摘要
目的分析山东省中西部农村25岁～居民糖尿病及糖调节受损的流行特征。方法采用多阶段分层随机抽样方法,共调查16388人,开展问卷调查并测量身高、体重、腰围、血压和空腹血糖。空腹血糖在6.1～7.0mmol/L者再进行口服葡萄糖耐量(OGTT)试验。根据WHO1999年糖尿病诊断标准将调查人群分为正常人、孤立性空腹血糖受损(I-IFG)、空腹血糖受损合并糖耐量受损(IFG/IGT)和糖尿病(DM)。结果该地区农村居民IFG标化患病率为6.85%,DM为3.38%,I-IFG为4.41%,IFG/IGT为0.83%,且患病率均随年龄、腰围、身高、体质指数(BMI)的增加而升高。年龄>35岁,I-IFG、IFG/IGT和年龄>45岁DM患病率升高明显。男性腰围≥85cm、女性腰围≥80cm,IFG/IGT和DM患病率升高明显。BMI≥24,I-IFG、IFG/IGT和DM患病率升高明显。调查对象的年龄、腰围、BMI、腰臀比、收缩压和舒张压按正常人→I-IFG→IFG/IGT、DM顺序逐渐升高,但IFG/IGT和DM两者间变化无差异。结论山东省中西部农村居民I-IFG、IFG/IGT和DM的流行特征基本相同。糖尿病及糖调节受损发病较高,应重视和加强宣传和早期预防控制工作。
Objective To analyze epidemiologic characteristics of iabetes mellitus（DM） and impaired glucose regulation （IGR） among rural residents aged 〉25 years in midwestern area of Shandong province. Methods By multi-stage and randomization sampling method, a sample of t6 388 rural residents was selected and investigated. All participants were interviewed with a standard questionnaire. Height, weight, waist circumference and fasting plasma glucose（FPG） were measured using standardized method. Oral glucose tolerance test（OGTT） were performed for subjects with FPG valued from 6.1 to 7.0 mrnol/L. Isolated IFG（I-IFG）, impaired fasting glucose with impaired glucose tolerance（IFG/IGT） and DM were defined according to the criteria of WHO 1999. Results Age-adjusted prevalence rate for IFG, DM, I-IFG, IFG/IGT was 6.85%, 3.38%, 4.41%, 0.83%, respectively. With the increasing of age, waist circumference, BMI （body mass index）, the prevaleace of I-IFG, IFG/IGT and DM increased. Measurements of I-IFG and IFG/IGT showed higher prevalence among those aged 〉35 years, while DM was higher among those aged 〉45 years. IFG/IGT and DM were higher among those with waist circumference ≥85 cm in male and ≥80 cm in female. The prevalence of I-IFG, IFG/IGT and DM increased significantly for those BMI≥24. Age, waist circumference, BMI, waist to height radio, systolic pressure, diastolic pressure increased in the order of normal population, I-IFG, IFG/IGT and DM group. There was no difference between IFG/IGT and DM groups. Conclusion I-IFG, IFG/IGT and DM showed same prevalence characters in the study population. DM and IGT should be set for publicity and early prevention.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2008年第12期1454-1456,共3页
Chinese Journal of Public Health
基金
卢森堡-WHO-山东省农村卫生人员培训与慢病控制项目(WP/2006/CHN/NCD/2.4/001)
关键词
糖尿病
糖调节受损
流行特征
农村居民
diabetes mellitus
impaired glucose regulation
prevalence character
rural resident
