论文部分内容阅读
目的调查甘肃省酒泉市成人2型糖尿病(Type 2 Diabetes Mellitus,T2DM)、糖调节受损(Impaired Glucose Regulation,IGR)的相关危险因素及患病率情况。方法根据流行病学抽样调查基本原则,运用整群、分层、随机抽样的方法,对甘肃省酒泉市人群[年龄20~74岁常住居民(5年及5年以上)]进行抽样调查。最终有1984例(男957例,女1027例)完成该项研究。结果酒泉市成人2型DM患病率为10.7%,其中新发2型DM患病率为4.8%,已诊断2型DM患病率为5.9%。男性患病率为13.2%,女性患病率为8.5%。城市人群2型DM患病率为10.5%,农村人群2型DM患病率为10.9%。IGR患病率为16.0%。新发IGR患病率为15.9%。在多变量逻辑模型中,体重指数(Body Mass Index,BMI)、家族史、血脂、饮酒、吸烟与2型糖尿病的风险增加有显著相关性(P<0.05);家族史、超重肥胖、收缩压升高、血脂升高、吸烟、饮酒与糖调节受损的风险增加有显著相关性(P<0.05)。结论酒泉市2型DM及IGR患病率显著增高,男性患病率高于女性,城市高于农村;体重、年龄、性别、遗传、血脂、教育文化程度、城市居住与吸烟、饮酒是T2DM和IGR的危险因素。
Objective To investigate the risk factors and prevalence of type 2 diabetes mellitus (T2DM) and Impaired Glucose Regulation (IGR) in Jiuquan City, Gansu Province. Methods According to the basic principles of epidemiological sampling survey, a cluster sampling stratified random sampling method was used to sample the population of Jiuquan residents aged 20-74 years (5 years and over 5 years) in Jiuquan, Gansu Province. The final 1984 cases (male 957 cases, female 1027 cases) to complete the study. Results The prevalence of type 2 diabetes in Jiuquan was 10.7%. The prevalence of new type 2 DM was 4.8% and the prevalence of type 2 DM was 5.9%. The prevalence of males was 13.2% and the prevalence of females was 8.5%. The prevalence of type 2 DM in urban population was 10.5%. The prevalence of type 2 DM in rural population was 10.9%. The prevalence of IGR was 16.0%. The prevalence of new onset IGR was 15.9%. In the multivariable logistic model, body mass index (BMI), family history, lipids, drinking, smoking and risk of type 2 diabetes increased significantly (P <0.05); family history, overweight and obesity, systolic blood pressure There was a significant correlation between increased alcohol consumption, elevated lipids, smoking, alcohol intake and impaired glucose regulation (P <0.05). Conclusions The prevalence of Type 2 DM and IGR in Jiuquan City was significantly higher than that in women. The prevalence of type 2 DM and IGR in Jiuquan was higher than that in women in urban areas. The body weight, age, gender, genetic, blood lipid, educational level, urban living and smoking, IGR risk factors.