{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:43:04Z","timestamp":1792082584584,"version":"4.4.0"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Routine primary-care health examinations can identify clustered metabolic, renal\u2013urinary, medication-related, and functional screening abnormalities in older adults, but their value for screening-derived abnormality-burden assessment in rural ageing populations remains underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This community-based cross-sectional secondary analysis used 2025 annual health-examination data from Wangkui County, Heilongjiang Province, Northeast China. The analytic sample included 1,163 women aged \u226565\u202fyears. High screening-derived abnormality burden was constructed from routinely available screening indicators and was not intended to diagnose constipation, bowel dysfunction, frailty, or any clinical disease endpoint. Diabetes-related exposure was defined as self-reported diabetes, fasting plasma glucose \u22657.0\u202fmmol\/L, or glucose-lowering medication use. Labour-type physical activity was assessed as a secondary contextual routine-record variable using a cohort-specific index derived from weekly frequency and duration. Associations were estimated using modified Poisson regression with robust HC3 standard errors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>High screening-derived abnormality burden was present in 27.52% of participants, and diabetes-related exposure was present in 22.53%. Diabetes-related exposure was associated with higher abnormality burden in the primary adjusted model and remained similar after BMI adjustment (PR 1.614, 95% CI 1.329\u20131.961). In the key non-metabolic sensitivity analysis excluding triglycerides, HDL-C, and BMI abnormality, diabetes-related exposure remained positively associated with high non-metabolic abnormality burden (PR 1.463, 95% CI 1.077\u20131.988). LowActive and HighActive were not independently associated with high abnormality burden and were interpreted as contextual findings rather than as primary physical-activity evidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Among older rural women, diabetes-related exposure was associated with higher screening-derived abnormality burden. Labour-type physical activity did not independently distinguish abnormality-burden status under the available crude routine-record measurement framework. This internally derived outcome should be interpreted as exploratory clustering of routine screening abnormalities for primary-care triage, not as a validated geriatric phenotype or clinical diagnostic endpoint. From an aging-and-public-health perspective, these findings suggest that routine older-adult health examinations in underserved rural communities may provide a scalable opportunity for population-level risk recognition, follow-up prioritisation, health guidance, and referral review among older women living with diabetes-related screening burden, while avoiding diagnostic over interpretation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1841622","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T15:55:04Z","timestamp":1782921304000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Diabetes-related exposure and screening-derived abnormality burden among older rural women in Northeast China: a secondary analysis with contextual labour-type physical activity assessment"],"prefix":"10.3389","volume":"14","author":[{"given":"Limeng","family":"Liu","sequence":"first","affiliation":[{"name":"College of Physical Education and Health Sciences, Mudanjiang Normal University","place":["Mudanjiang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongheng","family":"Zhao","sequence":"additional","affiliation":[{"name":"School of Wushu, Henan University","place":["Kaifeng, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Xuefeng","sequence":"additional","affiliation":[{"name":"School of Wushu, Henan University","place":["Kaifeng, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaixia","family":"Hou","sequence":"additional","affiliation":[{"name":"School of Wushu, Henan University","place":["Kaifeng, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanqiu","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Physical Education, Sanming University","place":["Sanming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Physical Education, Sanming University","place":["Sanming, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dehui","family":"Zhang","sequence":"additional","affiliation":[{"name":"Dongcheng Community Health Service Center","place":["Wangkui, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1365","DOI":"10.1016\/S0140-6736(19)31786-6","article-title":"Frailty: implications for clinical practice and public health","volume":"394","author":"Hoogendijk","year":"2019","journal-title":"Lancet"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e287","DOI":"10.1016\/S2666-7568(24)00007-2","article-title":"Prevalence of 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