中国糖尿病杂志
中國糖尿病雜誌
중국당뇨병잡지
CHINESE JOURNAL OF DIABETES
2002年
2期
69-73
,共5页
杨泽%郑宏%高芳坤%佟之复%于普林%唐雷%史晓红%范钦颖%王秉治%张培兰%曾平
楊澤%鄭宏%高芳坤%佟之複%于普林%唐雷%史曉紅%範欽穎%王秉治%張培蘭%曾平
양택%정굉%고방곤%동지복%우보림%당뢰%사효홍%범흠영%왕병치%장배란%증평
中老年人%糖尿病%糖耐量低减%增龄性
中老年人%糖尿病%糖耐量低減%增齡性
중노년인%당뇨병%당내량저감%증령성
Middle and old age population Diabetes IGT Age increment
目的阐明中老年人糖尿病(DM)和IGT患病的增龄性特点及增龄的患病风险.方法采用随机分级整群抽样方法,横断面调查北京市城乡4个社区2 354例≥40岁的中老年人.结果DM患病率为11.36%(标化率:10.64%),IGT患病率为12.17%(标化率:11.56%),其与增龄有显著的相关性(DM:r=0.99,P=0.002;IGT:r=0.92,P=0.029).不同年龄组的血糖均值秩和分析(IGT:χ2=9.816,P=0.044,总体:χ2=106.944,P＜0.0005)在IGT和总体中证明有显著随年龄增加而增长的趋势.有3个显著不同的患病风险(OR)年龄阶段,即40～49岁最低(DM:4.95%,OR=0.41;IGT:8.35%,OR=0.66);50～69岁较高(DM:12.13%～13.57%,OR=1.08～1.22;IGT:11.02%～13.60%,OR=0.89～1.13);70～99岁最高(DM:19.02%～21.05%,OR=1.83～2.08;IGT:19.01%～21.05%,OR=1.69～1.92).患病高峰年龄为DM(95%可信区间,CI):41.0～80.4岁,IGT(95%CI):36.9～82.1岁.结论因DM和IGT患者人数随增龄积累,年龄越大,患病率越高,表现出高龄群体高患病风险的增龄特点.年龄是DM发生的一独立危险因素.
目的闡明中老年人糖尿病(DM)和IGT患病的增齡性特點及增齡的患病風險.方法採用隨機分級整群抽樣方法,橫斷麵調查北京市城鄉4箇社區2 354例≥40歲的中老年人.結果DM患病率為11.36%(標化率:10.64%),IGT患病率為12.17%(標化率:11.56%),其與增齡有顯著的相關性(DM:r=0.99,P=0.002;IGT:r=0.92,P=0.029).不同年齡組的血糖均值秩和分析(IGT:χ2=9.816,P=0.044,總體:χ2=106.944,P＜0.0005)在IGT和總體中證明有顯著隨年齡增加而增長的趨勢.有3箇顯著不同的患病風險(OR)年齡階段,即40～49歲最低(DM:4.95%,OR=0.41;IGT:8.35%,OR=0.66);50～69歲較高(DM:12.13%～13.57%,OR=1.08～1.22;IGT:11.02%～13.60%,OR=0.89～1.13);70～99歲最高(DM:19.02%～21.05%,OR=1.83～2.08;IGT:19.01%～21.05%,OR=1.69～1.92).患病高峰年齡為DM(95%可信區間,CI):41.0～80.4歲,IGT(95%CI):36.9～82.1歲.結論因DM和IGT患者人數隨增齡積纍,年齡越大,患病率越高,錶現齣高齡群體高患病風險的增齡特點.年齡是DM髮生的一獨立危險因素.
목적천명중노년인당뇨병(DM)화IGT환병적증령성특점급증령적환병풍험.방법채용수궤분급정군추양방법,횡단면조사북경시성향4개사구2 354례≥40세적중노년인.결과DM환병솔위11.36%(표화솔:10.64%),IGT환병솔위12.17%(표화솔:11.56%),기여증령유현저적상관성(DM:r=0.99,P=0.002;IGT:r=0.92,P=0.029).불동년령조적혈당균치질화분석(IGT:χ2=9.816,P=0.044,총체:χ2=106.944,P＜0.0005)재IGT화총체중증명유현저수년령증가이증장적추세.유3개현저불동적환병풍험(OR)년령계단,즉40～49세최저(DM:4.95%,OR=0.41;IGT:8.35%,OR=0.66);50～69세교고(DM:12.13%～13.57%,OR=1.08～1.22;IGT:11.02%～13.60%,OR=0.89～1.13);70～99세최고(DM:19.02%～21.05%,OR=1.83～2.08;IGT:19.01%～21.05%,OR=1.69～1.92).환병고봉년령위DM(95%가신구간,CI):41.0～80.4세,IGT(95%CI):36.9～82.1세.결론인DM화IGT환자인수수증령적루,년령월대,환병솔월고,표현출고령군체고환병풍험적증령특점.년령시DM발생적일독립위험인소.
Objective To show prevalent features and odds ratio as well as attributive risks of diabetes mellitus and impaired glucose tolerance with age increment in the middle and old age population.Methods We used cross over section epidemiology survey throughout random stratified population sampling, comparing prevalent characteristics of diabetes and IGT in the 2354 population aged more than 40 in 4 communities in Beijing in 1997.Results The diabetes prevalence rising with aging of population has been showed by correlation of diabetes prevalence to middle and old aged populations (DM:r=0 99,P=0 002; IGT:r=0 92,P=0 029). By rank sum test, the mean blood glucose levels in the population and the patients with IGT varied significantly among age groups (IGT: χ 2=9 816, P=0 044,total:χ 2=106 944,P<0 0005). Both prevalence and odds ratio of diabetes or IGT in the population were increased with age increment. There appeared 3 different age stages with distinct prevalence and odds ratio of diabetes and IGT: 40 years old group(DM:4 95%,OR=0 41;IGT:8 35%,OR=0 66);50～69 years old(DM:12 13～13 57%,OR=1 08～1 22;IGT:11 02～13 60%,OR=0 89～1 13);and 70～99 years old(DM:19 02～21 05%,OR=1 83～2 08;IGT:19 01～21 05 %,OR=1 69～1 92). All results support the prevalence and odds ratio increasing with age rising in middle and old aged population.Conclusion Patients with diabetes and IGT are accumulating with age increment in the middle and old aged population. It showed that age increment is an independent risk factor for diabetes and IGT in middle and old age population.
