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目的掌握新余市渝水区成年人糖尿病患病现状及相关身体指标情况,分析糖尿病的危险因素,针对糖尿病危险因素提出防控措施。方法采用多阶段分层抽样方法,随机抽取新余市渝水区居民600名(城市和农村常住居民各300名)进行相关身体指标(身高、体质量、腰围及血压)和血糖[空腹血糖(GLU)、餐后血糖(OGTT)]的测量。结果 600名社区居民中男性占49.33%,女性占50.67%。男女间身高、体质量、体质指数、腰围、收缩压、舒张压比较差异均有统计学意义(均P<0.05)。超质量占32.50%,肥胖占6.83%,腰围超标占42.67%;男女间腰围超标率比较差异有统计学意义(49.66%比35.86%,χ2=11.687,P=0.001)。600名居民中糖尿病患病率为9.50%,标化率为8.11%;糖尿病前期患病率为22.29%,标化率为16.37%。城市居民糖尿病患病率高于农村居民(12.67%比6.33%)、腰围异常人群糖尿病患病率高于腰围正常人群(12.89%比6.98%)、高血压人群糖尿病患病率高于正常人群糖尿病患病率(24.24%比5.34%),均P<0.05;40岁以后随年龄增长糖尿病患病率逐渐升高。Logistic回归分析:居住地为城市(OR=3.617;95%CI:1.916~6.826)、年龄增长(OR=1.711;95%CI:1.292~2.265)及高血压(OR=4.316;95%CI:2.285~8.152)均为糖尿病的危险因素。结论新余市渝水区居民超质量率、肥胖率、腰围超标率及糖尿病患病率较高,需要针对高危人群开展糖尿病的综合防治工作。
Objective To investigate the prevalence of diabetes mellitus and related physical indicators of adults in Yushui district of Xinyu City, analyze the risk factors of diabetes and put forward prevention and control measures according to the risk factors of diabetes mellitus. Methods The multi-stage stratified sampling method was used to randomly select 600 residents (300 inhabitants in urban and rural areas) from Yushui district of Xinyu City to carry out relevant physical indexes (height, body weight, waist circumference and blood pressure) and blood glucose [fasting blood glucose ), Postprandial blood glucose (OGTT)] measurements. Results Among 600 community residents, 49.33% were male and 50.67% were female. There were significant differences in height, body mass, body mass index, waist circumference, systolic blood pressure and diastolic blood pressure between men and women (all P <0.05). Overweight accounted for 32.50%, obesity accounted for 6.83%, waist circumference exceeded 42.67%; men and women between the waist exceeded the rate was statistically significant (49.66% vs 35.86%, χ2 = 11.687, P = 0.001). The prevalence of diabetes in 600 residents was 9.50%, the standardization rate was 8.11%. The pre-diabetes prevalence rate was 22.29% and the standardization rate was 16.37%. The prevalence of diabetes in urban residents was higher than that in rural residents (12.67% vs 6.33%). The prevalence of diabetes was higher in those with abnormal waist circumference than those in normal waistline (12.89% vs 6.98%). The prevalence of diabetes in hypertensive population was higher than that in normal population Prevalence rate (24.24% vs 5.34%), all P <0.05; After 40 years of age, the prevalence of diabetes increased gradually. Logistic regression analysis showed that the cities of residence (OR = 3.617; 95% CI: 1.916-6.826), age (OR = 1.711; 95% CI: 1.292-2.265) and hypertension (OR = 4.316; 95% CI: 2.285 ~ 8.152) are risk factors for diabetes. Conclusion The residents of Yushu district in Xinyu City have higher rates of overweight, obesity, excessively high waist circumference and high prevalence of diabetes. Therefore, it is necessary to carry out comprehensive prevention and treatment of diabetes for high-risk groups.