C , Lu Q , Yi R . Characteristics of chronic diseases among retired veteran officers in Gansu province . Chin J Health Care Med . 2011 ; 13 : 325 - 7 . [in Chinese]

Huang H , Liu S . Analysis of the incidence rate of major chronic diseases in physical examination of military retired officers . Chin Foreign Med Res . 2016 ; 14 : 148 - 9 . [in Chinese]

Jiang X , Guo S . Evaluation of health status and health care strategies among retired veteran officers . Chin J Convalescent Med . 2004 ; 13 : 31 - 2 . [in Chinese]

Ye F , Wu Y . Prevalence and drug-using among retied officers in army . Peoples Mil Surg . 2009 ; 3 : 422 - 3 . [in Chinese]

Wang N , Xie X , Gao M . Prevalence and drug-using of chronic disease among retied officers in army . Peoples Mil Surg . 2016 ; 8 : 804 - 5 . [in Chinese]

Li J , Sai X , He Y , Qin Y . An epidemiological survey of the diseases corporation and hypertension risk factors in retired military veterans in Beijing . Chin J Health Care Med . 2008 ; 10 : 96 - 8 . [in Chinese]

Wu Y , Lu X , Fei J , Zhang C , Zheng W , Huang B . Investigation on prevalence of diabetes mellitus complicated with hypertension among aged people in army . Clin J Med Off . 2003 ; 31 : 79 - 81 . [in Chinese]

Fei J , Wang H , Liu L , Wang H . Investigation and analysis on physical examination of military officers in Xi'an area for 5 years . Chin J Health Care Med . 2002 ; 4 : 171 - 2 . [in Chinese]

Song F , Qiao R , Yang F . Research on the health status of retired army officers . J Fourth Mil Med Univ . 2005 ; 26 : 2229 . [in Chinese]

Chen F , Zhou L , Lu B , Zhang K . Investigation on the relationship between traditional Chinese medicine physique and chronic diseases in the retried officers of Nanjing . Jiangsu J Prev Med . 2013 ; 24 : 23 - 5 . [in Chinese]

Xu D , Yang D , Zhang Y , Wang C , Lu Q , Yi R . A survey on prevalence of chronic diseases among the retired officers in army of Lanzhou . Mod Pre Med . 2011 ; 38 : 1660 - 3 . [in Chinese]

Sun X , Wang Q , Huang F , Lu Y , Li Y , Wen H . Analysis on behavioral risk factors and incidence of the heart and cerebrovascular disease in 767 veterans . J Health Care Med Chin PLA . 2005 ; 7 : 93 - 6 . [in Chinese]

Song F , Qiao R , Yang F , Yang Y . Analysis on the health status of retired veteran officers in Lanzhou . J Chin Med Res . 2005 ; 12 : 123 - 4 . [in Chinese]

Sun X , Wang Q , Huang F , Lu Y , Li Y , Wen H . Investigation of chronic diseases in retired army cadres . Chin J Clin Health . 2005 ; 8 : 107 - 9 . [in Chinese]

Wang F , Li B , Xin S . An research on hypertension among elderly people in Qingdao area . J Health Care Med . 2002 ; 4 : 169 - 70 . [in Chinese]

Wang F , Li B , Xin S , Fang F , Liu Y , Fan C . A survey of senile hypertension incidence in aged military officers in Qingdao area . J Navy Med . 2002 ; 23 : 339 - 41 . [in Chinese]

Zhang S , Yu K , Yuan J , Li Y , Huang X , Shi J . A survey on the hypertension among the retired army officers in Chengdu . Med J Natl Defend Forces Southwest China . 2010 ; 20 : 1274 - 6 . [in Chinese]

Wang Y , Shao F , Huang M , Wang X . An analysis on the medical examination of 1645 military officers. Over 40 years old . J Prev Med Chin PLA . 2007 ; 25 : 435 - 6 . [in Chinese]

Li Y , Hu Y , Zhou Y . Investigation of hypertension and its present situation of treatment in 1002 cases ≥80 years old in rest home for army leading officers in Beijing . Chin J Geriatr . 2005 ; 24 : 627 - 30 . [in Chinese]

Zhou J , Huang X . Cross-sectional study on hypertension among 70 and elder years people in cadre rest of Chengdu . J Mil Surg Southwest China . 2008 ; 10 : 39 - 40 . [in Chinese]

Xie Z , Lin Z , Wang Y , Feng G , Qian Y , Wu Z , et al . The characteristics of hypertension in the very elderly veterans in Guangzhou . Chin J Hypertens . 2011 ; 6 : 557 - 60 . [in Chinese]

Shi H , Cheng H , Wang Y . Analysis on health examination among military cadre in three years . Chin J Health Care Med . 2012 ; 14 : 42 - 4 . [in Chinese]

Song K , Yu H , Li T . Prevalence of metabolic syndrome in elderly male officers in Beijing . Chin J Arterioscler . 2006 ; 14 : 254 - 7 . [in Chinese]

Cha J , Cheng R , Chen J . Analysis on 640 cases of healthy physical examination of retired military officers . Peoples Mil Surg . 2012 ; 6 : 406 . [in Chinese]

Cai L , Li J , Tang L , Jia X , Kong Q , Song K . Investigation on the prevalence of metabolic syndrome in 2080 cases of aged population in the army . J Nurs Adm . 2005 ; 5 : 8 - 10 . [in Chinese]

Liu D , Lu K , Liu Y , Qiu X , Ge W . Study on prevalence and cause of deaths among retied officers in army . J Prev Med Chin PLA . 2006 ; 7 : 124 - 6 . [in Chinese]

Xu X , Peng H , Xiao X , He X , Xu T , Liang G , et al . Health examination results of military male middle age and senile officers from Chengdu city in 2006 and 2010 . Med J Natl Defend Forces Southwest China . 2013 ; 2 : 124 - 6 . [in Chinese]

Li J , Cui L , Cai L , Tang L , Ren S , Song K . Epidemiology investigation and analysis on metabolic syndrome and related diseases in military middle-aged and senile group in Beijing . Chin Nurs Res . 2005 ; 19 : 1998 - 2000 . [in Chinese]

Tian H , Li D , Song W , Zhong Z , Shi S , Zhou L , et al . Epidemiology survey of hypertension among military officers in northwest China . Med J Natl Defend Forces Northwest China . 2008 ; 29 : 42 - 4 . [in Chinese]

Fan H , Yan X , Rong J , Shen GL , Li Y , Liu F . The analysis on chronic disease and death cause of retired officers in Chengdu from 2006-2009 . Chongqing Med . 2012 ; 41 : 160 - 2 . [in Chinese]

Feng Y , Lv Q , Wang Y , Xin S . Analysis of health status of 4502 retired officers of people 's liberation Army . Med J Chin PLA . 2010 ; 35 : 104 - 6 . [in Chinese]

Ji H , Dong W , Yang C , Zhang T . An analysis of the physical examination among 9014 military officers in 2013 . Chin J Health Care Med . 2016 ; 18 : 240 - 2 . [in Chinese]

Ze L , Wang L , Dai B . Analysis of blood lipid status and related disease spectrum of retired officers in Guangzhou area . Chin J Health Care Med . 2003 ; 5 : 166 - 8 . [in Chinese]

Zheng W , Wu Y , Lu X , Fei J , Zhang Z . Epidemiological investigation and evaluation of military elderly population with diabetes in Hangzhou . Clin J Med Off . 2012 ; 40 : 127 - 9 . [in Chinese]

Fan C , Tian H , Xu X , Lu J . Prevalence and incidence of diabetes in the elderly in Beijing army . Chin J Geriatr . 2003 ; 22 : 364 - 7 . [in Chinese]

Lv X , Zhang X , Zheng J . Investigation on diabetes mellitus in 1252 retired veterans in Beijing . J Clin Rehabil Tissue Eng Res . 2004 ; 8 : 6772 - 3 . [in Chinese]

Ye X , Wang P , Sun H , Wang W , Zhang Z . Analysis of prevalence rate and risk factors of diabetes mellitus in 1677 elderly veterans . J Clin Rehabil Tissue Eng Res . 2004 ; 8 : 4942 - 3 . [in Chinese]

Cao A , Ma Z , Cheng J . Research on diabetes mellitus among older officers in the army . Chin J Clin Pract Med . 2006 ; 8 : 102 - 3 . [in Chinese]

Zhang J , Fan C , Ye M , Deng Y . A 4-year survey on the prevalence of diabetes in southwest China . Xizang Med . 2008 ; 1 : 4 - 5 . [in Chinese]

Yang X , Ma W , Wang Q . Prevalence of stroke and associated diseases in military personnel . Chin J Clin Pract Med . 2002 ; 6 : 103 - 6 . [in Chinese]

Yang X , Ma W , Wang Q , Cui L , Chen Z , Xu B . The prevalence rate of cerebrovascular diseases and their risk factors in people over 35 in Armed Police Forces . Med J Chin PAPF . 2002 ; 13 : 707 - 9 .

Zhou S , Yin Q , Cao S . Surveillance on stroke among retried army officers in Beijing . Chin J Health Care Med . 2008 ; 10 : 183 - 5 . [in Chinese]

Duan J , Xu X . Investigation on the prevalence rates of stroke and risk factors for stroke in retired officers in Changsha city . Chin J Cardiovasc Rehabil Med . 2012 ; 21 : 581 - 3 .

He W . Investigation of prevalence and risk factors of stroke among old officers men in Xiang . Shanxi Med J . 2013 ; 42 : 483 - 4 . [in Chinese]

Shai X , Yan Y . A cohort study on the incidence and death of stroke among men in army . Chin J Prev Control Chronic Dis . 2010 ; 18 : 4 - 7 . [in Chinese]

Wu L , Sun P . Effect of health education on the prevention of stroke in retired cadres . Chin J Prim Med Pham . 2014 ; 21 : 1269 - 70 . [in Chinese]

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