包头钢铁公司职工糖尿病流行病学调查

目的 了解包头钢铁公司(包钢)职工糖尿病(DM)的患病率及其影响因素并进行有效的干预。方法 调查时间：1999年7月至2000年2月。调查对象为包钢主体单位20岁以上的工人和干部,受检人数占各单位20岁以上人数的90％。诊断标准采用美国糖尿病协会制定的标准(1997年)。结果 20221人中共检出DM600例,糖耐量低减(IGT)635例,空腹血糖受损(IFG)425例,标化后的患病率分别为3．22％、3．48％和2．09％,且随年龄、体重指数和腰臀比的增加而增高。新诊断的糖尿病病例占56．30％。肥胖、糖尿病家族史、女性有巨大胎儿史、脑力劳动及低文化程度者糖尿病的患病率明显增高。高温作业者与非高温作业者DM、IGT及IFG的患病率未见明显差异。结论 增龄、肥胖、糖尿病家族史、女性有巨大胎儿史、脑力劳动及低文化程度是易患糖尿病的高危因素,高温作业对糖尿病的患病率未见明显影响。

An epidemiologic study of diabetes mellitus in employees of Baotou Iron & Steel Company

Objective To investigate prevalence of diabetes mellitus (DM),impaired glucose tolerance (IGT),impaired fasting glucose (IFG) in Baotou Iron & Steel Company and to provide scientific evidence for prevention and intervention of DM. Methods Prevalence of DM was studied in 20 221 workers aged 20 years and over (male 15 124 and female 5 097),with the criteria set by the Americal Diabetes Association (ADA,1997),in Baotou Iron & Steel Company. Results Prevalence of DM,IGT and IFG was 3.22%,3.48% and 2.09%,respectively in 20 221 subjects,adjusted for age,which increased with age,body mass index and waist to hip ratio,and 56.30% of them were newly-diagnosed. Family history of DM and overweight correlated to prevalence of DM,IGT and IFG,which was higher in mental workers than that in physical laborers. The lower level of education,the higher prevalence of DM,IGT and IFG. Prevalence of DM,IGT and IFG in the workers working under high-temperature condition had no significantly difference with that in the control group. Mean blood pressure was significantly higher in persons with DM,IGT and IFG than that in the normal controls. Conclusions Age,overweight,obesity,family history of DM,mental work,low level of education,and history of gestation with a huge fetus all were risk factors for DM,IGT and IFG. There is no significant impact of high temperature environment on prevalence of DM,IGT and IFG.