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目的 研究徐州市 2型糖尿病的主要危险因素 ,为 2型糖尿病的预防和干预提供科学依据。方法 运用频数匹配病例对照研究方法 ,随机选择徐州市 2型糖尿病新诊断病例 185例和医院对照 2 0 1例 ,对研究因素进行单因素和多因素非条件 L ogistic回归分析。结果 糖尿病阳性家族史 (OR=8.90 )、体质指数大 (OR=2 .19)、腰臀比大 (OR=4.86 )、主食摄入量大 (OR=4.32 )、经常性甜食摄入 (OR=2 .2 6 )、A型性格 (OR=1.74)、生活紧张程度 (OR=2 .2 9)、高血压 (OR=4.0 5 )和女性妊娠次数多 (OR=3.46 ) ,以及中度以上活动的职业性体力活动 (OR=0 .5 0 )与 2型糖尿病有显著性关联。结论 倡导健康合理的生活方式 ,开展体力活动 ,有计划地实施人群干预策略 ,是 2型糖尿病防治的重要措施。
Objective To study the major risk factors of type 2 diabetes in Xuzhou and provide a scientific basis for the prevention and intervention of type 2 diabetes mellitus. Methods A frequency-matched case-control study was conducted. One hundred and eight new cases of type 2 diabetes and 210 hospital controls were randomly selected in Xuzhou city. Univariate and multivariate logistic regression analyzes were used to analyze the factors. Results The positive family history of diabetes (OR = 8.90), body mass index (OR = 2.19), waist-hip ratio (OR = 4.86), major staple food intake (OR = 4.32) = 2.26), type A personality (OR = 1.74), life stress (OR = 2.29), high blood pressure (OR = 4.05) and women’s gestational age (OR = 3.46) The above occupational physical activity (OR = 0.55) was significantly associated with type 2 diabetes. Conclusions Advocating a healthy and reasonable life style, carrying out physical activities and carrying out crowd intervention strategies in a planned way are important measures for the prevention and treatment of type 2 diabetes.