CAJ | 학술논문

[目的]了解空腹血糖受损（ IFG）的中老年人空腹血糖变化及转归情况，并分析其影响因素。[方法]采用多阶段随机抽样方法，在上海市闸北区随机抽取2个街道，再按随机抽样方法确定居委会和楼组。选择年龄≥40岁、空腹血糖（FPG）6．1～6．9 mmol/L的常住人口进入本次研究，共203人。对该部分人群于2011-2012年间2次清晨空腹采静脉血样，检测FPG、总胆固醇（ TC）、三酰甘油（ TG）、高密度脂蛋白（ HDL-C）、低密度脂蛋白（ LDL）等生化指标，测量身高、体重、腰围、臀围，并于2012年通过问卷调查了解其生活方式及对糖尿病的认知水平。[结果]对IFG人群连续观测2年，FPG总体水平有所上升，差异有统计学意义。 FPG1、FPG2分别有37．44％、30．05％的居民升高到7．0 mmol/L以上，同时有38．42％、33．50％的居民FPG下降到6．1 mmol/L以下。被确诊为糖尿病者占9．85％。多因素分析发现BMI为IFG人群FPG升高的危险因素。[结论]40岁以上IFG人群FPG水平2年内随时间总体有所升高。 BMI是IFG人群FPG水平的影响因素。
[목적]료해공복혈당수손（ IFG）적중노년인공복혈당변화급전귀정황，병분석기영향인소。[방법]채용다계단수궤추양방법，재상해시갑북구수궤추취2개가도，재안수궤추양방법학정거위회화루조。선택년령≥40세、공복혈당（FPG）6．1～6．9 mmol/L적상주인구진입본차연구，공203인。대해부분인군우2011-2012년간2차청신공복채정맥혈양，검측FPG、총담고순（ TC）、삼선감유（ TG）、고밀도지단백（ HDL-C）、저밀도지단백（ LDL）등생화지표，측량신고、체중、요위、둔위，병우2012년통과문권조사료해기생활방식급대당뇨병적인지수평。[결과]대IFG인군련속관측2년，FPG총체수평유소상승，차이유통계학의의。 FPG1、FPG2분별유37．44％、30．05％적거민승고도7．0 mmol/L이상，동시유38．42％、33．50％적거민FPG하강도6．1 mmol/L이하。피학진위당뇨병자점9．85％。다인소분석발현BMI위IFG인군FPG승고적위험인소。[결론]40세이상IFG인군FPG수평2년내수시간총체유소승고。 BMI시IFG인군FPG수평적영향인소。
To study the changes and outcome of fasting plasma glucose and its influ-encing factors in elderly people with impaired fasting glucose ( IFG) . [ Methods] The subjects were a-bove 40 years old and their FPG values were between 6.1 -6.9 mmol/L.The FPG,TC,TG,HDL-C, LDL,height,weight,waist circumference ,hip circumference of the subjects were measured 2 times.A ques-tionnaire about life style and cognition about diabetes was conducted in 2012 among the subjects . [ Results] The IFG subjects were under continuous observation for 2 years.Their overall level of IFG was increased , which was found to be statistically significant .Those diagnosed with diabetes accounted for 9 .85%of the total .Logistic Regression Analysis showed that BMI was the risk factor for IFG subjects in the rise of FPG. [Conclusion] On the whole, for IFG people of 40 or above, overall FGP value was on a growth trend during the past 2 years.The influencing factor is thought to be BMI .