大连地区常住居民2497例肥胖与糖尿病分层、多级整群抽样调查  

A stratification multi-level cluster sampling survey on relationship between obesity and diabetes mellitus in 2497 citizens from Dalian

作　　者：高政南[1] 王颖[1] 孙崴[1] 张萍[1] 高晓红[2] 李晓枫[2] 张翠丽[2] 程然[2] 宋光华[1] 

机构地区：[1]大连医科大学附属二院内分泌科,辽宁省大连市116023 [2]大连医科大学流行病学教研室,辽宁省大连市116027

出　　处：《中国临床康复》2003年第18期2550-2551,共2页Chinese Journal of Clinical Rehabilitation

基　　金："九五"攻关课题:国家科委攻关项目基金资助(96-906-05-01)~~

摘　　要：目的分析肥胖与糖尿病和糖耐量异常的关系。方法以在大连城乡居住5年以上的40岁以上的常住居民2497例为调查对象,调查内容包括问卷调查。测量身高、体质量、腰围、臀围和测定血糖。结果随体重指数的增加,糖尿病的患病率明显升高,由6.5%,9.43%到11.7%,糖耐量异常的患病率也明显升高,由4.1%,5.60%到9.6%;随着腰围的增加,糖尿病发病率呈上升趋势,分别为4.5%、11.39%,糖耐量异常的发病率亦增加,分别为4.1%、7.00%;在体重指数和腰围均异常的人群中,糖尿病和糖耐量异常的患病率升高,单纯腰围异常较单纯体重指数异常者的糖尿病患病率高。结论肥胖者糖尿病患病率明显增高,腹部脂肪蓄积者糖尿病患病率更高。Aim To analyze the relationship among obesity, diabetes mellitus (DM) a nd impaired glucose tolerance (IGT). Methods 2 497 individuals over 40 year old were randomly selected form urban and rural areas in Dalian. Questionnaire surve y was employed in all the subjects, including measuring height, body weight, wai stline (WC) and testing blood sugar. Results As the BMI rising, the morbidity of DM increased remarkably, which was 6.5%, 9.43%and 11.7%respectively. And the morbidity of IGT increased also, which was 4.1%, 5.60%and 9.6%respectively. As waistline increased the morbidity of DM increased from 4.5%to 11.39%, and t he morbidity of IGT increased form 4.1%to 7.00%. In the populations with abnor mal IBM and WC, the morbidity of DM and IGT increased significantly.The morbidit y of DM only with abnormal WC was higher than that with single abnormal IBM.Conc lusion The morbidity of DM in people with obesity increases significantly, but t he morbidity of DM is higher in people with abdominal fat accumulation.

关 键 词：大连地区 常住居民 肥胖 糖尿病 调查 糖耐量异常 身高 体质量 腰围 

分 类 号：R589.2[医药卫生—内分泌] R587.1[医药卫生—内科学]