摘要
目的研究老年２型糖尿病患者的易患因素，为预防和干预提供依据。方法随机选择老年２型糖尿病新诊断病例６５例、医院对照７１例和人群对照６７例，进行频数匹配病例对照研究。结果糖尿病阳性家族史（ＯＲ＝５．４８）、腰臀比大（ＯＲ＝２．３３）、主食摄入量大（ＯＲ＝２．８６）、经常性肉类摄入（ＯＲ＝２．６１）、高血压（ＯＲ＝４．８３）和女性妊娠次数多（ＯＲ＝４．４６），以及休闲时体力活动（ＯＲ＝０． ４３）与 ２型糖尿病有显著性关联。结论 具有糖尿病家族史、肥胖、饮食高能量摄入、高血压和女性妊娠次数多等可能是老年２型糖尿病的危险因素；休闲时体力活动具有保护性作用。倡导健康的生活方式，有计划地实施人群干预策略，是老年２型糖尿病防治的重要措施。
Objective To recognize the risk factors and provide evidence for prevention and intervention of type 2 diabetes mellitus in the elderly. Methods A frequency matched case-control study based on hospital involving 65 new diagnosed type 2 diabetics mellitus cases in the elderly and 71 control cases without.type 2 diabetes mellitus was carried out in Xuzhou City, Jiangsu Province. In addition, 67 healthy people in this district were also randomly selected as controls. Results family history of diabetes mellitus (OR=5. 48 ), WHR (OR=2. 33 ), high carbohydrate food intake (OR=2. 86), usually meat intake (OR=2. 61 ), hypertension (OR=4. 83) and number of pregnancies (OR =4. 46) were significantly associated with type 2 diabetes mellitus after adjustment for all other risk factors. Leisure time physical activity (OR=0. 43) were inversely associated with type 2 diabetes mellitus. Conclusion The results indicated that family history of diabetes mellitus, obesity, dietary factors (contain high total energy), hypertension and number of pregnancies might be risk factors of type 2 diabetes mellitus in the elderly. Physical activity might be protective factors of type 2 diabetes mellitus. Healthy lifestyle intervention may provide an effective program for prevention of type 2 diabetes mellitus in the elderly.
出处
《中国糖尿病杂志》
CAS
CSCD
2000年第6期330-331,共2页
Chinese Journal of Diabetes
基金
江苏省卫生厅预防医学科研基金资助!(基金编号:99003)
