论文部分内容阅读
目的探讨重庆市某社区2型糖尿病(T2DM)的相关危险因素。方法对2008年重庆市某社区3 668名成年人进行横断面调查,作口服75g葡萄糖耐量试验(OGTT)及血脂谱检查,测量身高、体重、血压、腰围和臀围,调查既往病史、家族史、烟酒史及运动情况,并进行统计学分析。结果经年龄调整后T2DM患病率为7.44%,糖调节受损(IGR)患病率为13.59%,其中糖耐量异常(IGT)患病率6.43%,空腹血糖受损(IFG)患病率7.16%,影响T2DM的危险因素主要有年龄、体质量指数(BMI)、腰臀比(WHR)、高血压、高TC、高LDL-C、低HDL-C血症及糖尿病家族史,其OR值分别为1.041,1.096,1.366,1.736,1.856,2.144,2.071和1.842。冠心病与T2DM密切相关(OR=1.526,95%CI:1.118~2.082)。结论本市社区T2DM患病率已处于较高水平,高龄、肥胖、高血压、血脂紊乱及糖尿病家族史为T2DM的主要危险因素。
Objective To explore the related risk factors of type 2 diabetes mellitus (T2DM) in a community of Chongqing. Methods A total of 3 668 adults in a community of Chongqing City in 2008 were surveyed by cross-sectional survey. OGTT and lipid profiles were measured by oral glucose tolerance test (OGTT). Height, weight, blood pressure, waist circumference and hip circumference were measured. The past medical history, family history , Tobacco and alcohol history and sports conditions, and statistical analysis. Results The prevalence of T2DM was 7.44% and the prevalence of impaired glucose regulation (IGR) was 13.59%. The prevalence of impaired glucose tolerance (IGT) was 6.43% and the prevalence of impaired fasting glucose (IFG) 7.16%. The main risk factors affecting T2DM were age, BMI, WHR, hypertension, high TC, high LDL-C, low HDL-C and family history of diabetes. The OR The values were 1.041, 1.096, 1.366, 1.736, 1.856, 2.144, 2.071 and 1.842, respectively. Coronary heart disease and T2DM are closely related (OR = 1.526, 95% CI: 1.118 ~ 2.082). Conclusion The prevalence of T2DM in community in our city is at a high level. The main risk factors of T2DM are elderly, obesity, hypertension, dyslipidemia and family history of diabetes.