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目的了解上海市东明社区35岁及以上人群糖尿病危险因素的流行特征,为开展社区糖尿病高危人群针对性的生活方式干预提供理论依据,进一步指导社区糖尿病防治工作。方法以社区健康档案为基础,通过随机抽样的方法对35岁以上且目前未患糖尿病的社区人群进行问卷调查。结果接受调查的1 004名对象中,排名前五位的危险因素分别是年龄40岁及以上(98.6%)、静坐生活方式(96.6%)、超重(59.3%)、高血压(36.7%)及糖尿病家族史(19.5%)。同时具有2个、3个或4个高危因素的人群较多(831人,82.8%)。超重、中心性肥胖及一级亲属中有2型糖尿病家族史是空腹血糖异常的相关因素。结论社区卫生服务中心应加强糖尿病高危人群的综合防治工作,提高目标人群健康意识,改变不良的生活方式,从而达到控制糖尿病发病率的目的。
Objective To understand the prevalence of diabetes risk factors in people aged 35 and over in Dongming community in Shanghai and to provide theoretical basis for targeted lifestyle interventions in high risk population of community diabetes mellitus to further guide the prevention and treatment of community diabetes. Methods Based on the community health records, a questionnaire survey was conducted among the community over 35 years of age and not currently suffering from diabetes by means of random sampling. Results Among the 1004 subjects surveyed, the top five risk factors were age 40 and older (98.6%), lifestyle sedentary (96.6%), overweight (59.3%), hypertension (36.7%) and Family history of diabetes (19.5%). There were also more people with 2, 3 or 4 risk factors (831, 82.8%). Family history of type 2 diabetes in overweight, central obesity and first-degree relatives is a relevant factor for impaired fasting glucose. Conclusion Community health service center should strengthen the comprehensive prevention and treatment of high-risk population of diabetes, improve the health awareness of the target population, change the unhealthy life style so as to achieve the purpose of controlling the incidence of diabetes.