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目的了解广西部分地区中青年人群糖尿病前期的基本情况及特点,分析相关危险因素。方法利用2010—2012年中国居民营养与健康状况监测广西调查点18~59岁居民资料,运用单因素和调整因素的Logistic回归模型进行危险因素分析。结果本研究调查对象共2 169人,平均年龄为(43.5±10.5)岁,检出糖尿病前期312人(14.4%)。与正常糖代谢人群相比,糖尿病前期人群>50岁、男性、汉族、小学及以下文化程度、居住于农村的居民的比例较高(P<0.05)。经调整后的Logistic回归分析显示超重、肥胖、中心肥胖、高血压、高甘油三脂血症和高密度脂蛋白降低是糖尿病前期的危险因素。结论应加大糖尿病前期及糖尿病危险因素的宣传教育,并鼓励定期检测血糖、血脂和血压等指标。
Objective To understand the basic situation and characteristics of pre-diabetes in middle-aged and young people in some areas of Guangxi and to analyze the related risk factors. Methods Using the data of residents aged 18-59 years from Guangxi survey sites to monitor the nutritional and health status of Chinese residents from 2010 to 2012, the risk factors were analyzed using Logistic regression model with single factor and adjustment factors. Results A total of 2 169 subjects were surveyed, with an average age of (43.5 ± 10.5) years and 312 pre-diabetic subjects (14.4%). Compared with normal glucose metabolism, pre-diabetes population> 50 years old, male, Han nationality, primary education and below, the proportion of residents living in rural areas is higher (P <0.05). Adjusted Logistic regression analysis showed that overweight, obesity, central obesity, hypertension, hypertriglyceridemia and high density lipoprotein lowering were risk factors for pre-diabetes. Conclusions Publicity and education of pre-diabetes and risk factors of diabetes mellitus should be strengthened and indicators of blood sugar, blood lipid and blood pressure should be regularly tested.