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目的了解安徽省慢病监测点成人糖代谢异常的流行特征。方法在监测点采取多阶段分层整群随机抽样的方法,抽取18岁及以上的常住居民,进行问卷调查和体格检查,空腹和给予口服葡萄糖耐量试验(OGTT)的血糖检测。结果共调查3 575人,糖代谢异常(GA)患病率为30.9%,糖尿病(DM)患病率为10.9%,糖调节受损(IGR)的患病率为20.0%,空腹血糖受损(IFG)和糖耐量受损(IGT)患病率分别为13.4%和11.6%。糖代谢异常患病率男性高于女性,且随着年龄的增长而增加;超重、肥胖、高血压、血脂异常均与糖代谢异常密切相关。结论安徽慢病监测点成年人群糖代谢异常患病率高。健康促进、健康生活方式的形成和体重、血压、血脂、血糖的监测与控制、IGR早期筛查等综合干预措施应成为糖代谢异常防控的重点。
Objective To understand the epidemiological characteristics of adult glucose metabolism abnormalities in chronic disease monitoring stations in Anhui Province. Methods A multistage stratified cluster random sampling method was adopted at the monitoring sites. Permanent residents aged 18 years and older were selected for questionnaire and physical examination, fasting and oral glucose tolerance test (OGTT). Results A total of 3 575 people were surveyed. The prevalence of abnormal glucose metabolism (GA) was 30.9%, the prevalence of diabetes mellitus (DM) was 10.9%, the prevalence of impaired glucose regulation (IGR) was 20.0%, impaired fasting glucose (IFG) and Impaired Glucose Tolerance (IGT) were 13.4% and 11.6%, respectively. The prevalence of abnormal glucose metabolism in males is higher than that in females, and increases with age. Overweight, obesity, hypertension and dyslipidemia are closely related to abnormal glucose metabolism. Conclusion The prevalence of abnormal glucose metabolism in adults at the chronic disease monitoring stations in Anhui Province is high. Health promotion, the formation of a healthy lifestyle and weight, blood pressure, blood lipids, blood glucose monitoring and control, IGR early screening and other comprehensive intervention measures should be the focus of prevention and control of abnormal glucose metabolism.