2008-2011年北京某大学教职工糖尿病患病前瞻性调查及影响因素分析  

Prospective Survey on Prevalence of Diabetes and Analysis of the Risk Factors Among the Staff in a University in Beijing from 2008 to 2011

作　　者：徐勤[1] 郭建丽[1] 

机构地区：[1]清华大学医院保健科,北京100084

出　　处：《实用预防医学》2013年第1期35-37,共3页Practical Preventive Medicine

基　　金：清华-裕元医学科学研究基金资助(202005-90)

摘　　要：目的对同一人群5609名教职工连续三年的糖尿病患病和相关因素的变化情况进行前瞻性调查。方法2008年对某高校教职工参加体格检查的队列人群追踪随访3年，调查分析糖尿病和相关影响因素三年间的变化趋势。结果三年间糖尿病的患病率从7．67％上升到9．13％，差异有统计学意义（X^2=7．79，P〈0．01），但是男性和女性在各年龄段的分组中，均没有显著的升高，只有在合计的60-69岁年龄段糖尿病患病率有明显的升高（X^2=5．04，19〈0．05）。随着年龄的增长糖尿病患病率逐渐升高，70～79岁年龄组除外。全人群血脂异常的患病率三年间从30．61％降至27．53％，差异有统计学意义（X^2=12．94，P〈0．001）。但年龄分组后，只有60～79岁年龄组全人群（X^2=13．72，P〈0．001）和60岁以上的女性人群（X^2=14．25，P〈0．001）血脂异常的患病率显著下降。Logistic回归分析显示，年龄、空腹血糖是糖尿病患病的危险因素。结论加强对教职工人群的糖尿病健康教育和防治行为干预，特别是要注意重点人群的防治干预和血糖的监测。Objective This prospective study was designed to gain insight into the changes in the prevalence and risk factors of diabetes among the same queue in a university in Beijing. Methods Physical examination records of 5,609 staff members followed- up for three years in a university were collected and analyzed. The changing trend of diabetes prevalence and its major risk factors were analyzed. Results The prevalence of diabetes went up to 9.13 % in 2011 from 7.67 % in 2008, and the difference was statistically significant （ X2 = 7.79, P〈 0.01 ）. The prevalence in the age group 60 - 69 years was increased significantly （X^2 = 5.04, P〈 0.05）. There was no markedly raise in the prevalence of diabetes among different age groups of male and female. The prevalence of diabetes was gradually increased with age except in the age group 70 - 79 years. The prevalence of dyslipidemia was decreased to 27.53% in 2011 from 30.61% in 2008, and the difference was statistically significant （X^2 = 12.94, P〈0. 001）. Among the different age groups, the prevalence of dyslipidemia was decreased dramatically in age group 60 - 79 years （X^2 = 13.72, P〈 0. 001） and the female people aged 〉 60 years （ X^2 = 14.25, P〈 0. 001）. Logistic regression analysis showed that age and fasting blood glucose were the major risk factors for diabetes. Conclusions Health education and intervention on diabetes should be enhanced among the staff, particularly in high- risk population. And blood sugar monitoring should also be strengthened.

关 键 词：大学 教职工 糖尿病 患病 影响因素 前瞻性调查 

分 类 号：R587.1[医药卫生—内分泌]