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2型糖尿病危险因素的病例对照研究 被引量:16

A Case-control Study on Risk Factors of Type 2 Diabetes
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摘要 目的 :探讨 2型糖尿病危险因素 ,为制定针对高危人群及全人群的干预措施提供依据。方法 :将 2 0 0例确诊的 2型糖尿病患者作为研究病例 ,进行 1∶ 1配对病例对照研究 ,通过条件 L ogistic回归分析筛选主要危险因素。结果 :糖尿病家族史 (OR=8.5 6 0 )、高血压患病史 (OR=4.80 9)、肥胖 (尤其是上身肥胖 ,即男性 WHR≥ 0 .9,女性WHR≥ 0 .85 ) (OR=6 .7141)、高血压、饮食习惯 (喜食脂肪 )、不常体育锻炼以及精神心理因素 (如工作紧张 )等是 2型糖尿病的主要危险因素。结论 :2型糖尿病与遗传因素和环境因素有关 ,针对高危人群及全人群 ,采取适度运动、合理膳食、保持良好的精神心理状态 ,控制体重和血压等综合干预措施是预防 2型糖尿病发生的重要手段。 Objective:To assess the risk factors of type 2 diabetes and offer the bases of making intervention measures for all communities.Methods:A 1∶1 matched case control study was perfomed in 200 cases with type 2 diabetics in Chengdu.And the main risk factors were screened out with conditional Logistic regression.Results:The results showed that diabetes family history( OR =8 560),hypertension history( OR =4 809),obesity (especially visceral obesity,namely high WHR, OR =6 714 1),hypertension(SBP),diet habit(preference for fatty food),lack of physical exercises,and psychological factors(such as work stress)etc were the major risk factors of type 2 diabetes.Conclusion:Type 2 diabetes has relations with the family history and other 6 factors.For all communities,taking integrated intervention measures of moderate physical activity,reasonable diet,maintenance of good psychological condition,control of weight and high blood pressure is an important way to prevent type 2 diabetes from occurrence.
出处 《中国慢性病预防与控制》 CAS 2000年第6期262-264,共3页 Chinese Journal of Prevention and Control of Chronic Diseases
关键词 2型糖尿病 危险因素 病例对照研究 Type 2 diabetes Risk factors A Case control st
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