南京地区35岁以上人群2型糖尿病现况调查

目的探讨南京地区城乡居民2型糖尿病（T2DM）的流行特征及相关影响因素,为制定有效的预防和干预措施提供科学依据。方法采用多阶段分层随机整群抽样方法,于2005年7—10月对南京地区的3个城区和2个乡村,年满35周岁并在当地居住满5a的常住人员进行T2DM的现况调查。结果全市总的T2DM现患率为4.7%,其中城区为7.0%,乡村为1.6%。经多因素Logistic回归分析,高龄、高血压、糖尿病家族史、吸烟、奶制品摄入量和腰臀比超标是T2DM发生的独立危险因素;而乡村居住、高强度的体力活动是独立保护因素。结论T2DM是由遗传、环境及行为多种影响因素相互作用的结果。倡导健康合理的膳食习惯及科学的生活方式,控制血压和体重是预防T2DM发生的重要措施。

Investigation of Type Ⅱ Diabetes Mellitus among Nanjing Residents Aged above 35

[Objective] To explore the epidemic features and related factors of type II diabetes mellitus (T2DM) among urban and rural residents of Nanjing and provide scientific basis for effective prevention and intervention of the disease. [Methods] Randomized cluster sampling method was used to investigate T2DM status among the local Nanjing residents aged above 35 from three urban districts and two villages of Nanjing from July to October of 2005. [Results]The overall T2DM morbidity was 4.7%, which of the urban area and rural area was 7.0% and 1.6% respectively. Multivariate logistic analysis indicated that age, hypertension, T2DM family history, smoking, milk intake, high waist-to-hip ratio were the important independent risk factors of T2DM, while residing in rural areas and intensive physical activities were the independent protective factors. [Conclusion] T2DM results from the interaction of multiple influential factors like heredity, environment and behavior. Healthy life style, blood pressure and weight control are effective measures to prevent T2DM.