农村中老年居民2型糖尿病影响因素分析  

Risk factors of type 2 diabetes mellitus among middle and elder age rural residents

作　　者：王帅[1] 岳仁宋[1] 龚光明[1] 陈源[1] 员富圆[1] 廖秋双[1] 白富彬[1] 喻国[1] 

机构地区：[1]成都中医药大学附属医院内分泌科,四川成都610072

出　　处：《中国公共卫生》2011年第7期819-820,共2页Chinese Journal of Public Health

基　　金：四川省科技支撑计划项目(2008SZ0140)

摘　　要：目的探讨农村中老年居民2型糖尿病危险因素,为采取相应的防治措施提供依据。方法在四川省成都市金堂县、新都区选择4个乡镇,采用流行病学调查方法,将确诊的66例≥40岁的2型糖尿病患者作为病例组,按照1:2配对,随机抽取性别、年龄等匹配的132名非糖尿病健康居民作为对照组进行问卷调查并测量身高、体重、腰围、臀围、血压、血糖等,应用Logistic回归分析其危险因素。结果中心性肥胖(OR=8.477,95%CI=3.214～22.355)、糖尿病家族史(OR=12.886,95%CI=4.885～33.885)、高血压病(OR=8.563,95%CI=4.134～17.741)是农村中老年2型糖尿病的主要危险因素。结论农村中老年居民糖尿病已成为重要公共卫生问题,亟需加强农村居民的糖尿病防治工作。Objective To explore the risk factors of type 2 diabetes mellitus（T2DM） among middle and elder age rural residents.Methods From 4 villages of Sichuan province,66 diagnosed T2DM cases aged 40 years or older and 132 healthy residents of same gender and age were randomly selected for the 1：2 matched case-control study.The subjects were measured for height,weight,waist circumference,hip circumference,blood pressure,and blood glucose.Logistic regression was used to evaluate the risk factors of T2DM.Results The central obesity（odds ratio=8.477,95% confidence interval：3.214-22.355）,family history of diabetes mellitus（OR=12.886,95%CI：4.885-33.885）,and hypertension（OR=8.563,95%CI：4.134-17.741） were major risk factors for T2DM.Conclusion T2DM is an important public health problem among middle and elder age rural residents and effective measures should be taken to prevent the disease.

关 键 词：2型糖尿病 危险因素 农村中老年 

分 类 号：R587.1[医药卫生—内分泌]