摘要
目的北京中心城区社区糖尿病发病率及其患病影响因素研究。方法通过2021年1月至2022年3月随机抽样方法对首都医科大学附属北京世纪坛医院下辖4个中心城区社区的常住居民进行调查,应用问卷调查的方式对社区常住居民的生活方式、健康状况、相关病史,及近期实验室检查结果等数据进行采集。采用logistic回归分析影响糖尿病患病的独立影响因素。结果本调查完成后,有完整资料者共524名,其中糖尿病患者42名为糖尿病组,糖尿病患病率为8%,其余482名为非糖尿病组。两组年龄、体重指数、婚姻状况、收入水平、教育程度、吸烟、锻炼、高脂血症与高血压病比较,差异有统计学意义(P<0.05)。多因素分析显示,体重指数相对风险增加了138%,差异有统计学意义(OR=2.38,95%CI:1.35~4.03,P<0.05)。不进行锻炼的个体患病率的相对风险增加了101%,差异有统计学意义(OR=2.01,95%CI:1.88~4.13,P<0.05)。有高血压的个体患糖尿病的风险增加了92%,差异有统计学意义(OR=1.92,95%CI:1.26~3.17,P<0.05)。血脂高的个体糖尿病患病率相对风险增加112%,差异有统计学意义(OR=2.12,95%CI:1.31~2.56,P<0.05)。结论首都医科大学附属北京世纪坛医院下辖4个中心城区社区内糖尿病患病率处于国内相对较低水平,改善体重情况、良好的锻炼,维持正常、平稳的血压、血脂能够显著降低糖尿病患病风险。
Objective To study the incidence of diabetes mellitus and its influencing factors in the central urban communities of Beijing.Methods A random sampling method was used to investigate the permanent residents of four central urban communities under the jurisdiction of Beijing Shijitn Hospital Affiliated to Capital Medical University from January 2021 to March 2022.The lifestyle,health status,related medical history,and recent laboratory test results of the permanent residents were collected by questionnaire.Logistic regression was used to analyze the independent influencing factors of diabetes.Results After the completion of this study,a total of 524 patients had complete data,including 42 diabetic patients in the diabetes group,the prevalence rate of diabetes was 8%,and the other 482 were non-diabetic group.There were significant differences in age,body mass index,marital status,income level,education level,smoking,exercise,blood lipid,and hypertension between the two groups(P<0.05).Multivariate analysis showed a statistically significant 138%increase in body mass index relative risk(OR=2.38,95%CI:1.35-4.03,P<0.05).Individuals who did not exercise had a statistically significant 101%increased relative risk of morbidity the difference was statistically significant(OR=2.01,95%CI:1.88-4.13,P<0.05).Individuals with hypertension had a statistically significant 92%increased risk of diabetes the difference was statistically significant(OR=1.92,95%CI:1.26-3.17,P<0.05).The relative risk of diabetes in individuals with high blood lipids increased by 112%,the difference was statistically significant(OR=2.12,95%CI:1.31-2.56,P<0.05).Conclusion The prevalence of diabetes mellitus in the central urban communities is relatively low compared to the national level.Improving weight status,engaging in regular exercise,and maintaining normal and stable blood pressure and Lipids can significantly reduce the risk of diabetes.
作者
张晶
蔡根深
汪晓莹
张华
殷白丁
吐达宏
ZHANG Jing;CAI Genshen;WANG Xiaoying;ZHANG Hua;YIN Baiding;TU Dahong(Department of General Medicine,Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing100038,China;Community Medical Center,Beijing Shijitan Hospital Affiliated to Capital Medical University,Beijing100038,China)
出处
《中国医药导报》
CAS
2024年第18期34-37,共4页
China Medical Herald
关键词
2型糖尿病
发病率
北京中心城区社区
影响因素
Type 2 diabetes mellitus
Incidence rate
Beijing community
Influencing factors
