成人空腹血糖异常率及其影响因素  

Abnormal rate of fasting plasma glucose and its influencing factors in adults

作　　者：胡世红[1] 贾卫鸿[1] 杨进[1] 王柳宁[2] 韦春凌[2] 杜娟[3] 卓柳安[1] 韦建生[1] 陈良细[1] 年介英[1] 

机构地区：[1]广西医科大学第五附属医院心血管内科,广西柳州545001 [2]广西医科大学第五附属医院保健科,广西柳州545001 [3]广西医科大学第五附属医院科教科,广西柳州545001

出　　处：《第四军医大学学报》2005年第4期337-340,共4页Journal of the Fourth Military Medical University

基　　金：广西壮族自治区科技厅资助项目(0015041)

摘　　要：目的:评价柳州市人群中空腹血糖(FPG)异常率 及其影响因素.方法:抽取柳州市居民3894(男2213,女 1681)例,年龄25～88(43.0±11.0)岁,测量血压、腰围 (WC)、身高、体质量,检测FPG、血脂等指标并进行统计分析. 结果:FPG总异常率达5.70%,其中糖尿病(DM)和空腹血糖 受损(IFG)的检出率分别为2.31%和3.39%.两性IFG及DM 检出率均随年龄增长而升高(P<0.01).IFG,DM的检出率均 随WC、体质量指数(bodymassindex,BMI)的增大而增高 (P<0.01).与WC男性<85cm,女性<80cm组相比,男 性≥85cm,女性≥80cm组和男性≥90cm,女性≥85cm组, IFG的相对危险分别为1.28(95%CI:0.78～2.08)和2.24 (95%CI:1.45～3.46);DM相对危险分别为2.47(95%CI: 1.47～4.15)和3.24(95%CI:1.94～5.40).结论:本组人群 中IFG异常率已达较高水平,其影响因素主要为年龄和腹部AIM: To evaluate the abnormal rate of fasting plasma glucose (FPG) and its influencing factors in adults in Liuzhou city.METHODS: A cohort of the 3894 residents (male 2213,female 1681),average age 25~88(43.0±11.0) years in Liuzhou City were selected in cluster sampling and their blood pressure,waist circumferences (WC),height,weight,fasting plasma glucose (IFG),total cholesterole (TC),low density lipoprotein cholesterol (LDL-c) ,triglyceride (TG),and high density lipoprotein cholesterol (HDL-c) were detected and analyzed. RESULTS: The abnormal rate of FPG in this population was 5.70%.The detection rate of type 2 diabetes mellitus (DM) and impaired fasting glucose (IFG) was 2.31% and 3.39%,respectively.The detection rate of DM and IFG increased obviously with age,WC,and body mass index (BMI).Compared with those of the male group of WC<85 cm and the female group of WC<80 cm,the relative risk of IFG in the male group of WC≥85 cm and the female of WC≥80 cm,and that in the male group of WC≥90 cm and the female group of ≥85 cm,was 1.28 (95% CI: 0.78~2.08) and 2.24 (95% CI: 1.45~3.46),respectively and the relative risk of DM was 2.47 (95% CI: 1.47~4.15) and 3.24 (95% CI: 1.94~5.40),respectively. CONCLUSION: The abnormal rate of FPG is relatively higher in adult population of Liuzhou.The major influencing factors are age and abdominal obesity.The public should be educated to improve their lifestyle in order to control abdominal obesity and prevent or cure glycometabolism abnormality.

关 键 词：血糖 糖尿病 腰围 

分 类 号：R587.1[医药卫生—内分泌]