摘要
目的了解北京平谷区居民糖尿病前期(Pre-DM)患病情况,为本地区糖尿病预防及心血管危险因素控制提供理论依据。方法利用北京市平谷区医院联合北京大学人民医院于2013年6月至2014年9月在平谷区进行的代谢性疾病调查人群数据库数据,对Pre-DM患病率进行统计描述,并分析Pre-DM相关因素。结果北京平谷区Pre-DM患病率为26. 2%(95%CI 26. 0%~26. 5%),高于全国水平。男性Pre-DM患病率为26. 6%(95%CI 26. 2%~27. 0%),女性为25. 9%(95%CI25. 5%~26. 3%)(χ~2=6239. 960,P<0. 01)。城市地区和农村地区Pre-DM患病率分别为28. 3%(95%CI 27. 8%~28. 8%)和25. 4%(95%CI 25%~25. 7%)(χ~2=393. 753,P<0. 01)。多元Logistic回归分析显示,农村地区发生Pre-DM风险较城市地区降低近20%[OR(95%CI)0. 819(0. 807~0. 832)],女性发生Pre-DM的风险是男性的95%[OR(95%CI)0. 955(0. 942~0. 968)]。不同年龄组间Pre-DM患病率比较,差异有统计学意义(χ~2=7577. 501,P<0. 01),且随年龄增加,Pre-DM患病率增加。结论北京平谷区居民Pre-DM患病率高于全国水平,城市地区高于农村,男性高于女性,随年龄增加,患病率增加。Pre-DM的3种不同糖代谢中,主要以IGT为主,30~40岁人群表现更明显。
Objective To investigate the prevalence and related factors of pre-diabetes(Pre-DM)in Pinggu district of Beijing suburb and to provide the strategies for the prevention and control of diabetes and cardiovascular risk factors.MethodsThe data of this study was derived from the Pinggu metabolic disease study conducted by Capital Medical University Beijing Friendship Hospital Pinggu Hospital(Bejing Pinggu Hospital)and Peking University People’s Hospital from June 2013 to September 2014 in Pinggu District,Beijing. The prevalence of Pre-DM was calculated. The influencing factors for pre-DM were analyzed.ResultsThe prevalence of pre-DM in Pinggu district was 26. 2%(95%CI 26. 0%~26. 5%),higher than the average level in China. The prevalence of Pre-DM was 26. 6%(95%CI 26. 2%~27. 0%)in men and 25. 9%(95%CI 25. 5%~26. 3%)in women(χ~2=393. 753,P<0. 01). The prevalence of Pre-DM in urban and rural area were 28. 3%(95%CI 27. 8%~28. 8%)and 25. 4%(95%CI 25%~25. 7%)respectively(χ~2=393. 753,P<0. 01). Logistic regression analysis showed that the risk of Pre-DM was nearly 20%lower in rural residents than in urban areas[OR(95%CI)0. 819(0. 807~0. 832)]. The risk of Pre-DM in women is 95% of men[OR(95%CI)0. 955(0. 942~0. 968)]. There was a significant difference in the prevalence of Pre-DM in different age groups(χ~2=7577. 501,P<0. 01). The prevalence of Pre-DM increased with age.ConclusionThe prevalence of Pre-DM in the Pinggu area of Beijing suburbs is higher than the national level. The prevalence of Pre-DM was higher in urban than in rural areas,higher in men than in women,and increased with age. IGT was the main population in subjects with pre-DM,especially in people aged 30~40.
作者
赵子厚
孔祥双
付佐娣
张秀英
纪立农
李玉凤
武晓泓
ZHAO Zihou;KONG Xiangshuang;FU Zuodi(First Clinical Medical College of Nanjing Medical University, Nanjing 211166, China)
出处
《中国糖尿病杂志》
CAS
CSCD
北大核心
2019年第8期572-576,共5页
Chinese Journal of Diabetes
关键词
北京平谷区
糖尿病前期
流行状况
Pinggu district of Beijing
Pre-diabetes mellitus
Status
