摘要
目的探讨影响Ⅱ型糖尿病（ＮＩＤＤＭ）多发性家庭中家庭成员发病的危险因素。方法 以ＮＩＤＤＭ多发性家庭中的同胞为基础，进行成组病例对照研究。其中病例组２２５例，对照组１９４ 例。结果单因素ｌｏｇｉｓｔｉｃ回归提示，ＮＩＤＤＭ多发性家庭中女性患病率高于男性（ＯＲ＝１． ６３７）；多 个饮食因素与ＮＩＤＤＭ发病有关，其中包括：吃甜食（ＯＲ＝１． ７０６）、吃食用糖（ｏＲ一２。 ２０３）、吃高脂 肪肉类（与不吃肉相比ＯＲ＝１３． １２５）、食肉量大（每周大于两斤与少于半斤相比ＯＲ＝２． ７２８）、食新 鲜蔬菜少（每天半斤左右与一斤以上相比ＯＲ＝１． ６８７）、口味嗜咸（ＯＲ＝１． ８６７）、食量大（每天大于 ５００ ｇ与少于２５０ｇ相比ＯＲ＝２． ６３２）；与ＮＩＤＤＭ发病有关的生活习惯是：冬季午睡（ＯＲ＝ １．７８７）、夏季午睡（ＯＲ＝１． ５２４）；另外，腰臀比（ＯＲ＝１． ７２４）；高血压（ＯＲ已１． ８６７）；精神刺激史 （ＯＲ＝１． ５９３）及文化程度（低与高相比ＯＲ＝２． ５３８）也与ＮＩＤＤＭ发病有关。多因素ｌｏｇｉｓｔｉｃ回归显 示：性别因素（ＯＲ＝３． ３３５），吃食用糖（ＯＲ＝２． ０６６），吃高脂肪肉类（０Ｒ＝８． ４?
Objective To study the risk factors of NIDDM in the members of NIDDM multiple families. Methods A group case-control study based on the siblings of NIDDM multiple families. It contained 225 cases and 194 controls. Results Single-factor logistic regression analysis indicates that the case rate of female is higher than male (OR= 1. 637) ; Several dietary factors as the following detailing: consumption of large amounts of sweet food (OR = 1. 706) , sugar (OR = 2. 203) , fat (compared with eating no meat OR= 13. 125) , meat (above 1 000 g . wk compared with below 250 g . wk OR= 2. 728) eating less fresh vegetable (about 250 g . d compared with over 500 g . d OR= 1. 687) , preferring salty diet (OR= 1. 867) , eating too much food everyday (over 500 g . d compared with less than 250 g . d OR= 2. 632) associate with the occurrence of NIDDM ; The lifestyle that associates with the occurrence of NIDDM is sleeping at noon in winter (OR= 1. 787) and in summer (OR= 1. 524) ; Besides , waist :hip ratio (WHR) (OR= 1. 724) , hypertension (OR= 1. 867) , history of psyche irritation (OR= 1. 593) and low educated (lower compared with higher OR = 2. 538) associates with the occurrence of NIDDM. Multivariate logistic regression analysis indicates that sex factor (OR = 3. 335)_, eating sugar (OR = 2. 066) , eating meat with high fat (OR= 8. 400) , eaating much more meat (OR= 2. 213) , eating less fresh vegetable (OR= 1. 833) , eating too much food everyday (OR= 2. 804) , WHR (OR= 1. 760) , history of psyche irritation (OR= 1. 624) are the comprehensive risk factors of the occurrece of NIDDM. Conclusion Dietary factors are the main NIDDM occurrence risk factors to the members of NID- DM multiple families.
出处
《中华疾病控制杂志》
CAS
1999年第1期42-44,共3页
Chinese Journal of Disease Control & Prevention
