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目的探索睡眠时间及睡眠质量与常见危险因素对空腹血糖受损的交互作用。方法采用多阶段分层整群随机抽样,抽取徐州市18岁及以上常住居民17 458人,收集他们的一般状况、患病情况、家族史、生活行为方式及睡眠情况,并测量空腹血糖、血压、身高、体质量等指标;运用相加作用模型,评价睡眠与其他多种因素对空腹血糖受损的交互作用。结果调整了性别、吸烟、饮酒、体力活动等多因素后,腹型肥胖和睡眠质量及高龄和睡眠质量对空腹血糖受损的相对超危险度比(RERI)、归因比(AP)和交互作用指数(S)及其置信区间分别为1.915(0.100~3.729)、0.325(0.077~0.574)、1.645(1.025~2.642)和1.634(0.074~3.194)、0.358(0.067~0.650)、1.849(1.046~3.614)。结论腹型肥胖和高龄与睡眠质量对空腹血糖受损有相加交互作用。
Objective To explore the interaction between sleep time, sleep quality and common risk factors on impaired fasting glucose. Methods A total of 17 458 permanent residents aged 18 years and older in Xuzhou were collected by random sampling using multi-stage stratified cluster sampling. Their general status, prevalence, family history, lifestyle behavior and sleep status were collected and their fasting blood glucose, blood pressure , Height, body weight and other indicators; the use of additive model to evaluate the interaction of sleep and other factors on impaired fasting glucose. Results After adjusting for multiple factors such as gender, smoking, alcohol consumption and physical activity, the relative obesity risk (RERI), the attribution ratio (AP), and interaction of abdominal obesity and sleep quality and the quality of aging and sleep quality on impaired fasting glucose The action index (S) and its confidence interval were 1.915 (0.100-3.729), 0.325 (0.077-0.574), 1.645 (1.025-2.642) and 1.634 (0.074-3.194), 0.358 (0.067-0.650) and 1.849 3.614). Conclusion Abdominal obesity and aging and sleep quality have an additive interaction on impaired fasting glucose.