农村居民空腹血糖受损及糖尿病患病调查

目的 调查吉林延边地区农村居民空腹血糖受损和糖尿病检出率及其相关因素。方法 对延边地区30～60岁常住居民5 335人进行现况调查。结果 朝鲜族和汉族空腹血糖受损(IFG)粗检出率分别为6.1%(159/2 600)和5.9%(161/2 735),其标化检出率分别为5.5%和5.5%;糖尿病(DM)粗患病率分别为7.2%(186/2 600)和5.7%(156/2 735),其标化患病率分别为6.1%和4.9%:不同性别、不同年龄IFG和DM检出率差异均有统计学意义;多因素分析显示,IFG患病与性别、饮酒、腹型肥胖(OR=1.329,95%CI=1.022～1.730)、高甘油三酯血症(OR=1.745,95%CI=1.333～2.283)、高胆固醇血症(OR=2.033,95%CI=1.497～2.761)和代谢综合征(OR=6.630,95%CI=5.106～8.608)密切相关(均P<0.05):DM患病与性别、年龄、文化程度、腹型肥胖(OR=1.855,95%CI=1.407～2.446)、高胆固醇血症(OR=1.864,95%CI=1.379～2.520)、高甘油三酯血症(OR=2.281,95%CI=1.737～2.996)和代谢综合征(OR=7.779,95%CI=5.937～10.191)密切相关(均P=0.000),其中年龄和文化程度对DM影响具有计量反应关系。结论 延边地区农村居民空腹血糖受损和糖尿病分别与性别、年龄(DM)、饮酒(IFG)、文化程度(DM)、腹型肥胖、高胆固醇血症、高甘油三酯血症和代谢综合征密切相关。

Impaired fasting glucose and diabetes mellitus in rural residents of Yanbian area

Objective To investigate the prevalence of impaired fasting glucose (IFG) and diabetes mellitus(DM),and their correlated factors among rural residents of Yanbian area.Methods Across sectional study was carried out among 5.335 residents aged 3060 years.Results The crude prevalecne of IFG was 6.1% (159/2 600) in Korean and 5.9% (161/2 735) in Han with the age adjustd prevalence of 5.5% and 5.5%,respectively.The crude prevalence of DM was 7.2% (186/2 600) and 5.7% (156/2 735) for Korean and Han residents with the age adjusted prevalence of 6.1% and 4.9%,respectively.The preva lences of IFG and DM showed significan tsex differences in both nationlities.Multiple factor analysis showed tha tmale,alcohol drinking,central obesity (odds ratio [OR]=1.329,95% confidence interval [CI]:1.0221.730),high trigly ceride(OR=1.745,95% CI:1.3332.283),high cholestero l(OR=2.033,95% CI:1.4972.761),and metabolic syndrom (MS) (OR=6.630,95% CI:5.1068.608) were risk factors of IFG (P < 0.05); male,older age,lower educatiion level,central obesity(OR=1.855,95% CI:1.4072.446),high cholesterol(OR=1.864,95% CI:1.379-2 520),high trigly ceride(OR=2.281,95% CI:1.7372.996),and MS (OR=7.779,95% CI:5.937 10.191) were risk factors of DM (P=0.000).Conclusion The prevalences of IFG and DM are positively correlated with sex,age (DM),alcohol drinking (IFG),educatioin (DM),central obesity,high chole sterol,high triglyceride,and MS in rural residents of Yanbian area,respectively.