乌鲁木齐市维吾尔族糖尿病相关因素研究  

Study of correlation factors for diabetes pathogenesis in Uygur Nationality in Urumuqi Region

作　　者：朱筠[1] 谢自敬[1] 阿不力克木[1] 

机构地区：[1]新疆医科大学第一附属医院内分泌科,乌鲁木齐830054

出　　处：《中国糖尿病杂志》2008年第9期563-565,共3页Chinese Journal of Diabetes

摘　　要：目的研究乌鲁木齐市维吾尔族糖尿病相关因素。方法对乌鲁木齐市部分地区按单位和生活区整群抽样,抽取维吾尔族居民960人,作OGTT,检测腰围、臀围、血压、身高和体重,调查糖尿病家族史、烟酒史、体力活动、精神压力及用于饮食的月支出费用,进行统计分析。结果(1)年龄25-74岁,男性占63%,女性占37%。25～、35～、45～、55～、65～岁年龄构成比分别是23.08%、36.90%、19.64%、14.86%、5.51%。(2)糖尿病(DM)占调查人群的14.69%,糖代谢异常占29.89%。(3)非条件Logistic回归得出DM相关因素是家族史OR0.594、年龄OR0.827、血压OR0.912、腰臀比值OR3.851和平均每月饮食开支费用OR5.297。结论DM与高膳食费支出、肉食为主、蔬菜等纤维素摄入少、腰臀比值超标明显相关,推断维吾尔族人改变饮食习惯、减少腹内脂肪沉积,对降低DM患病率可能会起重大作用。Objective To Study the correlation factors for diabetes pathogenesis of Uygur Nationality in Urumuqi. Methods A cluster sampling was done in 1002 Uygur people aged 25 to 74 years in a part of working units and living area in Urumuqi. All the people received 75g oral glucose tolerance test. Waist and hip circurnference, blood pressure, height and body weight were measured. A questionnaire involved in the family history, diet,physical activity and the expenditure on diet was taken. Results （1）63% of the people was male,while 370/00 was female in our study. The constituent ratio of age was as following： 25y～, 23.08%;35y～, 36.90%;45y～,19.64%;55y～,14.86% and 65y～,5.51%. （2）The prevalence of DMinthe study was 14.69%,the abnormality of glucose metabolism was 29.89%. （3）The correlation factors of diabetes were family history of diabetes（OR 0.59）, age（OR 0. 83）, high blood pressure（OR 0. 912）, waist-to hip ratio （OR 3. 851）and financial spending on diet（OR 5. 279） in logistic regression analysis. Conclusions Diabetes-correlated factors are high financial spending on food especially meat products and little cellulose intake, high waist-to-hip ratio. To decrease the prevalence rate of diabetes in Uygur nationality, it is most important to change the diet habit and decrease intra-abdominal fat deposition.

关 键 词：维吾尔族 糖代谢异常 患病率 危险因素 

分 类 号：R587.1[医药卫生—内分泌]