天津市2型糖尿病现患病情况研究  

A Study on Prevalence of Type 2 Diabetes in Tianjin

作　　者：职心乐[1] 王撷秀[2] 刘新民[1] 宋桂德[2] 朱红[1] 王凤山[2] 王建华[1] 

机构地区：[1]天津医科大学公共卫生学院流行病学教研室,300070 [2]天津市疾病预防控制中心,300070

出　　处：《天津医药》2009年第2期101-103,共3页Tianjin Medical Journal

基　　金：天津市科委自然科学基金资助项目(项目编号:023116117)

摘　　要：目的:探讨天津市2型糖尿病患病情况及其危险因素。方法:对天津市市区和乡镇15～74岁的居住5年及以上居民进行按比例分层整群抽样调查21454例。对抽样人群进行问卷调查、空腹血糖测定以及体格检查,对筛查空腹血糖水平≥6.1mmol/L者进一步测定餐后2h血糖。糖尿病危险因素首先通过单因素Logistic回归分析方法进行初步分析,并对可能混杂因素进行调整,经主成分分析、因子分析和聚类分析改进后的多因素Logistic回归模型进一步分析。结果:糖尿病筛查阳性率为11.68%(标化率为11.17%),其中男性为10.43%(标化率为9.84%),女性为12.84%(标化率为12.17%)。糖尿病患病率为6.07%(标化率为5.87%),其中男性为5.12%(标化率为4.83%),女性为6.95%(标化率为6.59%)。女性筛查阳性率和患病率均高于男性,差异有统计学意义(均P<0.01)。2型糖尿病患病的可疑危险因素包括:豆制品以及肉类摄入多、年龄大、饮酒、文化水平高以及糖尿病家族史;可疑保护因素包括:按时三餐、体力劳动职业、新鲜蔬菜摄入多以及参加体育锻炼。结论:天津市2型糖尿病的人群患病率以及筛查阳性率与国内大城市水平近似。豆制品和肉类摄入多、年龄大、饮酒、文化水平高、肥胖以及糖尿病家族史可能是2型糖尿病发生的危险因素,而按时三餐、体力劳动职业、新鲜蔬菜摄入多以及参加体育锻炼则可能是2型糖尿病发生的保护因素。Objective： To investigate the prevalence of type 2 diabetes and its risk factors. Methods： A cross-sectional study was conducted in Tianjin from June to September in 2005. The multi-phasic stratified cluster sampling method was adapted. Finally 21 454 people were selected as survey sample. Information on risk factors was collected through face-to-face questionnaire interview, and information of fasting glucose level and physical examination was collected at the same time. The 2h post prandial blood glucose was conducted among the population which FBG ≥ 6.1 mmol/L. The prevalence of diabetes was calculated. Unconditional multivariate Logistic regression model was used to analyze the risk factors for the development of type 2 diabetes. Results：The prevalence of type 2 diabetes based on the criterion of FBG ≥ 6.1 mmol/L was 11.68% （standardized prevalence： 11.17%）, in which the prevalence in male was 10.43% （standardized prevalence： 9.84%） and in female was 12.84% （standardized prevalence： 12.17%）. The prevalence of type 2 diabetes which based on the criterion of FBG≥7.0 mmol/L is 6.07% （standardized prevalence： 5.87%）, in which the prevalence in male was 5.12% （standardized prevalence： 4.83%） and in female was 6.95% （standardized prevalence： 6.59%）. Both of the prevalence in female was higher than that in male. The risk factors for type 2 diabetes included intake of more bean food and meat, older, alcohol assumption, higher level of education and family history of diabetes. The protective factors included regular dinner, physical labour occupation, intake of more vegetables and more physical exercise. Conclusion： The prevalence of type 2 diabetes in Tianjin is similar to the level of the other big cities in China. The intake of more bean food and meat, older, alcohol assumption, higher level of education, obesity and family history of diabetes may increase the risk for type 2 diabetes, while regular dinner, physical labour occupation, intake of more vegetables and m

关 键 词：糖尿病 2型 患病率 危险因素 天津 

分 类 号：R587.1[医药卫生—内分泌] R544.1[医药卫生—内科学]