摘要
目的:了解重庆地区糖尿病和糖耐量低减的患病情况及其主要危险因素。方法押调查于2002-01/07进行。采用整群分层抽样的方法,以重庆市20岁以上常住人口为调查对象,选择了4个社区,对3717例人群进行了现况调查。调查内容包括:①问卷调查:一般情况、既往病史、家族史、吸烟及饮酒情况、近一年的饮食情况、体力活动情况等。②体格检查项目:身高、体质量、腰围、臀围、血压等。计算体质量指数和腰臀比。③实验室检查项目:空腹血糖、口服75g葡萄糖后2h血糖、血清总胆固醇、三酰甘油、高密度脂蛋白、低密度脂蛋白等。结果押①糖尿病(空腹血糖≥7.0mmol/L或餐后2h血糖≥11.1mmol/L)患病率9.77%,糖耐量低减(7.8mmol/L≤餐后2h血糖<11.1mmol/L)患病率15.26%。按性别划分,糖尿病患病率男性10.19%,女性9.07%;糖耐量低减的患病率男性15.54%,女性14.85%。随着年龄增加,糖尿病和糖耐量低减患病率亦逐渐升高,70岁及以上达17.39%。②超重现象较严重,超重及肥胖率(体质量指数≥25kg/m2)为32.63%,且无论男性或女性,随着体质量指数增加,糖尿病患病率逐渐升高,体质量指数≥30kg/m2者其患病率是正常者的2.43倍。③调查人群舒张压≥90mmHg(1mmHg=0.133kPa)者糖尿病患病率为13.92%,糖耐量低减为19.46%;收缩压≥140mmHg者糖尿病患病率为18.74%,糖耐量低减为22.52%,高血压者的糖尿病和糖耐量低减患病率均较血压正常者为高。有糖尿病家族史者其糖尿病患病率为23.13%,糖耐量低减为25.63%,均明显高于无家族史者7.02%与13.28%。④影响糖尿病患病的危险因素主要有:糖尿病家族史、体质量指数、腰臀比、高收缩压、高三酰甘油,体力活动,其OR值分别为3.049,1.456,1.798,2.895,2.525,1.671。结论押重庆地区中老年人2型糖尿病的患病率已处于较高水平,超重与肥胖,缺乏体育锻炼,膳食中高能量、高脂肪摄入是当地2型糖尿病的主要危险因素。
AIM： To know pathogenetic status of diabetes and impaired glucose tolerance （IGT） in patients of Chongqing and its main risk factors. METHODS： The investigation was conducted from January to July 2002. Stratified sampling investigation was applied and stationary population in Chongqing aged above 20 years were taken as investigating subjects. Four communities were selected and 3717 subjects received pathogenetic-condition investigation, content of which included： ① Questionnaire survey： General condition, past medical history, smoking and drinking status, status of food and drink in the past year and physical work conditions. ② Physical-examination items： Body height, body mass, waistline, hip circum- ference and blood pressure etc., indexes of body mass and waist-to-hipratio were caculated. ③Inspecting items in laboratory： Fasting blood glucose （FBG）, blood glucose of 2 hours after orally taking 75 g glucose, total cholesterol, triacylolycerol, high density lipoprotein （HDL）, low density lipoprotein （LDL）, RESULTS： ①The prevalence rate of diabetes （FBG≥7.0 mmol/L or blood glucose of 2 hours after meal≥11.1 mmol/L） was 9.77%; The prevalence rate of IGT （7.8 mmol/L≤ blood glucose of 2 hours after meal 〈 11.1 mmol/L） was 15.26%. According to genders, prevalence rate of diabetes in males was 10.19% and was 9.07% in females; Prevalence rate of male patients with IGT was 15.54% and was 14.85% in females. With the increasing of age, prevalence rates of diabetes and IGT also increased, that of patients above 70 years old was as high as 17.39 %. ②Phenomenon of overweight was severer, rate of overweight and obesity was 32.63%, moreover, with the rising of body-mass index, prevanlence of patients, no matter male or female they were, gradually increased. Rates of subjects with the bodymass index≥30 kg/m^2 were 2.43 times as that of normal people. ③ Rate of diabetic subjects with the diastolic blood pressure （DBP）≥90 mm Hg （ 1 mm Hg=0.133 kPa） was 13.29% and that of the patients with IGT was 19.46%; Rate of diabetic patients with systosic blood pressure （SBP） ≥ 140 mm Hg was 18.74% and that of patients with IBT was 22.52%. Rates of diabetes and IGT in patients with hypertension were higher than those in normal people. Rates of diabetes in patients with diabetic family history was 23.13% and was 25.63% in IGT, which were higher than those in patients without diabetic family history. Rates of diabetes in patients with diabetic family history was 23.13 % and 25.63 % in IGT, which were signigicantly higher than those in patients without diabetic family history, which were 7.02 % and 13.28 % respectively. ④Influencing risk factors of diabetes were mainly： Diabetic family history, body-mass index, waist-to-hip ratio, high SBP, high triacylglycerol and physical work, their OR values were 3.049,1.456,1.798,2.895,2.525 and 1.671 respectively.CONCLUSION： Prevalence rate of type 2 diabetes in middle-aged and old people of Chongqing is in a high level. Overweight and obesity, lacking of physical activity, high energy and fat intake were major risk factors of type 2 diabetes in people of Chongqing.
出处
《中国临床康复》
CSCD
北大核心
2006年第12期10-12,共3页
Chinese Journal of Clinical Rehabilitation
基金
重庆市卫生局医学科学基金资助项目(2000-2027)~~
