2016年昆山市糖尿病前期患病情况及其影响因素分析

目的 分析昆山市2016年糖尿病前期患病率及其影响因素。方法 采用概率比例抽样方法,于2016年对江苏省昆山市18~69岁常住居民进行面对面问卷调查、身体测量和实验室检测,采集血样检测空腹血糖、餐后血糖和糖化血红蛋白(HbA1c)。样本数据通过复杂加权后,估计糖尿病前期患病率,采用多因素logistic回归分析诸因素与糖尿病前期的关联。结果 2016年昆山市18~69岁常住人口糖尿病前期患病率为26.34%(95%CI:24.84%~27.83%),其中男性为24.80%(95%CI:22.77%~26.84%),女性为28.17%(95%CI:25.97%~30.37%)。肥胖(OR=1.43,95%CI:1.20~1.71)、高腰臀比(OR=1.37,95%CI:1.22~1.53)、甘油三酯偏高(OR=1.81,95%CI:1.59~2.06)、胆固醇偏高(OR=1.43,95%CI:1.06~1.94)、知晓自己腰围(OR=1.14,95%CI:1.01~1.29)、不知晓营养标签(OR=1.15,95%CI:1.03~1.29)、不在家吃早餐(OR=1.17,95%CI:1.02~1.34)以及有糖尿病家族史(OR=1.24,95%CI:1.06~1.45)与糖尿病前期患病存在关联。结论 昆山市2016年18~69岁常住居民中糖尿病前期患病率较高,人口学特征和行为生活方式与糖尿病前期显著关联。应大力倡导居民践行健康生活方式来防止糖尿病前期人群进展为糖尿病患者。

Prevalence and influencing factors of pre-diabetes in Kunshan,2016

Objective To analyze the prevalence and influencing factors of pre-diabetes in Kunshan,2016. Methods Face-to-face questionnaires,body measurements and laboratory tests were conducted on residents aged 18-69 in Kunshan,Jiangsu Province in 2016 to collect blood samples for fasting blood glucose,postprandial blood glucose and HbA1c by probability proportional to size(PPS)method.After being weighted according to complex sampling scheme and post-stratification,the samples were used to estimate the prevalence of pre-diabetes.The multivariate logistic regression analysis was used to analyze the associations between various factors and pre-diabetes. Results The prevalence of pre-diabetes in 18~69-year-old resident population in Kunshan City in 2016 was 26.34%(95%CI:24.84%-27.83%),of which 24.80%(95%CI:22.77%~26.84%)were male and 28.17(OR=1.43,95%CI:1.20-1.71)were female.In multivariable-adjusted analyses,obesity(OR=1.43,95%CI:1.20~1.71),waist to hip ratio(OR=1.37,95%CI:1.22~1.53),elevated triglyceride(OR=1.81,95%CI:1.59~2.06),higher cholesterol(OR=1.43,95%CI:1.06~1.94),awareness of self waist(OR=1.14,95%CI:1.01~1.29),not aware of nutritional labels(OR=1.15,95%CI:1.03~1.29),breakfast not at home(OR=1.17,95%CI:1.02~1.34)and family history of diabetes(OR=1.24,95%CI:1.06~1.45)were correlated with the prevalence of pre-diabetes. Conclusion There is a higher prevalence of pre-diabetes in Kunshan city in 2016.Demographic characteristics and lifestyle were associated with the prevalence of pre-diabetes.Healthy lifestyles should be advocated to prevent progression of the pre-diabetic population to diabetic patients.