CAJ | 학술논문

目的：探讨浙江省成年肥胖人群糖尿病患病率及其危险因素。方法采用多阶段分层整群随机抽样的方法,于2010年7月至11月在浙江省15个县区选择年龄18周岁及以上的常住人口进行现况调查,从中选取体重指数≥28 kg/m2的居民进行问卷调查、医学体检并采集居民空腹静脉血标本。数据分析采用字2检验和logistic回归分析。结果共调查成年肥胖人群1351名,其中男性613名,女性738名。成年肥胖人群糖尿病患病率为15.03%,其中男性14.03%,女性15.85%；城市16.64%,农村13.93%。多因素非条件logistic回归分析结果提示：年龄(OR=1.473,95% CI 1.243~1.747)、糖尿病家族史(OR=8.945,95%CI 5.481~14.598)、主食摄入量(OR=1.185,95% CI 1.017~1.380)和高甘油三酯(≥1.7 mmol/L,OR=1.542,95%CI 1.066~2.232)是成年肥胖人群患糖尿病的危险因素,年收入(OR=0.695,95%CI0.544~0.888)和牛奶摄入量(OR=0.750,95%CI 0.567~0.993)是保护因素。结论肥胖人群的糖尿病患病率较高,主要的影响因素有年龄、糖尿病家族史、主食摄入量、血脂异常等。
목적：탐토절강성성년비반인군당뇨병환병솔급기위험인소。방법채용다계단분층정군수궤추양적방법,우2010년7월지11월재절강성15개현구선택년령18주세급이상적상주인구진행현황조사,종중선취체중지수≥28 kg/m2적거민진행문권조사、의학체검병채집거민공복정맥혈표본。수거분석채용자2검험화logistic회귀분석。결과공조사성년비반인군1351명,기중남성613명,녀성738명。성년비반인군당뇨병환병솔위15.03%,기중남성14.03%,녀성15.85%；성시16.64%,농촌13.93%。다인소비조건logistic회귀분석결과제시：년령(OR=1.473,95% CI 1.243~1.747)、당뇨병가족사(OR=8.945,95%CI 5.481~14.598)、주식섭입량(OR=1.185,95% CI 1.017~1.380)화고감유삼지(≥1.7 mmol/L,OR=1.542,95%CI 1.066~2.232)시성년비반인군환당뇨병적위험인소,년수입(OR=0.695,95%CI0.544~0.888)화우내섭입량(OR=0.750,95%CI 0.567~0.993)시보호인소。결론비반인군적당뇨병환병솔교고,주요적영향인소유년령、당뇨병가족사、주식섭입량、혈지이상등。
Objective To access the prevalence of type 2 diabetes mellitus ( T2DM) and its associated risk factors among adults with obesity in Zhejiang province. Methods The enrolled subjects were selected among local residents aged≥18 years with body mass index≥28 kg/m2 from 15 counties by multi stage stratified cluster random sampling from July to November, 2010. Each participant was required to attend complete questionnaire, physical examination, and testing overnight fasting blood specimen. Results A total of 1 351 residents were enrolled, including 613 males and 738 females. The prevalence of T2DM in adult population with obesity was 15. 03%, being 14. 03% in male, and 15. 85% in female;and that in urban area was 16. 64%, and in rural area was 13. 93%. Data from multivariable logistic regression showed that factors such as ageing (OR=1. 473, 95% CI 1. 243-1. 747), a family history of T2DM(OR=8. 945, 95% CI 5. 481-14. 598), staple food intake (OR=1. 185, 95% CI 1. 017-1. 380), triglyceride(≥1. 7 mmol/L, OR=1. 542, 95%CI 1. 066-2. 232) were risk factors of T2DM;while annual income(OR=0. 695, 95%CI 0. 544-0. 888), and milk intake(OR=0. 750, 95%CI 0. 567-0. 993) were shown as protective factors. Conclusion The prevalence of T2DM in adults with obesity was raised, ageing, a family history of T2DM, staple food intake, and dyslipidemia appeared to be major risk factors for T2DM.