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目的探索2型糖尿病危险因素,为社区预防糖尿病提供依据。方法对天津市红桥区丁字沽街道所属4个社区40岁以上人群中64例2型糖尿病患者进行匹配(1∶2)病例对照研究,采用条件logistic回归分析方法。结果单因素分析的结果提示,2型糖尿病可能的12个危险因素中与糖尿病发生有明显联系的危险因素有6个,保护因素有1个,家族史、父母身体肥胖、脑力劳动、自身超重及不良生活方式等是2型糖尿病的主要危险因素,体育锻炼是保护因素。结论 2型糖尿病是遗传及环境因素引起的内分泌代谢综合征,是常见慢性病,只有通过健康教育与社会预防才能得到适当控制。
Objective To explore the risk factors of type 2 diabetes and provide the basis for community prevention of diabetes. Methods Matching (1: 2) case-control study was conducted in 64 patients with type 2 diabetes mellitus in 4 communities of over 40 years old in Tzu Chi Street, Hongqiao District, Tianjin, using conditional logistic regression analysis. Results The results of univariate analysis suggested that among the 12 possible risk factors of type 2 diabetes, there were 6 risk factors that were significantly associated with diabetes mellitus, 1 protection factor, family history, parental obesity, mental labor, overweight and Unhealthy lifestyles are the main risk factors for type 2 diabetes. Physical exercise is a protective factor. Conclusions Type 2 diabetes is an endocrine and metabolic syndrome caused by genetic and environmental factors. It is a common chronic disease and can be properly controlled only through health education and social prevention.