摘要
目的了解基诺族成年人糖尿病患病现况。方法 2012年2-4月对云南省基诺族18~75岁成年人进行问卷调查及基于口服葡萄糖耐量试验的糖尿病患病率调查,共5577人完成问卷、体格检查和血样本检测,所有数据纳入分析。以1999年世界卫生组织糖尿病诊断标准确定糖尿病、糖调节异常。以2010年全国人口性别年龄构成为标准人口,使用直接法计算标化率。结果基诺族总人群[5577例,（40.1±13.2）岁]、男性[2649例,18~75岁,平均（39.9±13.6）岁]、女性[2928例,18~75岁,平均（40.2±12.9）岁]的糖尿病标化率分别为6.8%、9.4%和4.1%。在新诊断糖尿病患者中,单纯空腹血糖≥7.0 mmol/L的占38.4%,单纯2 h血糖≥11.1 mmol/L的占39.8%,二者均升高的占21.8%。总人群、男性、女性的糖尿病前期标化率分别为19.6%、21.9%和17.5%。糖尿病前期患者中单纯空腹血糖受损的占42.6%,单纯糖耐量受损的占43.8%,空腹和餐后均受损的占13.6%。男性、增龄、高血压、血脂异常、中心性肥胖、饮酒均为糖尿病及糖尿病前期的独立危险因素。结论男性的糖尿病及糖尿病前期患病率明显超过女性。基诺族成年人空腹血糖异常的比例较高。
Objective To investigate the prevalence of diabetes in Jinuo ethnic adults in Jinghong,Yunnan province.Methods A cross-sectional survey was conducted in Jinuo ethnic people aged 18-75 years during January-May 2012. A total of 5577 Jinuo ethnic adults,including 2649 men and 2928 women,received questionnaire survey,health examination and blood testing. Diabetes and impaired glucose regulation were diagnosed based on WHO 1999 diabetes diagnostic criteria and standardized prevalence of diabetes was calculated according to 2010 national population census data. Results The standardized prevalence of diabetes was 6. 8% in the Jinuo ethnic adults surveyed（ men： 9. 4%; women： 4. 1%）. Among294 patients with newly diagnosed diabetes,38. 4% had increased fasting plasma glucose levels（ ≥ 7. 0 mmol / L）,and39. 8% had increased 2-hour plasma glucose levels（ ≥11. 1 mmol / L）,and 21. 8% had both increased fasting plasma glucose levels and increased 2-hour plasma glucose levels. The age-standardized prevalence of prediabetes was 19. 6%（ men： 21. 9%;women： 17. 5%）. Among 1052 patients with prediabetes,42. 6%,43. 8%,and 13. 6% had impaired fasting glucose,impaired glucose tolerance, and both impaired fasting glucose and impaired 2-hour plasma glucose, respectively. The independent risk factors for diabetes and impaired glucose regulation were male,age,hypertension,dyslipidemia,central obesity and alcohol consumption. Conclusion Jinuo ethnic men have higher prevalence of diabetes and prediabetes than Jinuo ethnic women. Jinuo ethic adults have higher prevalence of fasting hyperglycemia.
出处
《疾病监测》
CAS
2016年第7期598-602,共5页
Disease Surveillance
基金
上海市-云南省对口支援工程
日本旭化成株式会社亦提供部分资助
关键词
糖尿病
口服葡萄糖耐量试验
患病率
标化率
Diabetes
Oral glucose tolerance test
Prevalence
Standardized prevalence
