摘要
目的调查2008年江苏地区糖尿病、代谢综合征（MS）及其相关疾病的患病情况。方法采用多阶段分层整群随机抽样方法，对该人群进行问卷调查，并行空腹血糖、口服葡萄糖耐量试验、血脂、身高、体质量、腰臀围、体质指数、血压检测。糖尿病采用1999年WHO的诊断标准，MS采用中华医学会糖尿病学分会2004年建议的诊断标准，分析患病率。应用卡方检验进行率的比较，并对MS的危险因素做多因素logstic回归分析。结果江苏地区3436名20岁以上人群糖尿病、MS、高血糖、高血压、超重或肥胖、高甘油三酯血症和低高密度脂蛋白胆固醇血症的粗患病率分别为10．9％、18．7％、23．0％、35．4％、39．8％、28．5％和13．3％，标化后患病率分别为8．56％、15．9％、18．9％、27．8％、35．8％、27．1％和13．2％，上述疾病的患病率随年龄的增长而增加。女性MS患病率：农村（19．9％）〉城镇（15．8％）〉城市（14．6％），男性城镇（23．7％）〉农村（21．7％）〉城市（19．9％）。经logistic回归分析显示性别、年龄、文化程度为MS的危险因素。结论江苏地区20岁以上人群糖尿病、MS患病率分别为8．56％和15．9％，已成为影响城乡居民健康的重大公共卫生问题，应加强防治工作力度。
Objective To investigate the prevalenees of diabetes, metabolic syndrome and its related diseases in a resident sample aged over 20 years old in Jiangsu province in 2008. Methods A cross- over sectional and cluster sampling was carried out in 3436 residents aged over 20 years living in the rural and urban areas of Jiangsu province. After an overnight fasting, participants underwent an oral glucose- tolerance test, Fasting and 2-hour plasma glucose level, lipid-profile as well as height, body weight, body mass index （BMI）, blood pressure （BP） were measured. WHO（1999） standard was used as diagnostic criteria of diabetes. Chinese Diabetes Society （2004） suggestion-diagnosed standard was used as diagnostic criteria of metabolic syndrome. X2 test was used for data analysis. The prevalence of MS and its attributing factors were analyzed by logistic regression model. Results The prevalences of diabetes, MS, high blood glucose, hypertension, overweight or obesity, high blood TG, low-HDL were 10. 9%, 18.7%, 23.0%, 35.4% , 39. 8% , 28.5% , 13.3% respectively. Standardized prevalences of these diseases were 8.56% , 15.9%, 18.9%, 27.8%, 35.8%, 27. 1%, 13.2% respectively. The prevalences of these diseases were increased with aging. Villages had the highest prevalence of MS in women, while cities had the lowest one. Towns had the highest prevalence of MS in men, while villages had the lowest. The muhivariable stepwise analysis extracted age, sex and education as major risk factors for MS. Conclusion The prevalence of diabetes and metabolic syndrome in a sample of residents aged over 20 in Jiangsu Province were 8.56% and 15.9%. It becomes a public health problem requiring urgent attention for prevention and treatment.
出处
《中华糖尿病杂志》
CAS
2011年第6期463-467,共5页
CHINESE JOURNAL OF DIABETES MELLITUS
关键词
糖尿病
代谢综合征
患病率
流行病学
Diabetes mellitus
Metabolic syndrome
Prevalence
Epidemiology
