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目的探讨山区农村2型糖尿病(T2DM)的可疑危险因素,为制定相关干预措施提供依据。方法对丽水市莲都区平原社区80例2型糖尿病新发病例按(1∶2)匹配进行病例对照研究方法,采用Logistic回归分析。结果单因素和多因素分析结果提示:婚姻状况(离异或丧偶)(OR=1.59)、糖尿病一级家族遗传史(OR=2.28)、高血压史(OR=1.55)、腹型肥胖(OR=2.78)是糖尿病的危险因素;文化程度较高(OR=0.74)、经常体育锻炼(OR=0.59)、鱼虾摄入量较高(OR=0.32)是保护因素。结论 T2DM是遗传因素与环境因素共同作用的结果,山区农村糖尿病防治应采取健康教育与社会预防,控制饮食,长期有计划且适当的体育锻炼等综合措施。
Objective To investigate the suspicious risk factors of type 2 diabetes mellitus (T2DM) in rural areas in mountainous areas and provide the basis for making relevant interventions. Methods A case-control study was conducted on 80 new cases of type 2 diabetes mellitus in Lian Du plain community of Lishui City by Logistic regression analysis. Results The results of univariate and multivariate analysis showed that marital status (divorced or widowed) (OR = 1.59), family history of diabetes (OR = 2.28), history of hypertension (OR = 1.55), abdominal obesity (OR = 2.78) were the risk factors for diabetes; higher education level (OR = 0.74), regular physical activity (OR = 0.59) and higher intake of fish and shrimp (OR = 0.32) were the protective factors. Conclusions T2DM is the result of interaction between genetic factors and environmental factors. Prevention and treatment of rural diabetes in mountainous area should take comprehensive measures such as health education and social prevention, diet control, long-term planned and proper physical exercise.