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目的:分析河南某农村中老年女性人群高甘油三酯腰围(HTGW)与2型糖尿病(T2DM)的关系。方法:采用整群抽样的方法调查河南某镇中老年女性人群的人口统计学特征、行为危险因素,并进行人体测量及空腹脂质谱和血糖检测。评估各危险因素与T2DM的关系。结果:共调查4 651人,其中T2DM患者429人(患病率9.22%),HTGW 1 642人(患病率35.30%)。单因素分析显示腰围异常、糖尿病家族史、年龄和TG>1.7 mmol/L是T2DM的主要危险因素,OR(95%CI)分别是2.77(2.11~3.64)、2.77(2.05~3.75)、2.14(1.74~2.62)和2.16(1.76~2.64),中度和重度体力活动可降低T2DM的患病风险,OR(95%CI)分别是0.14(0.03~0.57)和0.54(0.43~0.68)(P均<0.05)。调整其他危险因素后HTGW与T2DM的OR(95%CI)为4.43(3.06~6.41)(P<0.05)。结论:HTGW增加河南农村中老年女性人群T2DM的患病风险,可以考虑作为T2DM的筛检工具。
Objective: To analyze the relationship between hypertriglyceridem waist circumference (HTGW) and type 2 diabetes mellitus (T2DM) in middle-aged and elderly women in a rural area in Henan province. Methods: A cluster sampling method was used to investigate the demographic characteristics and behavioral risk factors of middle-aged and elderly women in a certain town in Henan Province. The body composition, fasting lipid profile and blood glucose were measured. Assess the relationship between risk factors and T2DM. Results: A total of 4 651 were investigated, including 429 T2DM patients (prevalence rate 9.22%) and 1 642 HTGW patients (prevalence rate 35.30%). Univariate analysis showed that waist circumference, family history of diabetes, age, and TG> 1.7 mmol / L were the major risk factors for T2DM. OR (95% CI) were 2.77 (2.11-3.64), 2.77 (2.05-3.75), 2.14 1.74-2.62) and 2.16 (1.76-2.64) respectively. The moderate and severe physical activity decreased the risk of T2DM. The OR (95% CI) were 0.14 (0.03-0.57) and 0.54 (0.43-0.68) <0.05). The OR (95% CI) of HTGW and T2DM after adjusting for other risk factors was 4.43 (3.06 ~ 6.41) (P <0.05). Conclusion: HTGW increases the prevalence of T2DM in middle-aged and elderly women in rural Henan and can be considered as a screening tool for T2DM.