社区居民糖尿病前期患病率及危险因素调查

目的了解社区居民糖尿病前期的患病率及相关危险因素。方法在杭州市江干区闸弄口街道社区卫生服务中心所辖区域采用随机分层抽样法选择20～90岁常住居民4020人，进行问卷调查并测定空腹血糖及餐后2h血糖、BMI、腰围、血压和血脂等。结果4020人中，422人符合糖尿病前期诊断标准，患病率为10．50％，随着年龄的增长呈上升趋势（P〈0．01）。糖尿病前期人群超重、肥胖、中心性肥胖、高血压、高血脂、有糖尿病家族史、抽烟和作息不规律的比例分别为50．47％、22．99％、80．33％、66．11％、80．09％、31．28％、37．20％和54．74％，明显高于正常人群（P〈0．01）。多元Logistic回归分析显示，年龄越大、生活不规律、肥胖、糖尿病家族史、高血压和高血脂是糖尿病前期的危险因素，OR值（95％C1）分别为1．319（1．212～1．436）、1．320（1．139～1．513）、1．568（1．062～2．313）、4．735（3．518～6．347）、3．315（2．412～4．024）和2．948（2．217～3．920）。结论应对糖尿病前期人群进行早期健康管理，以降低糖尿病及其并发症的发生率。

An investigation on prevalence and risk factors of pre -diabetes among community residents

Objective To know the prevalence of pre-diabetes and its associated risk factors among community residents. Methods A total number of 4 020 local residents （aged 20 to 90 years old ） from Jianggan district were selected by stratified sampling, they participated in the questionnaire survey and physical examination, including fasting blood glucose, two -hour postprandial glucose, BMI, waist measurement, blood pressure and blood lipids. Results Among all of 4 020 residents, 422 people met diagnostic criteria for pre - diabetes, and the prevalence was 10. 50% , which increased with age （ P 〈 0. 01 ）. The prevalence of overweight, obesity, central obesity, hypertension, hypercholesterolemia, family history of diabetes, smoking and irregular life - style among the persons with pre - diabetes were 50. 47% , 22. 99% , 80. 33% , 66. 11% , 80. 09% , 31.28% , 37.20% and 54. 74% respectively, significantly higher than those without pre - diabetes （ P 〈 0. 01 ）. Multivariate logistic regression analysis showed that advanced age, irregular life ± style, obesity, family history of diabetes, hypertension and hypercholesterolemia were risk factors of pre - diabetes, and the values of 0R（95% CI） were 1.319（1.212±1.436）, 1.320（1.139±1.513）, 1.568 （1.062±2.313）, 4.735（3.518±6.347）, 3.315（2.412± 4. 024） and 2. 948 （2. 217 ± 3. 920） respectively. Conclusion It is necessal7 to take measure of early stage health management for pre - diabetes, so as to reduce the incidence rate of diabetes and its complications.