厦门市湖里区社区居民糖尿病患病率及危险因素分析

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目的了解厦门市湖里区常住居民糖尿病患病情况,分析影响糖尿病的危险因素,为糖尿病预防和控制工作提供依据。方法于2013年4-5月,按照湖里区各街道的人口年龄构成进行分层随机抽样,选取3 782名18岁及以上的常住居民进行问卷调查、体格检查和血糖、血脂检测。结果湖里区社区居民空腹血糖平均水平为(5.17±1.22)mmol/L,空腹血糖受损和糖尿病患病率分别为6.37%(标化率7.89%)和5.26%(标化率7.56%)。logistic回归分析结果显示,高甘油三酯血症、年龄、饮酒、糖尿病家族史与空腹血糖受损有关(P<0.05);高甘油三酯血症、高血压、饮酒、糖尿病家族史、年龄和腰臀比与糖尿病有关(P<0.01)。结论厦门市湖里区应开展糖尿病综合防制措施,需要对高危人群进行血糖的筛查和防治,加强健康教育和健康促进,采取健康生活方式、健康饮食、控制肥胖等综合干预措施。 Objective To understand the prevalence of diabetes in Huli District, Xiamen City, and to analyze the risk factors influencing diabetes, so as to provide basis for prevention and control of diabetes. Methods From April to May 2013, stratified random sampling was conducted according to the age composition of all the streets in the Huli District. A total of 3 782 permanent residents aged 18 and above were selected for questionnaire survey, physical examination, blood glucose test and blood lipid test. Results The mean level of fasting blood glucose in community residents was (5.17 ± 1.22) mmol / L in Huli District. The prevalence of impaired fasting glucose and diabetes was 6.37% (standardization rate 7.89%) and 5.26% (standardized rate 7.56%) respectively. . Logistic regression analysis showed that hypertriglyceridemia, age, alcohol consumption and family history of diabetes were related to impaired fasting glucose (P <0.05); hypertriglyceridemia, hypertension, alcohol consumption, family history of diabetes, Waist-hip ratio was associated with diabetes (P <0.01). Conclusion Huli District, Xiamen City, should carry out comprehensive prevention and treatment of diabetes mellitus, the need for high-risk population screening and prevention and treatment of blood glucose, strengthen health education and health promotion, to adopt a healthy lifestyle, healthy diet, obesity and other comprehensive intervention measures.
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