Abstract:Abstract: OBJECTIVE To understand the Traditional Chinese Medicine (TCM) constitution of the elderly in Guanghe County, Gansu Province and analyze its influencing factors, so as to provide basis for health assessment and management of the elderly in Dongxiang inhabited areas. METHODS Cluster sampling was used to select the elderly population in Zhuangheji Town, Guanghe County, Linxia Hui Autonomous Prefecture, Gansu Province, and the residential data of social demography, daily life behavior, labo⁃ ratory test indicators, chronic diseases, medication history, and TCM constitution diagnosis were collected. The influencing factors of different TCM constitutions were explored by regression analysis based on above data. RESULTS The results of univariate analysis of TCM constitution of 589 subjects showed that BMI, alanine aminotransferase, fasting blood glucose, diabetes, hypertension, frequency of using antibiotics, frequency of eating meat, frequency of eating fresh fruit, and working and rest time were correlated with different TCM constitution types(P＜0.05). Multivariate logistic regression analysis showed that the factors associated with qi deficiency were obesity(OR＝23.772), diabetes (OR＝15.219) and hypertension(OR＝155.221), and the factors associated with phlegm-dampness were overweight(OR＝10.380), obesity(OR＝568.545) and hypertension(OR＝78.625). CONCLUSION Overweight, obesity, hyperten⁃ sion, and diabetes may be associated with the formation of qi deficiency and phlegm. Certain lifestyles may also have a strong impact on TCM physique. The health status should be evaluated in combination with the identification of traditional Chinese medicine consti⁃ tution, and targeted interventions should be carried out to promote the health of the elderly in Guanghe County, Gansu Province.