摘要
目的了解上海市浦东新区城郊结合社区中老年人群糖尿病前期（IGR）影响因素,为社区筛查和预防提供科学依据。方法采用多阶段分层随机抽样抽取上海浦东新区周浦社区45～64岁1 148名中老年人进行问卷调查、测量血压、身高、体重,检测空腹血糖（FPG）、三酰甘油（TG）、胆固醇（TC）,并进行口服75 g葡萄糖耐量实验（OGTT）。计算IGR患病率,采用多因素Logistic回归分析IGR发生的危险因素。结果 1 148名中老年人中,发现IGR 238例,患病率20.7%。多因素Logistic回归分析显示,年龄、BMI、高血压和血脂异常是上海城郊社区中老年人群IGR的危险因素（P〈0.05）。结论上海浦东新区城郊结合社区中老年人群IGR患病与年龄、BMI、高血压和血脂异常密切相关,应针对危险因素开展社区高危筛查和预防干预,形成预防糖尿病的有效的医院-社区-患者一级预防模式。
Objective To investigate prevalence of prediabetes among middle- aged and elderly people in the suburbs of Shanghai and identify its risk factors. Methods Totally,1,148 middle aged and elderly people recruited by multiple- stage and random sampling were surveyed with questionnaire. Their blood pressure,height,weight,fasting blood glucose（ FPG）,triglycerides（ TG） and total cholesterol（ TC） were measured. The 75 g oral glucose tolerance test（ OGTT） was performed. The prevalence of prediabetes was calculated,and its risk factors were explored by multivariate logistic regression analysis. Results The prevalence of prediabetes was 20. 7% among the 1,148 middle aged and elderly people in the suburbs of Shanghai. Age,body mass index（ BMI）,hypertension and dyslipidemia were risk factors（ P 〈0. 05）. Conclusions Incidence of prediabetes among the middle aged and elderly people in the suburbs of Shanghai is closely associated with age,BMI,hypertension and dyslipidemia. Community- based screening of high risk population and targeted prevention interventions should be carried out to form hospital- community- patient intervention model,an effective primary health care system for diabetes.
出处
《实用预防医学》
CAS
2015年第5期559-562,共4页
Practical Preventive Medicine
基金
上海市浦东新区卫生局初级卫生保健项目(编号:PW2010C-23)
