江西省成年居民糖调节受损和糖尿病患病状况及影响因素分析

目的 了解江西省成年居民糖调节受损（impaired glucose regulation，IGR）和糖尿病（diabetes mellitus，DM）患病状况及影响因素。方法 采用多阶段分层整群随机抽样的方法，对10个慢性病监测点5 904名成年居民进行询问调查、身体测量和实验室检测，收集个人相关特征、血压、血糖、血脂等情况。结果 江西省成年居民空腹血糖受损（impaired fasting glucose，IFG）、糖耐量受损（impaired glucose tolerance，IGT）、IGR和糖尿病标化患病率分别为4.41%、7.42%、11.81%和6.69%。不同性别、地区人群各指标患病率均随年龄增加呈上升趋势。IGR患病的危险因素包括年龄增大、超重或肥胖、危险饮酒、高总胆固醇（total cholesterol，TC）血症、高甘油三酯（triglycerides，TG）血症和低高密度脂蛋白胆固醇（high-density lipoprotein cholesterol，HDL-C）血症（均有P<0.05）；DM患病的危险因素包括年龄增大、超重或肥胖、高TG血症、高低密度脂蛋白胆固醇（low-density lipoprotein cholesterol，LDL-C）血症、低HDL-C血症和高血压（均有P<0.05）。结论 江西省成年居民IFG、IGT、IGR和DM患病率较高，应加强对可控危险因素的干预，积极应对IGR人群，降低DM的发生。

Analysis on prevalence and risk factors of impaired glucose regulation and diabetes mellitus among adult inhabitants in Jiangxi Province

Objective To explore the prevalence and risk factors of impaired glucose regulation (IGR) and diabetes mellitus (DM) among adult residents in Jiangxi Province.Methods A total of 5 904 adult residents from 10 disease surveillance points were selected by multistage stratified cluster random sampling methods. Personal characteristics, blood pressure, blood glucose and blood lipids were collected by questionnaires, physical examinations and laboratory tests.Results The standardized prevalence rates of impaired fasting glucose (IFG), impaired glucose tolerance (IGT), IGR and DM were 4.41%, 7.42%, 11.81% and 6.69%, respectively. The findings suggested that there was an upward trend in the prevalence rates of IFG, IGT, IGR and DM as age increased. The increase of age, overweight or obesity, hazardous drinking, hypercholesterolemia, hypertriglyceridemia and low high-density lipoprotein cholesterol (HDL-C) were risk factors of IGR (all P<0.05). The increase of age, overweight or obesity, hypertriglyceridemia, high low-density lipoprotein cholesterol, low HDL-C and hypertension were risk factors of DM (all P<0.05).Conclusions The prevalence rates of IFG, IGT, IGR and DM were high among adult residents in Jiangxi Province. We should strengthen intervention in controllable risk factors, actively respond to the IGR population and reduce the incidence of DM.