摘要
目的探讨天津2型糖尿病(T2DM)患病情况及相关危险因素。方法 2005年6月至9月对天津15～74岁、居住5年及以上的居民,按比例分层、整群抽样调查21 454人。进行问卷调查、空腹血糖测定以及体格检查,运用logistic回归分析方法探讨T2DM相关的危险因素。结果高血糖筛查阳性率为11.68%(标化率为11.17%),T2DM患病率为6.07%(标化率为5.87%),女性均高于男性,差异有统计学意义。多因素logistic回归分析结果表明,T2DM患病的危险因素为豆制品及肉类摄入多、年龄大、饮酒、高文化水平以及糖尿病家族史;保护性因素为按时三餐、体力劳动职业、新鲜蔬菜摄入多以及参加体育锻炼。结论天津T2DM人群患病率以及筛查阳性率与国内大城市水平近似。豆制品以及肉类摄入多、饮酒等是T2DM发生的危险因素,按时三餐、新鲜蔬菜摄入多、参加体育锻炼等则是保护因素。
Objective To investigate the prevalence of type 2 diabetes and analyze the risk factors for the development of type 2 diabetes. Methods A cross-sectional study was conducted in Tianjin from June to September in 2005. The multi-phasic stratified cluster sampling method was applied. Finally, 21454 people were selected as survey sample. Information of risk factors was collected through face-to-face questionnaire, and informations of fasting glucose level and physical examination were collected to calculate diabetes prevalence. Unconditional multivariate logistic regression model was used to analyze the risk factors. Results In this study, the prevalence of impaired fasting glucose（IFG） based on the criterion of FBG≥6. 1 mmol/L was 11.68 % （standardized prevalence： 11.17 % ）. And the prevalence of diabetes based on the criterion of FBG≥7.0mmol/L was 6.07% （standardized prevalence： 5.87%）. And both of the prevalence in female was higher. The results of multivariate logistic regression showed that the risk factors for type 2 diabetes development were taking more bean food and meat, older, alcohol abuse, higher level of education and family history of diabetes. While the protective factors included regular dinner, physical work,taking more vegetables and more physical exercise. Conclusions The prevalence of type 2 diabetes in Tianjin is similar to the level of the other big cities in China. Intake of more bean food and meat and alcohol abuse may increase the risk for development of type 2 diabetes while regular dinner, taking more vegetables and more physical exercise may decrease the risk.
出处
《中国糖尿病杂志》
CAS
CSCD
北大核心
2009年第4期275-277,共3页
Chinese Journal of Diabetes
