1997年北京城乡老年人糖尿病患病率调查  

Prevalent status of diabetes and IGT in senile population of Beijing in 1997

作　　者：杨泽[1] 郑宏[1] 佟之复[1] 范钦颖[2] 王秉治 高芳堃[1] 于普林[1] 唐雷[1] 史晓红[1] 曾平[1] 张培兰[1] 孙玉茹[1] 

机构地区：[1]卫生部北京医院北京老年医学研究所,北京市100730 [2]卫生部中日友好医院保健科 [3]顺义县人民医院医务科

出　　处：《中华老年医学杂志》2001年第4期290-293,共4页Chinese Journal of Geriatrics

基　　金：国家"九五"攻关资助项目 ( 96 90 6 0 5 0 1)

摘　　要：目的　了解北京老年人糖尿病 (DM)患病情况和分布特点。　方法　采用多级整群抽样方法 ,对北京城乡老年DM患者进行横断面调查。　结果　北京老年人年龄调整总体DM标化患病率为 15 98% ,糖耐量减低 (IGT)标化患病率为 15 89%。城乡之间IGT患病率无明显差别 ,但城乡之间的DM标化患病率 (17 74%和 8 83% )差异有显著性 (χ2 =10 5 9,P <0 0 1)。与 1981年北京DM普查数据相比 (6 0～ 6 9岁组 ) ,由 4 2 7%增至现在的 13 73 % ,增长约 3 2倍。DM患病率 (r=0 99,P <0 0 1)和IGT患病率 (r=0 92 ,P <0 0 5 )与增龄的相关分析 ,老年组 (DM 15 98% ,IGT 15 89% )与中年组 (DM 7 91% ,IGT 9 40 % )DM患病率 (χ2 =36 36 ,P <0 0 1)和IGT患病率 (χ2 =2 6 0 1,P <0 0 1)比较 ,以及年龄趋势卡方分析均证明DM的患病率有显著的增龄性。老年组 (r=0 99,P <0 0 5 )与中年组 (r=1 0 0 ,P <0 0 1)各自的相关分析显示DM与年龄增长呈正相关。　结论　北京老年人DM和IGT患病率各占老年人群约 1/ 6 。Objective To study the epidemiological features of prevalence and distribution of diabetes mellitus (DM) and the injury glucose tolerance (IGT) in elder people in Beijing. Methods Cross over sectional epidemiological survey by random stratified sampling method in elder population was applied and the middle aged people was used as controls. The prevalent status of diabetes and IGT in the population more than 60 years old in urban area was compared with that in rural areas in Beijing in 1997. Results The aggregate age adjusted standardization prevalence of diabetes and IGT were 15 98% and 15 89% , respectively in old age population in Beijing in 1997. Diabetes prevalence in 60 69 years group (only comparable data) increased about 3 2 times from 4 27% in 1981 to 13 73% in 1997. Although it was no difference in IGT prevalence between urban and rural elders, there existed significant difference for diabetes standardized rates between them(17 74% vs 8 83%). The characteristics that diabetes occurrence increased with aging has been confirmed by the correlation of diabetes prevalence to the aging in both middle age( r =1 00, P <0 01) and old age ( r =0 99, P <0 05) populations. And the age adjusted diabetes prevalence between old age (15 98%) and middle age (7 91%) populations also showed significant difference ( χ 2 =36 36, P <0 01). Conclusions Both diabetes and IGT patients were about 1/6 of the old age population in Beijing. Diabetes prevalence tends to increase with the time and the aging.

关 键 词：糖尿病 横断面研究 患病率 调查 老年人 北京 

分 类 号：R587.1[医药卫生—内分泌]