中华糖尿病杂志
中華糖尿病雜誌
중화당뇨병잡지
CHINES JOURNAL OF DLABETES MELLITUS
2011年
6期
463-467
,共5页
童国玉%胡云%陈军建%徐宁%成金罗%华飞%裴炯%崔世维%俞伟男%朱大龙
童國玉%鬍雲%陳軍建%徐寧%成金囉%華飛%裴炯%崔世維%俞偉男%硃大龍
동국옥%호운%진군건%서저%성금라%화비%배형%최세유%유위남%주대룡
糖尿病%代谢综合征%患病率%流行病学
糖尿病%代謝綜閤徵%患病率%流行病學
당뇨병%대사종합정%환병솔%류행병학
Diabetes mellitus%Metabolic syndrome%Prevalence%Epidemiology
目的 调查2008年江苏地区糖尿病、代谢综合征(MS)及其相关疾病的患病情况.方法 采用多阶段分层整群随机抽样方法,对该人群进行问卷调查,并行空腹血糖、口服葡萄糖耐量试验、血脂、身高、体质量、腰臀围、体质指数、血压检测.糖尿病采用1999年WHO的诊断标准,MS采用中华医学会糖尿病学分会2004年建议的诊断标准,分析患病率.应用卡方检验进行率的比较,并对MS的危险因素做多因素logistic回归分析.结果 江苏地区3436名20岁以上人群糖尿病、MS、高血糖、高血压、超重或肥胖、高甘油三酯血症和低高密度脂蛋白胆固醇血症的粗患病率分别为10.9％、18.7％、23.0％、35.4％、39.8％、28.5％和13.3％,标化后患病率分别为8.56％、15.9％、18.9％、27.8％、35.8％、27.1％和13.2％,上述疾病的患病率随年龄的增长而增加.女性MS患病率:农村(19.9％)＞城镇(15.8％)＞城市(14.6％),男性城镇(23.7％)＞农村(21.7％)＞城市(19.9％).经logistic回归分析显示性别、年龄、文化程度为MS的危险因素.结论 江苏地区20岁以上人群糖尿病、MS患病率分别为8.56％和15.9％,已成为影响城乡居民健康的重大公共卫生问题,应加强防治工作力度.
目的 調查2008年江囌地區糖尿病、代謝綜閤徵(MS)及其相關疾病的患病情況.方法 採用多階段分層整群隨機抽樣方法,對該人群進行問捲調查,併行空腹血糖、口服葡萄糖耐量試驗、血脂、身高、體質量、腰臀圍、體質指數、血壓檢測.糖尿病採用1999年WHO的診斷標準,MS採用中華醫學會糖尿病學分會2004年建議的診斷標準,分析患病率.應用卡方檢驗進行率的比較,併對MS的危險因素做多因素logistic迴歸分析.結果 江囌地區3436名20歲以上人群糖尿病、MS、高血糖、高血壓、超重或肥胖、高甘油三酯血癥和低高密度脂蛋白膽固醇血癥的粗患病率分彆為10.9％、18.7％、23.0％、35.4％、39.8％、28.5％和13.3％,標化後患病率分彆為8.56％、15.9％、18.9％、27.8％、35.8％、27.1％和13.2％,上述疾病的患病率隨年齡的增長而增加.女性MS患病率:農村(19.9％)＞城鎮(15.8％)＞城市(14.6％),男性城鎮(23.7％)＞農村(21.7％)＞城市(19.9％).經logistic迴歸分析顯示性彆、年齡、文化程度為MS的危險因素.結論 江囌地區20歲以上人群糖尿病、MS患病率分彆為8.56％和15.9％,已成為影響城鄉居民健康的重大公共衛生問題,應加彊防治工作力度.
목적 조사2008년강소지구당뇨병、대사종합정(MS)급기상관질병적환병정황.방법 채용다계단분층정군수궤추양방법,대해인군진행문권조사,병행공복혈당、구복포도당내량시험、혈지、신고、체질량、요둔위、체질지수、혈압검측.당뇨병채용1999년WHO적진단표준,MS채용중화의학회당뇨병학분회2004년건의적진단표준,분석환병솔.응용잡방검험진행솔적비교,병대MS적위험인소주다인소logistic회귀분석.결과 강소지구3436명20세이상인군당뇨병、MS、고혈당、고혈압、초중혹비반、고감유삼지혈증화저고밀도지단백담고순혈증적조환병솔분별위10.9％、18.7％、23.0％、35.4％、39.8％、28.5％화13.3％,표화후환병솔분별위8.56％、15.9％、18.9％、27.8％、35.8％、27.1％화13.2％,상술질병적환병솔수년령적증장이증가.녀성MS환병솔:농촌(19.9％)＞성진(15.8％)＞성시(14.6％),남성성진(23.7％)＞농촌(21.7％)＞성시(19.9％).경logistic회귀분석현시성별、년령、문화정도위MS적위험인소.결론 강소지구20세이상인군당뇨병、MS환병솔분별위8.56％화15.9％,이성위영향성향거민건강적중대공공위생문제,응가강방치공작력도.
Objective To investigate the prevalences of diabetes,metabolic syndrome and its related diseases in a resident sample aged over 20 years old in Jiangsu province in 2008.Methods A crossover sectional and cluster sampling was carried out in 3436 residents aged over 20 years living in the rural and urban areas of Jiangsu province.After an overnight fasting,participants underwent an oral glucosetolerance test,Fasting and 2-hour plasma glucose level,lipid-profile as well as height,body weight,body mass index (BMI),blood pressure (BP) were measured.WHO(1999) standard was used as diagnostic criteria of diabetes.Chinese Diabetes Society (2004) suggestion-diagnosed standard was used as diagnostic criteria of metabolic syndrome.x2 test was used for data analysis.The prevalence of MS and its attributing factors were analyzed by logistic regression model.Results The prevalences of diabetes,MS,high blood glucose,hypertension,overweight or obesity,high blood TG,low-HDL were 10.9％,18.7％,23.0％,35.4％,39.8％,28.5％,13.3％ respectively.Standardized prevalences of these diseases were 8.56％,15.9％,18.9％,27.8％,35.8％,27.1％,13.2％ respectively.The prevalences of these diseases were increased with aging.Villages had the highest prevalence of MS in women,while cities had the lowest one.Towns had the highest prevalence of MS in men,while villages had the lowest.The multivariable stepwise analysis extracted age,sex and education as major risk factors for MS.Conclusion The prevalence of diabetes and metabolic syndrome in a sample of residents aged over 20 in Jiangsu Province were 8.56％ and 15.9％.It becomes a public health problem requiring urgent attention for prevention and treatment.
