摘要
目的了解宁夏固原地区回族老年人群糖代谢状况并分析影响因素。方法通过整群随机抽样确定调查人群,在指血糖初筛后的高危人群（空腹血糖〉5.6 mmol/L,餐后2 h血糖≥7.8 mmol/L）行口服葡萄糖耐量试验（oral glucose tolerance test,OGTT）,筛选糖尿病及其前期患者。采用＂糖尿病流行病学调查表＂调查了解基本人口学资料。对其中60岁以上被调查人群进行统计分析。结果老年人群糖尿病及其前期患病率：全部老年人群,回汉民族间及不同性别间差异无统计学意义（P=0.184,0.767）,60~65岁组高于65岁以上组（P=0.023）;回族糖代谢异常患病率女性高于男性（P〈0.001）,60~65岁组显著高于65岁以上组（P=0.009）,糖尿病标准化患病率低于汉族;吸烟为回族老年人群患病的主要危险因素（P=0.020）。结论与汉族老年人比较,回族老年人糖尿病及其前期患病情况存在年龄、性别的差异,吸烟为患病的主要危险因素。
Objective To investigate the prevalence of diabetes and pre-diabetes in elderly Hui population in the countryside of Guyuan,and the possible risk factors. Methods After stratified sampling,we performed our study in all the subjects. Level of fasting and 2 h postprandial blood glucose（ PBG2h） were measured in all the participants. In the subjects with fasting plasma glucose（ FBG）higher than 5. 60 mmol/L and PBG2 h higher than 7. 8 mmol/L,a 83- g oral glucose tolerance test were performed. Questionnaire for diabetes epidemiological study was used to record the characteristics of all the subjects. Results The prevalence of diabetes and prediabetes was significantly higher in the 60- 65 group（ P = 0. 023）. In elderly Hui population,the prevalence was significantly lower both in ≥65 group（ P = 0. 009） and in men（ P〈0. 001）. The standardized prevalence of diabetes was lower in Hui（ 6. 4%） than in Han（ 9. 9%）. Smoking was an important risk factor of diabetes in elderly Hui population（ P = 0. 020）. Conclusion Compared the elderly Hui population with Han,there was significant difference in the prevalence of diabetes and pre-diabetes in different gender and age groups.Smoking cigarette was a possible risk factor.
出处
《首都医科大学学报》
CAS
北大核心
2016年第6期812-816,共5页
Journal of Capital Medical University
基金
国家自然科学基金(81300726)
吴阶平医学基金会临床科研专项资助基金(320.6750.15193)
2015北京同仁医院院内基金(2015-YJJ-GGL-004)~~
关键词
回族
老年人
糖尿病
研究
Hui population
elderly
diabetes
research
