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2型糖尿病与遗传和环境因素相互关系的研究
作者姓名:Chen Y  Zhou L  Xu Y  Shen H  Niu J
作者单位:1. 225001,江苏省扬州大学旅游烹饪学院营养学系营养卫生学教研室
2. 南京医科大学公共卫生学院流行病学教研室
摘    要:目的 研究2型糖尿病与遗传和环境因素的相互关系。方法 对江苏省1997年糖尿病流行病学调查中,筛选出的2型糖尿病患者154例及与其性别、年龄构成相近的正常人群对照130例进行单因素和多因素非条件logistic回归分析。结果 年龄、糖尿病阳性家族史、高血压史、腰臀比大、收缩压、女性巨大胎儿史及β3-肾上腺素能受体基因为异是2型糖尿病的危险因素,职业性体力劳动是其保护因素;遗传因素与肥胖、β3-肾上腺素能受体基因变异等危险因素共同存在时,糖尿病的发病危害性(OR)将明显增加。结论 2型糖尿病是遗传因素与环境因素共同作用的结果。

关 键 词:2型糖尿病  遗传  环境因素  糖尿病  非胰岛素依赖型  危险因素  Logisti模型
修稿时间:2001年4月18日

A study on the relationship between genetic and environmental factors of type 2 diabetes mellitus in humans
Chen Y,Zhou L,Xu Y,Shen H,Niu J.A study on the relationship between genetic and environmental factors of type 2 diabetes mellitus in humans[J].Chinese Journal of Preventive Medicine,2002,36(3):191-194.
Authors:Chen Yu  Zhou Ling  Xu Yaochu  Shen Hongbing  Niu Juying
Institution:Department of Nutriology, Tourism and Chinese Cuisine of Yangzhou University, Yangzhou 225001, China.
Abstract:OBJECTIVE: To study the relationship between the inheritable factor and environmental factors of type 2 diabetes mellitus in humans. METHODS: A case-control study based on 154 type 2 diabetes mellitus and 130 healthy controls was carried out in Jiangsu Province in 1997. RESULTS: The age, family history of diabetes mellitus, hypertension history, high waist/hip ratio (WHR), high systolic blood pressure, huge fetus history, and the genotype of beta(3)-adrenergic receptor (beta(3)-AR) were the risk factors of type 2 diabetes mellitus; while occupational physical activity was protective factor of type 2 diabetes mellitus. The risk for diabetes mellitus distinctly increased while genetic factor and obesity, beta(3)-AR mutation were coexisting. CONCLUSION: Type 2 diabetes mellitus is caused by the effect of both genetic and environmental factors.
Keywords:Diabetes mellitus  mon  insulin  dependent  Risk factors  Genetice  Environment  Logistic models
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