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城市居民心脑血管疾病和糖尿病发病及控制状况分析
引用本文:董斌,周莹霞,赵列宾,陆骆,苏丽珍,陈宇红,毕宇芳,李小英,崔平,沈晓兰,沈世蜂,陈英耀,赵明瑶,陶一众,孙海燕,赵丹丹,宁光. 城市居民心脑血管疾病和糖尿病发病及控制状况分析[J]. 上海交通大学学报(医学版), 2011, 0(4): 484-487
作者姓名:董斌  周莹霞  赵列宾  陆骆  苏丽珍  陈宇红  毕宇芳  李小英  崔平  沈晓兰  沈世蜂  陈英耀  赵明瑶  陶一众  孙海燕  赵丹丹  宁光
作者单位:上海交通大学医学院附属瑞金医院糖尿病中心上海市内分泌代谢病临床医学中心;上海交通大学医学院附属瑞金医院远洋分院;上海交通大学公共卫生学院;上海市卢湾区瑞金二路社区卫生服务中心;上海市卢湾区卫生局;
基金项目:上海市教委重点课题(10ZS74); 上海申康医院发展中心课题(SHDC12007318)~~
摘    要:目的调查上海市中心城区社区居民心脑血管疾病和糖尿病发生和控制情况,分析其与体力活动(职业和运动)强度的关系。方法按照随机化抽样原则,对上海市卢湾区3个社区的常住居民进行问卷调查。调查内容包括慢性病(高血压、冠心病、心肌梗死、脑梗死和糖尿病)的患病情况(疾病诊断以医保病历中的诊断记录为准)及其体力活动强度。对所有调查对象进行体格、血压测量和血液生化指标检测,了解慢性病相关指标达标情况。分析慢性病的发生和控制与体力活动强度的关系。结果共10 002名居民参与调查,高血压、冠心病、心肌梗死、脑梗死和糖尿病的患病率为37.7%,其中近1年仍从事各种职业工作者(就职者)占15%;慢性病患者和非慢性病调查对象的平均体质量指数及血清总胆固醇和低密度脂蛋白水平均未达到控制目标。职业强度调查和分析显示:低体力强度职业者的慢性病患病率约为中等以上体力强度职业者的2.67倍;慢性病患者中,就职者的血压、空腹血糖、血清总胆固醇和高密度脂蛋白水平均显著低于非就职者(P<0.05或P<0.01)。运动强度调查和分析显示:冠心病患者参与低强度运动为多,糖尿病患者参与中等强度运动的比例较高。结论对社区居民应积极开展健康教育,加强健康指标控制...

关 键 词:慢性病控制  职业  体力活动  强度

Analysis of development and control of cerebrovascular diseases and diabetes mellitus in urban residents
DONG Bin,,ZHOU Ying-xia,ZHAO Lie-bin,,LU Luo,SU Li-zhen,CHEN Yu-hong,BI Yu-fang,LI Xiao-ying,CUI Ping,SHEN Xiao-lan,SHEN Shi-feng,CHEN Ying-yao,ZHAO Ming-yao,TAO Yi-zhong,SUN Hai-yan,ZHAO Dan-dan,NING Guang(.Diabetes Center,Shanghai Clinical Center for Endocrine , Metabolic Diseases,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai,China,.Yuanyang Branch of Ruijin Hospital,Shanghai,.School of Pub.... Analysis of development and control of cerebrovascular diseases and diabetes mellitus in urban residents[J]. Journal of Shanghai Jiaotong University:Medical Science, 2011, 0(4): 484-487
Authors:DONG Bin    ZHOU Ying-xia  ZHAO Lie-bin    LU Luo  SU Li-zhen  CHEN Yu-hong  BI Yu-fang  LI Xiao-ying  CUI Ping  SHEN Xiao-lan  SHEN Shi-feng  CHEN Ying-yao  ZHAO Ming-yao  TAO Yi-zhong  SUN Hai-yan  ZHAO Dan-dan  NING Guang(.Diabetes Center  Shanghai Clinical Center for Endocrine    Metabolic Diseases  Ruijin Hospital  Shanghai Jiaotong University School of Medicine  Shanghai  China  .Yuanyang Branch of Ruijin Hospital  Shanghai  .School of Pub...
Affiliation:DONG Bin1,2,ZHOU Ying-xia1,ZHAO Lie-bin1,3,LU Luo1,SU Li-zhen1,CHEN Yu-hong1,BI Yu-fang1,LI Xiao-ying1,CUI Ping4,SHEN Xiao-lan4,SHEN Shi-feng4,CHEN Ying-yao5,ZHAO Ming-yao5,TAO Yi-zhong5,SUN Hai-yan5,ZHAO Dan-dan5,NING Guang1(1.Diabetes Center,Shanghai Clinical Center for Endocrine and Metabolic Diseases,Ruijin Hospital,Shanghai Jiaotong University School of Medicine,Shanghai200025,China,2.Yuanyang Branch of Ruijin Hospital,Shanghai200031,3.School of Pub...
Abstract:Objective To investigate the development and control of cerebrovascular diseases and diabetes mellitus in Shanghai urban residents,and explore its correlation with intensity of physical activity(occupation and exercise).Methods The residents of 3 communities in Luwan District of Shanghai were randomly selected and surveyed with questionnaires,which included the conditions of chronic diseases(hypertension,coronary heart disease,myocardial infarction,cerebral infarction and diabetes mellitus) and intensity of...
Keywords:chronic disease control  occupation  physical activity  intensity  
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