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2型糖尿病家系青少年一级亲属心血管危险因素研究
引用本文:刘博伟,尹福在,马春明,陆强,娄东辉,王锐,韩改玲,吴广飞,沈轶,刘波,秦春梅.2型糖尿病家系青少年一级亲属心血管危险因素研究[J].中华糖尿病杂志,2008,16(11):648-650.
作者姓名:刘博伟  尹福在  马春明  陆强  娄东辉  王锐  韩改玲  吴广飞  沈轶  刘波  秦春梅
作者单位:河北省秦皇岛市第一医院内分泌科,066000
基金项目:河北省科技厅科技支撑项目(072761528)
摘    要:目的探讨2型糖尿病(T2DM)家族史对青少年心血管危险因素的影响。方法秦皇岛地区12~18岁青少年4023人横断面调查。根据父母有无糖尿病分为糖尿病家族史阳性组(FH+)和阴性组(FH-)。测量腰围(WC)、血压、FPG、血脂,计算BMI。结果(1)FH+组腰围、FPG、TC和LDL-C均高于FH-组(P〈0.05),超重/肥胖、高SBP、高FPG检出率高于FH-组(P〈0.05)。(2)校正年龄、性别后FH+组SBP、FPG升高、超重/肥胖的危险性分别是FH-组的1.54、2.06、1.33倍,95%CI分别是(1.10~2.16)、(1.46~2.89)、(1.12~1.59),具有2项以上心血管危险因素的危险性是FH-组的1.72倍。结论T2DM患者的青少年一级亲属已存在心血管危险因素增加和聚集。应重视对这一人群进行早期筛查和干预,以减少心血管病的发生。

关 键 词:糖尿病  2型  家族史  一级亲属  青少年  心血管危险因素

Study on risk factors for cardiovascular disease in adolescents with a family history of type 2 diabetes
LIU Bo-wei,YIN Fu-zai,MA Chun-ming,et al..Study on risk factors for cardiovascular disease in adolescents with a family history of type 2 diabetes[J].CHINESE JOURNAL OF DIABETES MELLITUS,2008,16(11):648-650.
Authors:LIU Bo-wei  YIN Fu-zai  MA Chun-ming  
Institution:LIU Bo-wei,YIN Fu-zai,MA Chun-ming,et al.Department of Endocrinology,the First Hospital of Qinhuangdao,Hebei Medical Univesity,Qinhuangdao 066000,China
Abstract:Objective To explore the risk factors for cardiovascular disease in adolescents with a family history of type 2 Diabletes.Methods A cross-sectional study was conducted in 4023 adolescents aged 12-18 years.They were divided into two groups with(FH+)and without(FH-)family history of diabetes and measurements included BMI,waist circumference,blood pressure and fasting plasma glucose(FPG),total cholesterol(TC),triglyceride(TG)and high-density lipoprotein cholesterol(HDL-C).Results When compared with FH-group,FH...
Keywords:Diabetes  type 2  Family history  First degree relative  Adolescent  Risk factors for cardiovascular disease  
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