论文部分内容阅读
[目的]了解莒南县农村居民2型糖尿病患病率,探讨糖尿病、糖耐量减低与膳食营养摄入的关联,以便指导糖尿病防治工作。[方法]2010年,在莒南县农村地区随机抽取435名18岁以上居民进行膳食营养调查和血糖检测,对检出的41例糖尿病(DM)病人、糖耐量减低(IGT)者及随机抽取的41名血糖正常者,调查其各种食物摄取情况,采用条件Logistic回归分析营养素摄入情况。[结果]调查435人,检出糖尿病(DM)病人12例,检出率为2.76%;检出糖耐量减低(IGT)者29例,检出率为6.67%。DM、IGT检出率,DM、IGT合计检出率为9.43%,男性为8.88%,女性为9.96%(P>0.05);18～29岁为4.11%,30～39岁为6.59%,40～49岁为5.75%,50～59岁为13.86%,≥60岁为15.66%(P<0.05);道口乡为11.48%,相沟乡为8.15%,大店镇为8.99%(P>0.05)。调查血糖正常者41人,血糖异常者41例(DM者12例、IGT者29例),膳食情况,异常组摄入总热能、碳水化合物、视黄醇、核黄素高于对照组(P<0.05)。条件Logistic回归结果,年龄大与总热能、碳水化合物摄入量多为血糖异常的危险因素(OR值分别为1.105、1.165、1.120);膳食纤维摄入量多为血糖异常的保护因素,OR值为0.866。[结论]年龄大、总热能摄入量多、碳水化合物摄入量多、膳食纤维摄入量少的农村居民DM、IGT者较多。
[Objective] To understand the prevalence of type 2 diabetes in rural residents in Taonan County, and to explore the association between diabetes and impaired glucose tolerance and dietary intake, so as to guide the prevention and treatment of diabetes. [Methods] In 2010, 435 residents over 18 years of age were randomly selected from rural areas in Junan County for dietary nutrition survey and blood sugar test. 41 cases of diabetic patients, IGT patients were randomly selected and randomly selected Of 41 patients with normal blood sugar, investigate the various food intake, the use of conditional Logistic regression analysis of nutrient intake. [Results] A total of 435 people were surveyed, 12 cases of diabetes mellitus (DM) were detected, the detection rate was 2.76%. In 29 cases with impaired glucose tolerance (IGT), the detection rate was 6.67%. The detection rates of DM, IGT, DM and IGT were 9.43%, 8.88% for males and 9.96% for females (P> 0.05), 4.11% for 18-29 years, 6.59% for 30-39 years, (P> 0.05). The prevalence of the disease was 5.75% at 49 years old, 13.86% at 50-59 years old and 15.66% at 60 years old (P <0.05) ). 41 cases of normal blood glucose, 41 cases of abnormal blood glucose (DM in 12 cases, 29 cases of IGT), dietary intake of total abnormal energy, carbohydrates, retinol, riboflavin than the control group (P <0.05 ). Logistic regression analysis showed that age, total energy and carbohydrate intake were risk factors for abnormal glucose (OR = 1.105,1.165,1.120, respectively). Dietary fiber intake was mostly a protective factor of abnormal blood glucose, OR Is 0.866. [Conclusion] There are more DMs and IGTs among rural residents with large ages, more total caloric intake, more carbohydrate intake and less dietary fiber intake.