摘要
目的 探讨城市中老年居民2型糖尿病(T2DM)的流行特征.方法 在广西玉林市城区随机抽取5个社区,用分层抽样的方法抽取年龄在35～74岁的居民1 390人(男性448人,女性942人)进行调查.结果 该人群T2DM总患病率为5.90%,年龄标化总患病率为5.34%,其中男性和女性的患病率分别为5.58%和6.05%,女性T2DM患病率有随着年龄的增加而增加的趋势(P＜0.05),单因素相关分析显示,男性年龄、甘油三酯(TG)、总胆固醇(CHO)、腰围(WC)、收缩压(SBP)和舒张压(DBP)与空腹血糖(GLU)呈正相关(P＜0.05).女性年龄、TG、CHO、高密度脂蛋白胆固醇(HDL)、SBP、DBP、WC、臀围(HC)、体质指数(BMI)、体重和睡眠时间与GLU呈正相关(P＜0.05),文化程度和体力强度与GLU呈负相关(P＜0.01).回归分析显示,男性最终进入回归方程的因素为TG、HDL、SBP和WC,β值分别为0.154、0.551、0.012和0.017,常数项为1.356;女性最终进入回归方程的因素为TG、CHO、WC、睡眠时间和年龄,β值分别为0.220、0.112、0.021、0.061和0.017,常数项为1.295.结论 玉林市城市中老年居民T2DM的危险因素是高血压、高脂血症、超重肥胖、腹部肥胖、年龄和睡眠时间过长;文化程度和强度体力是保护因素.
Objective To explore the epidemiological characteristics of type II diabetes mellitus (T2DM) among middle-aged and elder residents in city. Methods Cross-sectional study was adopted. 1 390 residents aged 35-74 (448 males and 942 females)were investigated by stratified sampling in five communities of Yulin city in Guangxi province. Results The total prevalence rate of T2DM was 5.90%. The age-standardized prevalence of T2DM was 5.34%.The prevalence rates of T2DM in male and female were 5.58% and 6.05%,respectively.The prevalence rate of T2DM in female increased with age (P<0.05). Age,triglyceride (TG),total cholesterol (CHO),waist circumference (WC),shrink blood pressure (SBP )and diastolic blood pressure (DBP) were positively correlated with fasting glucose in male (P<0.05).Age,TG,CHO,high density lipoprotein cholesterol (HDL),SBP,DBP ,WC ,hip circumference (HC) ,body mass index (BMI),weight and the time of sleep were positively correlated with fasting glucose in female(P<0.05),and education degree and labor intensity were negatively correlated with fasting glucose in female (P<0.01).The stepwise regression analysis showed that TG、HDL、SBP and WC were included in regression equation in male (β:0.154,0.551,0.012,0.017; constant: 1.356). TG,CHO,WC,sleep time and age were included in regression equation in female (β:0.220,0.112,0.021,0.061,0.017;constant: 1.295). Conclu- sions Hypertension,hyper-lipid,overweight and obesity,abdomen obesity,age and long time of sleep are risk factors of T2DM for middle-aged and elder residents in Yulin city. And education degree and labor intensity are protective factors.
出处
《预防医学情报杂志》
CAS
2006年第4期397-401,共5页
Journal of Preventive Medicine Information
关键词
2型糖尿病
胆固醇
血糖
Type II diabetes mellitus
Cholesterol
Glucose
