安徽省慢性病监测点成人糖代谢异常流行特征分析

目的了解安徽省慢病监测点成人糖代谢异常的流行特征。方法在监测点采取多阶段分层整群随机抽样的方法,抽取18岁及以上的常住居民,进行问卷调查和体格检查,空腹和给予口服葡萄糖耐量试验（OGTT）的血糖检测。结果共调查3 575人,糖代谢异常（GA）患病率为30.9%,糖尿病（DM）患病率为10.9%,糖调节受损（IGR）的患病率为20.0%,空腹血糖受损（IFG）和糖耐量受损（IGT）患病率分别为13.4%和11.6%。糖代谢异常患病率男性高于女性,且随着年龄的增长而增加;超重、肥胖、高血压、血脂异常均与糖代谢异常密切相关。结论安徽慢病监测点成年人群糖代谢异常患病率高。健康促进、健康生活方式的形成和体重、血压、血脂、血糖的监测与控制、IGR早期筛查等综合干预措施应成为糖代谢异常防控的重点。

Epidemiologic features in glycometabolic disorders of the population among adult residents in Anhui area

Objective To estimate the prevalence of glycometabolic abnormality among adults aged more than 18 year-old in Anhui province in 2010.Methods A Cross-sectional population survey for glycometabolic abnormality was performed by use of multistage randomly cluster sampling method.Questionnaire,fasting plasma glucose（FPG） and 75 gram oral glucose tolerance test（OGTT） were conducted in 3 575 subjects.Results Prevalence of glycometabolic abnormality（GA）,diabetes mellitus（DM）,impaired glucose regulation（IGR）,impaired fasting glucose（IFG） and impaired glucose tolerance（IGT） were 30.0%,10.9%,20.0%,13.4% and 11.6% respectively.The prevalence of GA was higher in male than that in female,and increased with age.Our result also showed that the prevalence of glycometabolic abnormality was obvious associated with overweight,obesity,hypertension and dyslipidemia.Conclusion There are a high prevalence of glycometabolic abnormality in Anhui province which increased with age.It is necessary to take comprehensive measures for glycometabolic abnormality prevention and control,including health promotion,taking reasonable lifestyle,balanced diet,weight control,appropriate exercise,monitoring blood pressure,serum glucose and serum lipid as well as early IGR-screening.