儿童青少年血糖升高的相关因素分析  

Study on the risk factor of glucose elevating in children and adolescents

作　　者：朱伟光[1] 沈冲[2] 刘巧[2] 赵启慧[1] 沈谨[1] 施晓明[3] 倪川[4] 项丙淮[5] 王海茹[2] 陆慧[2] 

机构地区：[1]宿迁市疾病预防控制中心,江苏宿迁223800 [2]南京医科大学公共卫生学院流行病与卫生统计学系,江苏南京210029 [3]中国疾病预防控制中心慢性病防治与社区卫生处,北京100050 [4]宿迁市卫生局,江苏宿迁223800 [5]沭阳县疾病预防控制中心,江苏宿迁223600

出　　处：《中华疾病控制杂志》2010年第8期751-753,共3页Chinese Journal of Disease Control & Prevention

基　　金：江苏省预防医学科研资助课题(Y200705)

摘　　要：目的探讨影响儿童青少年血糖升高的相关因素,为进一步开展血糖升高高危人群识别及早期干预提供理论依据。方法以宿迁地区5～15岁年龄组儿童青少年为研究对象,以区县内每个年龄组内空腹血糖值>P75定义为血糖升高,≤P25定义为正常对照。以问卷结合体格检查的形式,询问调查对象家长获得高血压家族史、饮食习惯、行为方式等因素;并测定调查对象血压、身高、体重、血糖(Glu)、总胆固醇(TC)和甘油三酯(TG)等指标。结果高血脂家族史、糖尿病家族史、TG分组这3个因素与血糖异常有统计学关联(P<0.05);按地区进一步分层分析发现,宿豫区对象男性、走读以及不按时吃早餐与血糖升高显著相关(P<0.05),而沭阳地区对象仅有走读住宿方式与血糖升高显著相关(P<0.05)。结论儿童青少年血糖升高与糖尿病和血脂异常家族史、TG升高密切相关,性别与饮食相关因素也可能影响血糖的变化。Objective To investigate the risk factors of hyperglycaemia in children and adolescents. Methods All the subjects were recruited from the children and adolescents with age from 5～15 years in Suqian,Jiangsu Province. Hyperglycemia group was defined as subjects with glucose （Glu） higher than 75 percentile （P75） and control group was defined as Glu lower than or equal to 25 percentile （P25）. The investigation was processed through both of the questionnaire and the physical examination. Data were collected including the family history of hypertension,the dietary habit and lodging status,the levels of blood pressure,height and weight were examined and glucose,total cholesterol （TC） and triglyceride （TG） were detected. Results The family history of diabetes and hyperlipemia,TG elevating had significant associations with the risk of Glu elevating （P0.05）. After stratification by county,sex,lodging status and breakfast betimes in Suyu District and lodging status in Shuyang presented statistical correlation with Glu elevating （P0.05）. Conclusions Our findings suggest that the family history of diabetes and hyperlipemia,TG elevating,male,lodging in home and breakfast not betimes may contribute to the risk of glucose elevating in children and adolescents.

关 键 词：血糖 儿童 青少年 危险因素 

分 类 号：R181.38[医药卫生—流行病学]