赣州市中老年人肥胖与2型糖尿病的关联  

Relation between Obesity and Type 2 diabetes Mellitus among Middle aged and Elderly People in Ganzhou

作　　者：邱伟[1] 黄争春[2] 江丽霞[3] 董明华[1] 陈水亲[4] 罗晓婷[4] 吴勤[3] 黄勤[3] 高艳芳[1] 李舒梅[1] 

机构地区：[1]赣南医学院预防医学系,江西赣州341000 [2]赣南医学院解剖教研室,江西赣州341000 [3]赣南医学院第一附属医院,江西赣州341000 [4]赣南医学院生物化学与分子生物学教研室,江西赣州341000

出　　处：《赣南医学院学报》2015年第2期212-217,共6页JOURNAL OF GANNAN MEDICAL UNIVERSITY

基　　金：国家自然科学基金(NO:30860246)

摘　　要：目的：探讨肥胖与2型糖尿病的关系,为降低2型糖尿病发病风险提供依据。方法：采用多阶段分层随机抽样方法调查了赣州市2 653名居民,采用χ2检验、t检验等方法分析了肥胖与2型糖尿病的关系。结果：经年龄分层后,各年龄层不同性别间2型糖尿病患病率差异有统计学意义,并呈现随年龄增长而增长的趋势;经年龄、性别分层后,各层中＂BMI≥24.0＂组2型糖尿病患病率、血糖水平都高于＂BMI〈24.0＂组,但男女性仅有＂50-＂组2型糖尿病患病率和血糖水平差异有统计学意义;而腹型肥胖组与非腹型肥胖组2型糖尿病患病率和血糖水平比较,其中男性＂40-＂组和＂60-＂组差异有统计学意义;女性＂50-＂组和＂60-＂组差异有统计学意义。结论：腹型肥胖比BMI更适于中国人衡量2型糖尿病的患病风险。Objective：To explore the relation between obesity and T2DM among middle aged and elderly people in Ganzhou to provide the evidence for reducing the risk of T2DM. Methods ： A random multi-stratified sample of 2653 residents was investigated. Chi-square test and t-test were adopted to analyze the relation between obesity and T2DM. Results：With participants stratified by age and gender, in each layer,prevalence rate of T2DM was higher in BMI≥24, 0 group than in BMI 〈 24.0 group. However, significant difference was only found in 50 - years group both in males and in females. Prevalence rate of T2DM was higher in abdominal visceral obesity group than in non-abdominal visceral obesity group. Significant difference was found in 40 - years group and 60 - years group in males while in 50 - years group and 60 years group in females. Conclusions：Findings of this study indicate that the index of abdominal visceral obesity is more suitable than BM1 for measuring the risk of T2DM of Chinese residents.

关 键 词：体质指数 腹型肥胖 2型糖尿病 

分 类 号：R587.1[医药卫生—内分泌]