CAJ | 학술논문

目的探讨成都市城乡居民糖尿病患病率及其影响因素.方法采用整群抽样方法抽取1 847名成都市城乡居民,利用问卷调查居民一般情况及过去一年食物摄入情况,测量身高、体重,并行口服葡萄糖耐量试验,在总人群和城乡居民中分别以因子分析提取膳食模式,并以多因素非条件logistic回归分析糖尿病影响因素.结果调查对象中糖尿病患病率达23.2％,人口标化患病率为20.2％;城乡居民糖尿病患病率分别为28.7％和11.1％.经logistic回归分析,总人群中,与青年人比较,中年人(OR=2.337,95％ CI:1.305～4.185)和老年人(OR=5.990,95％ CI:3.389～ 10.586)有更高的糖尿病患病风险;职业为管理人员(OR=1.434,95％CI:1.000 ～ 2.057)和普通职员(OR=2.870,95％CI:1.653 ～ 4.980)较务农人员有更高的患病风险.城市居民中,中年人(OR=2.973,95％CI:1.101 ～ 8.031)和老年人(OR=5.972,95％CI:2.267 ～ 15.730)与青年人比较有更高的患病风险;职业为普通职员(OR=2.196,95％CI:1.213 ～ 3.975)较务农人员有更高的患病风险;在农村居民中,高能量高蛋白膳食模式者(OR=1.404,95％CI:1.113～ 1.772)有更高的糖尿病风险.结论成都市城乡居民糖尿病患病率较高,年龄、职业和膳食结构均对糖尿病有影响,且影响因素存在差异,营养改善工作应按照城乡人群特点区分.
목적 탐토성도시성향거민당뇨병환병솔급기영향인소.방법 채용정군추양방법추취1 847명성도시성향거민,이용문권조사거민일반정황급과거일년식물섭입정황,측량신고、체중,병행구복포도당내량시험,재총인군화성향거민중분별이인자분석제취선식모식,병이다인소비조건logistic회귀분석당뇨병영향인소.결과 조사대상중당뇨병환병솔체23.2％,인구표화환병솔위20.2％;성향거민당뇨병환병솔분별위28.7％화11.1％.경logistic회귀분석,총인군중,여청년인비교,중년인(OR=2.337,95％ CI:1.305～4.185)화노년인(OR=5.990,95％ CI:3.389～ 10.586)유경고적당뇨병환병풍험;직업위관리인원(OR=1.434,95％CI:1.000 ～ 2.057)화보통직원(OR=2.870,95％CI:1.653 ～ 4.980)교무농인원유경고적환병풍험.성시거민중,중년인(OR=2.973,95％CI:1.101 ～ 8.031)화노년인(OR=5.972,95％CI:2.267 ～ 15.730)여청년인비교유경고적환병풍험;직업위보통직원(OR=2.196,95％CI:1.213 ～ 3.975)교무농인원유경고적환병풍험;재농촌거민중,고능량고단백선식모식자(OR=1.404,95％CI:1.113～ 1.772)유경고적당뇨병풍험.결론 성도시성향거민당뇨병환병솔교고,년령、직업화선식결구균대당뇨병유영향,차영향인소존재차이,영양개선공작응안조성향인군특점구분.
Objective To determine the prevalence of diabetes mellitus and related risk factors among residents in the urban and rural area of Chengdu.Methods A cluster sampling was used to establish a study population of inhabitants aged 30 to 70.Totally,1 847 participants were enrolled in this study.Questionnaire including general information and dietary information in the past year was used to collect related data.Height,body weight and oral glucose tolerance test (OGTT) were measured.Factor analysis was used to analyze the dietary pattern while multivariate unconditional logistic regression used for risk factors in total population,urban and rural residents,respectively.Results The population standardized prevalence rates of diabetes in the overall,urban and rural residents were 20.2％,28.7％,11.1％,respectively.Among total population,middle-aged (OR=2.337,95％CI:1.305-4.185) and the elderly (OR=5.990,95％ CI:3.389-10.586) residents had higher diabetes risk than the younger ones.Administrators (OR=1.434,95％ CI:1.000-2.057) and ordinary clerks (OR=2.870,95％ CI:1.653-4.980) were more vulnerable to diabetes than peasants.Similarly,middle-aged (OR=2.973,95％ CI:1.101-8.031) and elderly (OR=5.972,95％ CI:2.267-15.730) turned out to be more predisposed than young people in the urban area.Compared with peasants,ordinary clerks (OR=2.196,95％CI:1.213-3.975) seemed to be more liable to diabetes.In the mral areas,dietary pattern with higher energy and protein (OR=1.404,95％ CI:1.113-1.772) could be subject to diabetes.Conclusion The prevalence of diabetes in Chengdu was relatively high.Age,career and dietary pattern are mainly risk factors.The factors in different districts are vaious.Intervention on nutrition should be different,area-wise.