安徽省10991人糖尿病流行病学调查

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了解安徽省糖尿病(DM)患病情况,分析其患病相关因素。方法采用分层整群抽样方法对安徽省6个地市10991人进行了糖尿病流行病学抽样调查。结果(1)DM和糖耐量低减(IGT)患病率为2.24%及4.45%,标化患病率分别为1.92%及3.77%,其中无症状新发现DM人数占患者人数55.69%,在农村尤为突出。(2)DM、IGT患病率随年龄增长,高峰在60岁以上组,与劳动强度呈负相关。(3)肥胖、超重组DM、IGT患病率高于正常体重、低体重及消瘦组;DM、IGT组BMI、WHR显著高于糖代谢正常组,WHR在DM、IGT两组间差异亦存在显著性。(4)有DM家族史者DM、IGT患病率均高于无DM家族史者。(5)DM、IGT高血压及临界高血压伴发率显著高于糖代谢正常者。多元逐步回归结果显示:服糖后2h血浆血糖与年龄、DM家族史、体重指数、收缩压呈显著正相关,与劳动强度呈显著负相关。结论年龄、DM家族史、体重、血压与劳动强度是DM、IGT患病的重要影响因素,而与性别无关 To understand the prevalence of diabetes mellitus (DM) in Anhui Province and to analyze the related factors of the disease. Methods A stratified cluster sampling method was used to investigate the epidemiological survey of diabetes in 10991 people in 6 cities in Anhui Province. Results (1) The prevalence rates of DM and IGT were 2.24% and 4.45%, respectively. The standardized prevalence rates were 1.92% and 3.77%, respectively. Among them, asymptomatic newly discovered DM The number of patients accounted for 55.69% of the patients, especially in rural areas. (2) The prevalence of DM and IGT increased with age, the peak was above 60 years old and negatively correlated with labor intensity. (3) The prevalence of DM and IGT in obese and overweight group was higher than that of normal weight, low body weight and weight loss group. The BMI and WHR in DM and IGT group were significantly higher than those in normal glucose group Significance. (4) The DM family history of DM, IGT prevalence were higher than those without DM family history. (5) DM, IGT high blood pressure and critical hypertension were significantly higher than those with normal glucose metabolism. The results of multiple stepwise regression showed that there was a significant positive correlation between plasma glucose and age, family history of DM, body mass index and systolic blood pressure at 2 hours after oral administration of sugar, and negatively correlated with labor intensity. Conclusion Age, family history of DM, body weight, blood pressure and labor intensity are important influencing factors of DM and IGT, but have no relation with sex
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