广州市番禺区2型糖尿病和糖尿病前期人群流行现状及危险因素  

Study on prevalence of type 2 diabetes mellitus a prevalence mellitus among residents of Panyu district of Guangzhou city

作　　者：杨燕君[1] 张晖 李进[3] 秦小洁[1] 

机构地区：[1]广州市番禺区疾病预防控制中心,广东广州511400 [2]广州市番禺区何贤纪念医院,广东广州511400 [3]中山大学附属第一医院,广东广州510080

出　　处：《热带医学杂志》2016年第7期922-926,共5页Journal of Tropical Medicine

基　　金：广州市科技计划项目(2014Y2-00110)

摘　　要：目的了解广州番禺地区2型糖尿病(T2DM)和糖尿病前期(PM)人群流行趋势,探讨与其相关的危险因素,为制定糖尿病综合干预对策提供依据。方法采用分层整群抽样的方法,调查广州市番禺区4 200人,调查方法包括实验室检查、体格检查和问卷调查。结果 PM和T2DM患者检出率分别为19.90%(836/4 200)和9.81%(412/4 200)。多因素Logistic回归分析显示,T2DM和PM患病率的主要影响因素为年龄(60~74岁:OR=3.805,95%CI:1.965~7.368),身体质量指数(>30 kg/m^2,OR=2.053,95%CI:1.421~2.966),职业为农(渔)民或离退休、家务及待业(OR=1.778,95%CI:1.209~2.615),有既往心脑血管疾病、血脂异常或外周血管病变史(OR=1.620,95%CI:1.182~2.209),居住在乡村(OR=1.513,95%CI:1.118~2.047),锻炼频率≥1次/周(OR=1.378,95%CI:1.022~1.860)者。结论T2DM和PM患病率较高,应广泛开展糖尿病相关危险行为综合干预,以降低T2DM和PM的发病率。Objective To understand the prevalence and risk factors of type 2 diabetes mellitus（T2DM） and prediabetes（PM） in Guangzhou area, and provide the basis for the development integrated intervention strategies of diabetes mellitus.Methods Stratified cluster sampling method was used to investigate 4 200 residents in Panyu district Guangzhou city, survey methods including laboratory tests, physical examinations and a questionnaire. Results The actual valid research were 4 200,and the valid rate was 87.50%. There were 836 PM cases（19.90%） and 412 T2DM cases（9.81%）. The multivariate analysis identified that the age（60-74 years old, OR=3.805, 95%CI： 1.965-7.368）,body mass index（〉30 kg / m^2, OR=2.053, 95%CI：1.421-2.966）, the people who had once suffered from cardiovascular disease, dyslipidemia, or peripheral vascular disease（OR =1.620, 95% CI ：1.182 -2.209）, living in the country（OR =1.513, 95% CI ：1.118 -2.047）, and exercise frequency≥1 time / week（OR=1.378, 95%CI：1.022-1.860） were the influencing factors. Conclusion The PM and T2DM prevalence was high. Diabetes mellitus related risk behavior intervention should be undertaken to reduce the incidence of T2DM and PM.

关 键 词：2型糖尿病 糖尿病前期 危险因素 

分 类 号：R587.1[医药卫生—内分泌]