摘要
目的了解福建省成年居民糖代谢异常现状及其影响因素,为糖尿病(DM)预防控制提供参考依据。方法采用多阶段分层整群随机抽样方法在福建省抽取6 016名≥18岁常住居民进行问卷调查、体格检查和实验室检测。结果福建省成年居民DM患病率为10.6%,标化患病率为8.0%;DM前期患病率为19.5%,标化患病率为16.7%;空腹血糖受损(IFG)患病率为6.8%,标化患病率为6.2%;糖耐量减低(IGT)患病率为12.7%,标化患病率为10.5%;640例DM患者中有63.1%为新发现的未诊断DM病例,其中31.2%为单纯空腹高血糖,39.4%为单纯餐后高血糖;多因素非条件logistic回归分析结果显示,年龄≥25岁、有DM家族史、中心性肥胖及LDL-C、TG、收缩压、舒张压水平较高是福建省成年居民糖代谢异常的危险因素;农村地区、文化程度中学及以上和HDL-C水平较高是福建省成年居民糖代谢异常的保护因素。结论福建省成年居民DM前期患病率较高,年龄、DM家族史、中心性肥胖、血脂异常、高血压、居住地区、文化程度是福建省成年居民糖代谢异常的主要影响因素。
Objective To examine the prevalence and influence factors of abnormal glucose metabolism among adult residents in Fujian province,and to provide references for diabetes mellitus（ DM） control and prevention. Methods Questionnaire survey,physical examination and laboratory detection were conducted in 6 016 local residents aged 18 years or older,who were recruited with multi-stage stratified cluster sampling method,in Fujian province. Results Among the residents,the prevalence and the standardized prevalence of DM,pre-DM,impaired fasting glucose（ IFG）,and impaired glucose tolerance（ IGT） were 10. 6% and 8. 0%,19. 5% and 16. 7%,6. 8% and 6. 2%,and 12. 7% and10. 5%,respectively. Of the 640 DM cases identified,63. 1% were newly detected cases without prior diagnosis,in which31. 2% and 39. 4% were isolated fasting hyperglycemia and isolated postchallenge hyperglycemia. M ultivariable logistic regression analyses showed that age,familial DM history,diastolic blood pressure,systolic blood pressure,triglyceride,lowdensity lipoprotein cholesterol,and central obesity were risk factors for the development of glucose metabolism disorder,and living in rural area,with middle school or higher education,and with higher level of high density lipoprotein cholesterol were the protective factors. Conclusion The prevalence of pre-DM is high among adult residents in Fujian province,and age,family history of DM,central obesity,dyslipidemia,hypertension,residential area,and education level are main influence factors of abnormal glucose metabolism.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2016年第4期497-501,共5页
Chinese Journal of Public Health
基金
福建省自然科学基金(2012J05135)
福建省卫生系统中青年骨干人才培养项目(2014-ZQH-ZD-7)
作者简介
叶莺（1978-），女，福建福清人，副主任医师，博士，主要从事慢性病防治工作。
