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目的分析2009年和2015年贵阳市人群糖尿病和糖尿病前期患病率变化及原因。方法分别于2009年11月-2010年2月和2015年1月-2015年3月,在贵阳地区采用分层整群抽样方法对调查年龄≥20岁的社区人口进行糖尿病及糖尿病前期患病率的调查。2次调查的程序和使用的工具相同。结果 2009年调查中,性别、年龄标化后糖尿病及糖尿病前期标准化患病率分别为13.0%及18.9%(粗率分别为13.0%及18.9%);2015年调查中,性别、年龄标化后糖尿病及糖尿病前期患病率为14.9%及20.9%(粗率分别为15.8%、21.7%)。较2009年有所升高(χ2=4.586,P=0.032;χ2=10.488,P=0.001)。2015年调查显示,在Logistic回归模型中,多变量校正后结果发现,增龄、男性、超重、向心性肥胖、高TG、高收缩压、吸烟等与糖尿病、糖尿病前期相关(均P<0.05),其中超重为二者的第一位影响因素,此外,饮酒也可增加糖尿病患病风险(P=0.015),但与糖尿病前期无明显相关(P=0.147)。与2009-2010年调查结果相比,无明显变化。结论 2015年贵阳市城区20~79岁人群的糖尿病及糖尿病前期患病率较2009年显著升高,以男性较为突出;男性、增龄、超重、高收缩压、血脂异常以及吸烟、饮酒等因素为糖尿病、糖尿病前期患病率升高的原因,需及时采取积极有效的措施,干预糖代谢异常流行。
Objective To analyze the prevalence of diabetes and pre-diabetes in Guiyang in 2009 and 2015 and its causes. Methods From November 2009 to February 2010 and January 2015 to March 2015, stratified cluster sampling method was used to investigate the prevalence of diabetes mellitus and pre-diabetes in the community population aged 20 years or older Investigation. The procedures for the two surveys are the same as those used. Results In the 2009 survey, the standardized prevalences of gender, age-standardized diabetes and pre-diabetes were 13.0% and 18.9% (crude rates were 13.0% and 18.9%, respectively). In the 2015 survey, gender, age-standardized diabetes Pre-diabetes prevalence was 14.9% and 20.9% (crude rates were 15.8% and 21.7% respectively). Up from 2009 (χ2 = 4.586, P = 0.032; χ2 = 10.488, P = 0.001). In the 2015 survey, multivariate adjusted results showed that age, male, overweight, central obesity, high TG, high systolic blood pressure and smoking were associated with diabetes and pre-diabetes in the Logistic regression model (all P <0.05) , Of which the overweight was the first of the two factors. In addition, alcohol consumption also increased the risk of diabetes (P = 0.015), but no significant correlation with pre-diabetes (P = 0.147). Compared with the 2009-2010 survey results, no significant changes. Conclusion The prevalence of diabetes mellitus and pre-diabetes in urban population aged 20-79 years in Guiyang was significantly higher than that of 2009 in urban areas of Guiyang City in 2015, and was more prominent in males than in 2009; men, age, overweight, high systolic blood pressure, dyslipidemia, smoking and drinking For diabetes, pre-diabetes prevalence of the reasons for the need to take timely and effective measures to interfere with the prevalence of abnormal glucose metabolism.