空腹血糖受损人群复合式营养干预效果评价  

Evaluation of multiplex nutritional intervention effects on impaired fasting glucose population

作　　者：刘昊[1] 翟成凯[1] 姜玲[1] 左辉[1] 郭宝福[1] 陈学芬[1] 姜明霞[1] 周薇薇[1] 陈晗[1] 

机构地区：[1]东南大学公共卫生学院营养与食品卫生学系,南京210009

出　　处：《中国公共卫生》2006年第4期427-428,共2页Chinese Journal of Public Health

基　　金：江苏省卫生厅预防医学基金项目(Y2002037);达能营养中心膳食营养研究与宣教基金项目(DIC2003-10)

摘　　要：目的观察复合式营养干预对空腹血糖受损(IFG)人群作用的综合效果,评价复合式营养干预对糖尿病(DM)的预防作用。方法在南京市6个主城区4 142名中老年基线调查对象中,抽取空腹血糖受损者,随机分为复合式营养干预组196人,给予粗杂粮干预加健康教育讲座;空白对照组72人,不采取任何干预措施。试验周期为半年,试验前后对所有受试人员进行体检。结果试验后,复合式营养干预组人群空腹血糖(FBG)、血总胆固醇(TC)、甘油三酯(TG)、体重、体质指数(BMI)、腰臀比(WHR)明显下降(P<0.05);且FBG降至正常(<5.6 mmol/L)的人群所占比率明显高于空白对照组(P<0.05),而发展为糖尿病(FBG≥7.0 mmol/L)的人群所占比率明显低于空白对照组(P<0.05)。结论空腹血糖受损人群为糖尿病的危险人群,复合式营养干预可以降低空腹血糖受损人群的血糖水平,是预防糖尿病行之有效的措施。Objective To explore the sythetical effects of multiplex nutritional intervention on impaired fasting glucose population and to evaluate the preventive function of multiplex nutritional intervention on diabetes. Methods In 6 Nanjing city zones, the impaired fasting glucose individuals were screened, and they were separated into multiplex nutritional intervention group（ 196 individuals）and control group（ 72 individuals）at random. The former were provided with coarse grain and health education for half a year, and no any intervention for the latter. Results After the experimentation, fasting blood glucose（FBG）, total cholesterol（TC）, Triglyceridaemia（TG）, weight, body mass index （BMI）, waist to hip（WHR） decreased signlficantily（ P 〈 0.05）in multiplex nutritional group. FBG, TC, weight, BMI increased significantly in control group, and the ratio of the individuals whose fasting blood glucose decreased to normal（ 〈 5.6 mmol/L）in multiplex intervention group was significantly higher than that of the control group（P 〈 0.05）, while the condition was contrary on the ratio of turning from impaired fasting glucose to diatetes in both groups. Conclusion IFG is the risk factor of diabetes. With the ruction of decreasing the fasting glucose level in impaired fasting glucose group, the multiplex nutritional intervention has been proved to be an effective method to prevent diabetes.

关 键 词：空腹血糖受损(IFG) 复合式营养干预 糖尿病 

分 类 号：R151.41[医药卫生—营养与食品卫生学]