山区居民2型糖尿病危险因素的病例对照研究  

A Case-control Study on Risk Factors of Type 2 Diabetes Mellitus among Mountain Residents

作　　者：曾长佑[1] 胡志勇[1] 李秋华[1] 王萍[2] 孙慧丽 

机构地区：[1]丽水市疾病预防控制中心,浙江丽水323000 [2]苏州大学公共卫生学院 [3]丽水市莲都区平原卫生院

出　　处：《浙江预防医学》2014年第2期119-122,共4页Zhejiang Journal of Preventive Medicine

基　　金：丽水市科技局科技计划项目(2010JYZB27)

摘　　要：目的探讨山区农村2型糖尿病(T2DM)的可疑危险因素,为制定相关干预措施提供依据。方法对丽水市莲都区平原社区80例2型糖尿病新发病例按(1∶2)匹配进行病例对照研究方法,采用Logistic回归分析。结果单因素和多因素分析结果提示:婚姻状况(离异或丧偶)(OR=1.59)、糖尿病一级家族遗传史(OR=2.28)、高血压史(OR=1.55)、腹型肥胖(OR=2.78)是糖尿病的危险因素;文化程度较高(OR=0.74)、经常体育锻炼(OR=0.59)、鱼虾摄入量较高(OR=0.32)是保护因素。结论 T2DM是遗传因素与环境因素共同作用的结果,山区农村糖尿病防治应采取健康教育与社会预防,控制饮食,长期有计划且适当的体育锻炼等综合措施。Objective To explore the risk factors of type 2 diabetes mellitus（T2DM）in mountainous countryside residents in order to provide relevant intervention measures.Methods 80 new cases of T2DM were selected from pingyuan community in Liandu District of Lishui City as case group,and 1 60 normal people were selected as control group at the same time and places,in which the 1∶2 matched design of case -control study method was used.Conditional Logistic regression analysis was applied in this study.Results The multiple conditional logistic regression analysis suggested that primary family history,history of hypertension,abdominal obesity were the risk factors of T2DM（OR=2.08,1.55 and 2.78 respectively）;while education level,exercise and fish intake were the protective factors（OR=0.74,0.59 and 0.32 respectively）.Conclusion T2DM is the result of both genetic factors and environmental factors.Moreover,health education,balanced diet and proper physical exercise should be encouraged among residents to prevent T2DM in mountainous countryside.

关 键 词：2型糖尿病 危险因素 病例对照研究 

分 类 号：R587.1[医药卫生—内分泌]