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目的研究银川市回族和汉族老年人群空腹血糖(FPG)异常的流行情况和影响因素,为老年人糖尿病的防治提供依据。方法于2011年6月,采用整样随机抽样的方法对宁夏银川市5个社区年龄≥60岁的1113名老年居民进行问卷调查(一般情况、病史及吸烟、饮酒情况等)、体格检查和生化指标(血脂、血糖)检测。结果银川市老年人群FPG异常率为27.8%(309/1113)。单因素分析结果显示,汉族(χ2=5.343,P=0.021)、非在婚状态(χ2=3.890,P=0.049)、饮酒(χ2=17.884,P<0.01)、超重肥胖(χ2=12.522,P=0.002)、高血压病史(χ2=10.154,P=0.001)、血清总胆固醇水平高(χ2=17.692,P<0.01)和甘油三酯水平高(χ2=25.559,P<0.01)的人群FPG异常率高。多因素非条件logistic回归分析结果显示,民族(OR=0.720,95%CI:0.521～0.995)、饮酒(OR=1.980,95%CI:1.329～2.950)、体质指数(OR=1.241,95%CI:1.026～1.501)、高血压病史(OR=1.358,95%CI:1.031～1.789)、血清总胆固醇(OR=1.301,95%CI:1.053～1.607)和血清甘油三酯(OR=1.308,95%CI:1.109～1.543)为FPG异常的影响因素。结论银川市老年人群FPG异常率较高,民族、饮酒、体质指数、高血压病史、血清总胆固醇和甘油三酯是FPG异常的影响因素。
Objective To study the prevalence and influencing factors of fasting blood glucose (FPG) abnormalities in the Hui and Han Chinese population in Yinchuan and to provide evidence for the prevention and treatment of diabetes in the elderly. Methods In June 2011, a total of 1113 elderly residents aged ≥ 60 years from 5 communities in Yinchuan, Ningxia were surveyed by questionnaire (general condition, medical history, smoking, alcohol consumption, etc.), physical examination and biochemistry Indicators (blood lipids, blood glucose) test. Results The abnormal rate of FPG in the elderly population in Yinchuan was 27.8% (309/1113). Univariate analysis showed that the prevalence of overweight and obesity (χ2 = 12.522, P <0.01) in Han nationality (χ2 = 5.343, P = 0.021) (Χ2 = 10.154, P = 0.001), FPG abnormalities in high serum total cholesterol (χ2 = 17.692, P <0.01) and high triglyceride levels (χ2 = 25.559, P <0.01) High rate. Multivariate non-conditional logistic regression analysis showed that the body mass index (OR = 1.241, 95% CI, OR = 0.720, 95% CI: 0.521-0.995) (OR = 1.358, 95% CI: 1.031-1.789), serum total cholesterol (OR = 1.301, 95% CI: 1.053-1.657) and serum triglyceride (OR = 1.308, % CI: 1.109 ~ 1.543) were the influencing factors of FPG abnormalities. Conclusion The abnormal rate of FPG in the elderly population is high in Yinchuan City. The ethnic, alcohol consumption, body mass index, history of hypertension, serum total cholesterol and triglycerides are the influencing factors of FPG abnormalities.