新疆维吾尔族、哈萨克族糖尿病的患病率调查及相关危险因素分析

目的 探讨新疆地区维吾尔族、哈萨克族35岁以上居民2型糖尿病的患病率及其危险因素.方法 通过四阶段整群随机抽样法,在新疆抽取乌鲁木齐市、克拉玛依市、阜康市、吐鲁番地区、和田地区和伊犁哈萨克自治州6个地区年龄在35岁以上维吾尔族、哈萨克族居民为调查对象.统计不同民族、不同年龄、不同性别组人群的2型糖尿病患病率及危险因素进行分析.以问卷收集资料并进行体格检查及实验室检查.结果 共抽取35岁以上城市及农村游牧维吾尔族、哈萨克族居民8 539人,2型糖尿病患病率维吾尔族为5.01%,哈萨克族为3.16%;男性为5.22%,女性为3.89%,男性患病率高于女性(P<0.01).35～44、45～54、55～64、65～74和>75岁各年龄组的2型糖尿病患病率分别为2.45%、4.92%、5.94%、7.49%和5.64%.年龄、性别、民族、收缩压、体重、甘油三酯和总胆固醇是2型糖尿病的危险因素,其OR值分别为0.742、1.025、0.673、1.050、1.005、1.517和1.126.结论 新疆地区维吾尔族、哈萨克族居民应建立健康的生活方式;加强血压、血脂和体重的控制,倡导低脂饮食是预防2型糖尿病发生的重要措施.

Abstract：

Objective To investigate the prevalence and associated risk factors of type 2 diabetes mellitus in populations of Uigurs and Kazaks in Xinjiang.Methods Four-stage selected random samples aged 35 years and over were used to analyze the prevalence and associated risk factors of type 2 diabetes mellitus in populations of Uigurs and Kazaks from 6 localities(Urumqi,Kelamayi,Fukang,the Turfan Basin locality,Hetian locality,Yili Hazakh autonomous prefecture)in Xinjiang according to different nationality,age,and sex.The data were collected according to questionnaire,and physical examination and laboratory test were performed.Results A total of 8 539 Uigurs and Kazaks adults were surveyed.The prevalences of type 2 diabetes mellitus were 5.01%and 3.16%in Uigurs and Kazaks.The prevalence in male was higher than that in female(5.22%vs3.89%,P<0.01).The prevalences of type 2 diabetes mellitus were2.45%,4.92%,5.94%,7.49%,and 5.64%in 35-44,45-54,55-64,65-74,>75 yeats of age groups,respectively.Age,gender,nationality,systolic blood pressure,body weight,triglyceride,and total cholesterol were the risk factors for type2 diabetes mellitus,with the ORs being0.742,1.025,0.673,1.050,1.005,1.517,1.126,respectively.Conclusion It is important to culture healthy life style,enhance the control of hypertension and hyperlipidemia in Uigurs and Kazaks patients for preventing type 2 diabetes mellitus in Xinjiang.

Prevalence and associated risk factors of typc 2 diabetes mellitus in populations of Uigurs and Kazaks in xinjiang

Objective To investigate the prevalence and associated risk factors of type 2 diabetes mellitus in populations of Uigurs and Kazaks in Xinjiang.Methods Four-stage selected random samples aged 35 years and over were used to analyze the prevalence and associated risk factors of type 2 diabetes mellitus in populations of Uigurs and Kazaks from 6 localities(Urumqi,Kelamayi,Fukang,the Turfan Basin locality,Hetian locality,Yili Hazakh autonomous prefecture)in Xinjiang according to different nationality,age,and sex.The data were collected according to questionnaire,and physical examination and laboratory test were performed.Results A total of 8 539 Uigurs and Kazaks adults were surveyed.The prevalences of type 2 diabetes mellitus were 5.01%and 3.16%in Uigurs and Kazaks.The prevalence in male was higher than that in female(5.22%vs3.89%,P<0.01).The prevalences of type 2 diabetes mellitus were2.45%,4.92%,5.94%,7.49%,and 5.64%in 35-44,45-54,55-64,65-74,>75 yeats of age groups,respectively.Age,gender,nationality,systolic blood pressure,body weight,triglyceride,and total cholesterol were the risk factors for type2 diabetes mellitus,with the ORs being0.742,1.025,0.673,1.050,1.005,1.517,1.126,respectively.Conclusion It is important to culture healthy life style,enhance the control of hypertension and hyperlipidemia in Uigurs and Kazaks patients for preventing type 2 diabetes mellitus in Xinjiang.