2020年昆明市成人糖代谢异常患病情况及影响因素分析  

Prevalence and influencing factors of abnormal glucose metabolism among adults in Kunming City,2020

作　　者：颜芳[1] 张茂镕[1] 杨昭[1] 沈岚[1] 杨唯[1] 李云涛[1] YAN Fang;ZHANG Mao-rong;YANG Zhao;SHEN Lan;YANG Wei;LI Yun-tao(Department of Chronic Non-communicable Diseases,Kunming Center for Disease Control and Prevention,Kunming,Yunnan 650035,China)

机构地区：[1]昆明市疾病预防控制中心慢性非传染性疾病防制科,云南昆明650035

出　　处：《现代预防医学》2024年第14期2675-2682,共8页Modern Preventive Medicine

摘　　要：目的了解昆明市居民糖代谢异常患病情况及其影响因素,为相关部门开展糖尿病防治工作提供参考依据。方法于2020年8-11月,采用多阶段整群随机抽样方法,抽取昆明市4个县(区)共32个行政村/居委会符合条件的6332名居民作为调查对象,采取问卷调查、体格检查、实验室检测收集所需数据。采用多因素logistic回归分析糖代谢异常的影响因素。结果昆明市成人糖代谢异常患病率为26.93%(PDM为12.86%,糖尿病为14.07%)。多因素logistic回归分析结果显示,≥60岁(OR=2.408,95%CI:1.468~3.951)、超重(OR=1.348,95%CI:1.063~1.709)、中心性肥胖(OR=1.740,95%CI:1.374~2.203)、高血压(OR=1.301,95%CI:1.020~1.660)和血脂异常(OR=1.407,95%CI:1.160~1.706)与PDM患病风险有关;40~49岁(OR=3.230,95%CI:1.942~5.373)、50~59岁(OR=5.229,95%CI:3.229~8.467)、≥60岁(OR=8.924,95%CI:5.515~14.438)、低体重(OR=1.065,95%CI:1.032~2.498)、肥胖(OR=1.540,95%CI:1.180~2.009)、中心性肥胖(OR=1.565,95%CI:1.288~1.901)、高血压(OR=1.482,95%CI:1.264~1.737)和血脂异常(OR=1.677,95%CI:1.437~1.958)、糖尿病家族遗传史(OR=3.926,95%CI:3.179~4.850)、体力活不足(OR=1.473,95%CI:1.259~1.725)与糖尿病患病风险有关,体力劳动(OR=0.581,95%CI:0.387~0.873)与糖尿病糖尿病低风险有关,均有统计学意义。结论昆明市成人居民糖代谢异常患病率较高,年龄、超重与肥胖、高血压与血脂异常病史、糖尿病家族遗传史、体力活不足是糖代谢异常的危险因素,应重点针对上述因素进行预防与控制。Objective To understand the Prevalence of abnormal glucose metabolism and its influencing factors in Kunming,and to provide scientific basis for the prevention and treatment of diabetes.Methods From August to November 2020,6332 eligible residents from 32 administrative villages/neighborhood committees in 4 counties(districts)of Kunming City were selected as survey subjects,physical examinations,and laboratory tests.Multivariate logistic regression was used to analyze the influencing factors of abnormal glucose metabolism.Results The prevalence of abnormal glucose metabolism in adults in Kunming was 26.93%(PDM 12.86%,diabetes 14.07%).Multivariate logistic regression analysis showed that≥60 years old(OR=2.408,95%CI:1.468-3.951),overweight(OR=1.348,95%CI:1.063-1.709),central obesity(OR=1.740,95%CI:1.374-2.203),hypertension(OR=1.301,95%CI:1.020-1.660)and dyslipidemia(OR=1.407,95%CI:1.160-1.706)were associated with the risk of PDM.40-49 years old(OR=3.230,95%CI:1.942-5.373),50-59 years old(OR=5.229,95%CI:3.229-8.467),≥60 years old(OR=8.924,95%CI:5.515-14.438),low body weight(OR=1.065,95%CI:1.032-2.498),obesity(OR=1.540,95%CI:1.180-2.009),central obesity(OR=1.565,95%CI:1.288-1.901),hypertension(OR=1.482,95%CI:1.264-1.737)and dyslipidemia(OR=1.677,95%CI:1.437-1.958).Family history of diabetes(OR=3.926,95%CI:3.179-4.850)and insufficient physical activity(OR=1.473,95%CI:1.259-1.725)were associated with the risk of diabetes.Physical labor(OR=0.581,95%CI:0.387-0.873)was associated with a lower risk of diabetes mellitus.There were statistically significant.Conclusion The prevalence of abnormal glucose metabolism in adult residents of Kunming City is high.Age,overweight and obesity,history of hypertension and dyslipidemia,family history of diabetes,and lack of physical activity are risk factors for abnormal glucose metabolism.Prevention and control should be focused on these factors.

关 键 词：糖尿病前期 糖尿病 患病情况 影响因素 

分 类 号：R587.1[医药卫生—内分泌]