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目的探讨江门市双水社区老年人2型糖尿病(T2DM)患病率与不良生活方式的关系,为干预该社区老年人T2DM提供重要依据。方法选取2016年1—3月接受免费健康体检的822例双水社区老年人作为研究对象,对其不良生活方式进行调查,分析不良生活方式与T2DM关系。研究数据使用Excel软件建立数据库,采用SPSS17.00软件进行统计分析,计量资料采用t检验;计数资料以百分率(%)表示,采用χ2检验;T2DM相关危险因素采用单因素分析及多因素logistic回归分析,P<0.05为差异有统计学意义。结果所有研究对象中共有164例检出有T2DM,检出率为19.95%;单因素分析结果显示,高盐、高脂、高糖饮食、吸烟、饮酒、缺乏运动等不良生活习惯均是T2DM的危险因素(P均<0.05);多因素logistic回归分析结果显示,高盐、高脂、高糖等不良饮食习惯是T2DM的独立危险因素(P均<0.05)。结论 T2DM是生活方式疾病,倡导社区居民建立健康的生活方式,可有效降低老年人T2DM的患病率。
Objective To explore the relationship between prevalence of type 2 diabetes (T2DM) and unhealthy lifestyles of elderly in Shuangshui community in Jiangmen City, and to provide an important basis for intervention in T2DM of elderly in this community. Methods A total of 822 senior citizens in Shuangshui community who received free health examination from January to March in 2016 were selected as research subjects. Their unhealthy life style was investigated, and the relationship between unhealthy life style and T2DM was analyzed. The data were analyzed by SPSS 17.00 software and the t test was used for the measurement data. The count data was expressed as a percentage (%), and the χ2 test was used. The risk factors of T2DM were analyzed by univariate analysis and multivariate logistic regression analysis , P <0.05 for the difference was statistically significant. Results A total of 164 cases of T2DM were detected in all the subjects, with a detection rate of 19.95%. Univariate analysis showed that high salt, high fat, high sugar diet, smoking, drinking, lack of exercise and other bad habits were all T2DM Risk factors (all P <0.05). Multivariate logistic regression analysis showed that high-salt, high-fat, high-sugar and other poor dietary habits were independent risk factors for T2DM (all P <0.05). Conclusions T2DM is a lifestyle disease and advocates community residents to establish a healthy lifestyle, which can effectively reduce the prevalence of T2DM in the elderly.