中老年人2型糖尿病危险因素分析  

The analysis of risk factors for Type 2 diabetes mellitus in middle and old age population

作　　者：史晓红[1] 杨泽[1] 高芳堃[1] 于普林[1] 谷明明[1] 郑宏[1] 唐雷[1] 范钦颖[2] 佟之复[1] 曾平[1] 

机构地区：[1]卫生部北京老年医学研究所,100730 [2]卫生部中日友好医院保健科,100029

出　　处：《中国老年保健医学》2006年第3期8-11,共4页Chinese Journal of Geriatric Care

摘　　要：目的分析与中老年人2型糖尿病(Type2DM)有关的危险因素特征。方法采用随机整群抽样方法,横断面调查北京市城乡4个社区40岁以上的常住居民2,354人,按照WHO1999年糖尿病的诊断标准确诊Type2DM和糖耐量低减(IGT)。糖尿病组与对照组的一般特点和危险因素的分布采用χ2检验,用多因素logistic回归分析法对2型糖尿病的危险因素进行分析。结果共有2186例完整资料。其中2型糖尿病患者231人,糖耐量低减者268人。多因素logistic回归结果显示,年龄、2型糖尿病家族史、腰围和高血压与2型糖尿病独立相关。结论除遗传和年龄因素外,腹部肥胖和高血压与2型糖尿病密切相关,控制腹部肥胖和血压,对预防和减少中老年人糖尿病的发生具有重要意义。Objective To analyze the related risk factors for type 2 diabetes(T2 DM)and impaired glucose tolerance(IGT)in middle and old age population. Methods Using crossover section epidemiology survey throughout random stratified population sampling we interviewed 2 354 residents more than 40 years old in 4 communities in Beijing rural and urban areas. We classified T2DM and IGT according to diagnostic criteria recommended by World Health Organization 1999. The difference between the group of type 2 diabetes and the group of control was compared withχ~2 test, and the risk factors for type 2 diabetes were analyzed with the Multifactor logistic regression. Results 2186 subjects, who had complete data, were involved in the analysis of the results. The statistical results showed that age, family history of type 2 diabetes, WC and hypertension were independent risk factors for type 2 diabetes. Conclusions Except genetics and age factors, central obesity and hypertension were closely related to type 2 diabetes. Intervention of central obesity and hypertension was suggested for type 2 diabetes control in middle and old age population.

关 键 词：2型糖尿病 危险因素 中老年人群 LOGISTIC回归分析 

分 类 号：R587.1[医药卫生—内分泌]