河南省城市居民糖代谢异常现状及其影响因素  

Prevalence and influencing factors of glucose metabolism abnormality among urban adult residents in Henan province

作　　者：范雷[1] 韩冰[1] 李少芳[1] 高莉[1] 冯化飞[1] 冯石献[1] 周刚[1] 朱宝玉[1] 

机构地区：[1]河南省疾病预防控制中心,郑州450016

出　　处：《中国公共卫生》2016年第8期1049-1053,共5页Chinese Journal of Public Health

基　　金：河南省医技攻关重点项目(201302023)

摘　　要：目的 了解河南省城市居民糖代谢异常（糖尿病和糖尿病前期）现状及其影响因素,为采取相应的干预措施提出参考依据。方法 于2013年5—7月采用多阶段随机整群抽样方法对在河南省18个县区抽取的7 588名15~74岁常住居民进行问卷调查、体格检查和血糖检测。结果 河南省城市居民糖尿病患病率为9.16%,标化患病率为9.85%;糖尿病前期患病率为14.02%,标化患病率为14.49%,其中空腹血糖受损率为5.09%,标化患病率为5.24%,糖耐量受损率为8.95%,标化患病率为9.25%;多因素非条件logistic回归分析结果显示,男性、年龄≥40岁、工人、管理和技术人员、离退休人员、其他人员、有糖尿病家族史、超重、肥胖、中心性肥胖、高血压前期和高血压是河南省城市居民糖代谢异常的危险因素,初中及以上文化程度、30 d内和30 d前饮过酒是河南省城市居民糖代谢异常的保护因素。结论 河南省城市居民糖代谢异常率较高,性别、年龄、文化程度、职业、饮酒情况、糖尿病家族史、体质指数（BMI）、是否中心性肥胖和高血压分级是该地区居民糖代谢异常的主要影响因素。Objective To explore the prevalence and risk factors of glucose metabolism abnormality（ diabetes and prediabetes） among urban residents aged 15- 74 years old. Methods A representative sample of 7 588 adults was selected from 18 cities in Henan province with multistage random sampling and surveyed with a questionnaire interview,physical examination and laboratory tests. Results Among the participants,the prevalence rate of diabetes and prediabetes were 9. 16% and 14. 02%,with the age-standardized prevalence rate of 9. 85% and 14. 49%; the prevalence of impaired fast glucose and impaired glucose tolerance was 5. 24% and 9. 25%,respectively. Logistic regression analysis showed that male gender,aged 40 years or older,worker,management staff or technical professional,retired,familialdiabetes history,obesity,overw eight,central obesity,prehypertension,and hypertension w ere independent risk factors;w hile,w ith education of high school or above and alcohol drinking w ere the protective factors of glucose metabolism abnormality. Conclusion The prevalence of diabetes is high and gender,age,education level,occupation,status of alcohol drinking,familial diabetes history,body mass index,central obesity,and degree of hypertension are influencing factors among adult urban residents in Henan province.

关 键 词：糖代谢异常 糖尿病 糖尿病前期 城市居民 

分 类 号：R589.1[医药卫生—内分泌]