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目的研究河北省公务员腹型肥胖与糖尿病的相关性。方法选取2009年4—7月在某院体检中心进行体检的3 753例公务员的体检资料进行分析。结果 3 753例公务员体检者中糖尿病患病率为8.21%,空腹血糖受损者占12.42%;人群中腹型肥胖率为51.63%。不同性别人群糖尿病患病率、腹型肥胖率差异无统计学意义,但随年龄增长腹型肥胖发生率、糖尿病患病率逐渐增高(P<0.01)。腹型肥胖率和糖尿病患病率成正相关(χ2=57.029,P<0.01)。校正年龄作用后,腹型肥胖者患糖尿病的危险度明显升高,OR值为2.98(95%CI:2.21～4.02)。结论腹型肥胖是糖尿病发生的一个危险因素,应对公务员进行健康生活方式的教育。
Objective To study the correlation between abdominal obesity and diabetes among civil servants in Hebei province. Methods The physical examination data of 3 753 civil servants from April to July in 2009 in the physical examination center of a hospital were analyzed. Results The prevalence of diabetes in 3 753 civil servants was 8.21%, and the impaired fasting glucose was 12.42%. The rate of abdominal obesity in the population was 51.63%. There was no significant difference in the prevalence of diabetes mellitus and abdominal obesity among different sexes, but the prevalence of abdominal obesity increased gradually with age (P <0.01). The prevalence of abdominal obesity was positively correlated with the prevalence of diabetes (χ2 = 57.029, P <0.01). After adjusting for age, the risk of developing obesity in abdominal obesity patients was significantly increased, with a odds ratio of 2.98 (95% CI: 2.21 to 4.02). Conclusion Abdominal obesity is a risk factor for the development of diabetes, and education of civil servants in healthy lifestyles should be carried out.