2008年重庆市某社区2型糖尿病危险因素的调查与分析  

Investigation and analysis of risk factors associated with type 2 diabetes mellitus in Chongqing community in 2008

作　　者：王玲[1] 李启富[1] 范晶[1] 张素华[1] 成丹[1] 钟立[1] 程庆丰[1] 赵禾[2] 李华[2] 张毅[2] 汪志红[1] 周波[1] 刘智平[1] 

机构地区：[1]重庆医科大学附属第一医院内分泌科,400016 [2]重庆大学校医院,400044

出　　处：《重庆医学》2009年第18期2277-2280,共4页Chongqing medicine

摘　　要：目的探讨重庆市某社区2型糖尿病（T2DM）的相关危险因素。方法对2008年重庆市某社区3668名成年人进行横断面调查，作口服75g葡萄糖耐量试验（OGTT）及血脂谱检查，测量身高、体重、血压、腰围和臀围，调查既往病史、家族史、烟酒史及运动情况，并进行统计学分析。结果经年龄调整后T2DM患病率为7．44％，糖调节受损（IGR）患病率为13．59％，其中糖耐量异常（IGT）患病率6．43％，空腹血糖受损（IFG）患病率7．16％，影响T2DM的危险因素主要有年龄、体质量指数（BMI）、腰臀比（WHR）、高血压、高TC、高LDL-C、低HDL-C血症及糖尿病家族史，其OR值分别为1．041，1.096，1．366，1．736，1.856，2．144，2．071和1．842。冠心病与T2DM密切相关（OR=1．526，95％CI：1．118～2．082）。结论本市社区T2DM患病率已处于较高水平，高龄、肥胖、高血压、血脂紊乱及糖尿病家族史为T2DM的主要危险因素。Objective To investigate the main risk factors of type 2 diabetes （T2DM） in Chongqing community in 2008. Methods Cluster sampling in a population aged above 20 years was applied in a community of Chongqing downtown area. 3668 subjects were enrolled. The investigation contents included oral 75g glucose tolerance test（OGTT）, blood lipid analysis, height, weight, waist circumference, hip circumference, blood pressure, general condition,medical history, smoking and drinking status and physical work condition. Results Main risk factors of T2DM were aging, body mass index （BMI）, waist-to-hip ratio （WHR）, hypertension, high TC,high LDL-C,low HDL C and diabetic family history. The OR values were 1. 041,1. 096,1. 366,1. 736,1. 856,2. 144,2. 071 and 1. 842 respectively. Conclusion The prevalence of T2DM and IGR in Chongqing community was relatively high. Aging,overweight/ obesity,hypertension and lipid disorder were major risk factors of T2DM in people of Chongqing community.

关 键 词：2型糖尿病 糖调节受损 危险因素 

分 类 号：R587.1[医药卫生—内分泌] R195.4[医药卫生—内科学]