基于2011—2017年镇江市慢性病监测数据的年龄别人群空腹血糖受损情况及其相关危险因素流行趋势分析  

Age-specific Prevalence and Risk Factors of Impaired Fasting Glucose:an Analysis Based on Chronic Disease Surveillance Data in Zhenjiang City from 2011 to 2017

作　　者：古孝勇[1] 姜方平[1] 王宏宇[1] 徐璐 何佳佳 GU Xiaoyong;JIANG Fangping;WANG Hongyu;XU Lu;HE Jiajia(Zhenjiang Center for Disease Control and Prevention,Zhenjiang 212000,China)

机构地区：[1]江苏省镇江市疾病预防控制中心,212000

出　　处：《中国全科医学》2021年第12期1523-1533,共11页Chinese General Practice

摘　　要：背景现有研究主要集中于糖尿病相关指标流行率,对防治效果的评价和患病率的时间变化趋势分析不足,且关于不同年龄段居民空腹血糖受损(IFG)情况及其相关危险因素流行趋势的研究报道较少。目的基于2011—2017年镇江市慢性病监测数据分析不同年龄段人群IFG情况及其时间变化趋势、相关危险因素流行趋势。方法本研究实施时间为2011年6月—2017年12月。回顾性分析2011—2017年镇江市历年慢性病及其危险因素监测数据,该监测主要通过问卷调查、体格检查与实验室检查相结合的方式开展。分析不同年龄段居民IFG率、标化IFG率时间变化趋势及IFG相关危险因素流行趋势。结果共发放调查问卷29400份,回收有效问卷28408份,有效回收率为96.63%;共130名居民被置换,置换率为0.46%;2011—2017年分别抽取到3953、3482、4259、4270、4203、4039、4202名居民。2011—2017年45~59岁男性居民IFG率呈下降趋势[年度变化百分比(APC)=-6.92,95%CI(-12.50,-1.00),P<0.05];2014—2017年≥60岁男性居民IFG率亦呈下降趋势[APC=-15.71,95%CI(-26.50,-3.30),P<0.05]。2011—2017年所有居民总体标化IFG率呈下降趋势[APC=-3.18,95%CI(-5.90,-0.40),P<0.05],男性居民总体标化IFG率亦呈下降趋势[APC=-5.26,95%CI(-9.50,-0.80),P<0.05];2014—2017年≥60岁男性居民标化IFG率呈下降趋势[APC=-16.23,95%CI(-28.20,-2.30),P<0.05]。2011—2017年所有居民吸烟、被动吸烟、蔬菜摄入频次≥4 d/周流行率变化趋势均无统计学意义(P>0.05);饮酒、早餐摄入频次≥5 d/周、水果摄入频次≥4 d/周、睡眠质量好及很好、近1年内体质量基本不变、超重、血压<130/85 mm Hg流行率呈上升趋势(P<0.05),静态行为时间<4 h/d、肥胖、中心性肥胖流行率呈下降趋势(P<0.05)。不同年龄段居民IFG相关危险因素流行率呈现不同变化趋势。结论2011—2017年镇江市居民IFG及其相关危险因素流行趋势均得到了一定控Background Available studies mainly focus on the epidemiological indicators of diabetes,but inadequately evaluate the prevention and treatment effect for diabetes as well as its prevalence using a time-trend analysis.Moreover,there is few studies about age-specific prevalence and risk factors of impaired fasting glucose(IFG).Objective To analyze age-specific prevalence and risk factors of IFG and the development trend in Zhenjiang City from 2011 to 2017 using the chronic disease surveillance data.Methods This study was conducted from June 2011 to December 2017.We retrospectively analyzed the chronic disease surveillance data from 2011 to 2017 of Zhenjiang City,which were obtained via questionnaire survey,physical examination and laboratory examination.Age-specific and standardized prevalence as well as risk factors of IFG and their trend during the period were analyzed.Results A total of 29400 testees to the questionnaire were extracted,and 130 of them(0.46%)were excluded,other 28408 cases(96.63%)were finally enrolled,including 3953,3482,4259,4270,4203,4039,and 4202 cases for 2011,2012,2013,2014,2015,2016,and 2017,respectively.The prevalence of IFG showed a downward trend in male residents aged 45-59 from 2011 to 2017〔annual percent change(APC)=-6.92,95%CI(-12.50,-1.00),P<0.05〕,as well as in male residents aged 60 or over from 2014 to 2017〔APC=-15.71,95%CI(-26.50,-3.30),P<0.05〕.The overall standardized prevalence of IFG showed a downward trend in all of the residents〔APC=-3.18,95%CI(-5.90,-0.40),P<0.05〕,as well as in all of the male residents〔APC=-5.26,95%CI(-9.50,-0.80),P<0.05〕.The standardized prevalence of IFG also showed a downward trend in male residents aged 60 or over from 2014 to 2017〔APC=-16.23,95%CI(-28.20,-2.30),P<0.05〕.During 2011 to 2017,there were no significant differences in prevalence rates of smoking and passive smoking,as well as vegetable intake frequency at least 4 days per week(P>0.05).The prevalence rates of drinking,good and very good sleep quality,basically unchanged b

关 键 词：糖尿病 血糖 空腹血糖受损 时间趋势分析 危险因素 年龄组 社区参与研究 

分 类 号：R587.1[医药卫生—内分泌]