老年人群糖尿病和IGT患病率及其影响因素  

PREVALENCE RATES OF DIABETES MELLITUS AND JGT AS WELL AS ANALYSIS ON RISK FACTORS IN ELDER POPULATION

作　　者：唐晓君[1] 张素华[2] 李革[1] 卢仙娥[1] 马贵成[3] 李启富[2] 唐兰[3] 

机构地区：[1]重庆医科大学流行病学教研室,重庆400016 [2]重庆医科大学附属第一医院内分泌科 [3]重庆医科大学附属第一医院检验科

出　　处：《现代预防医学》2005年第12期1614-1616,共3页Modern Preventive Medicine

基　　金：重庆市卫生局医学科学基金资助(2000-2027)

摘　　要：目的:了解重庆市老年人群糖尿病(DM)和糖耐量低减(IGT)的患病情况及其主要患病风险因素,为城市社区人群制定适宜的预防和干预措施提供科学依据。方法:采用整群分层抽样方法,对60岁以上1 791例自然人群进行了横断面调查。结果:DM患病率14.45%,IGT患病率21.70%,随着年龄增加,DM和IGT患病率亦逐渐升高。超重者(BMI≥25)DM和IGT患病率为17.51%和28.02%,肥胖者(BMI≥30)DM和IGT患病率为21.43%和37.14%,按腰臀比(WHR)划分,向心性肥胖者DM和IGT患病率为17.45%和25.09%。影响DM患病风险的因素主要有:DM家族史、BMI、WHR、高收缩压、高甘油三酯。结论:在社区人群中,倡导健康合理的膳食习惯、控制血压、体重是降低糖尿病发生的重要措施,老年人是DM防治工作的主要对象。Objective： To study the prevalent features and attributive risk factors of diabetes mellitus （DM） and impaired glucose tolerance （IGT） in elder people, and to provide evidence for prevention and intervention among urban community population. Methods： Cross-over sectional epidemiology survey throughout random stratified sampling method was applied, comparing prevalent characteristics of DM and IGT in the 1 791 Chongqing citizens above 60 years old. Results： Prevalence rates of DM and IGT were 14.45 % and 21.70 %, increasing with age rising in elder people. The prevalence rates of DM and IGT among over weighted subjects were 17.51% and 28.02%, 21.43% and 37.14% among obesity respectively. According to waist-to-hip ratio （WHR） level, the prevalence rates of DM and IGT for obesity were 17.45 % and 25.09 %. The risk factors of DM and IGT were mostly influenced by family history, WHR, BMI, systolic blood pressure （SBP）, triglyceride （TG） . Conclusion： In community population, healthy life style including proper diet, control of weight and high blood pressure is an important way to prevent DM. So the elder population were the main subjects of prevention and control program.

关 键 词：糖尿病 糖耐量低减 患病率 

分 类 号：R587.1[医药卫生—内分泌]