CAJ | 학술논문

目的探讨江苏省成年人肥胖测量指标与糖尿病患病关系.方法采用多阶段整群随机抽样方法,在江苏省14个成人慢性病及其危险因素监测点随机抽取8 400名≥18岁常住居民进行问卷调查、体格检查和实验室检测.运用非条件logistic回归方法,分析肥胖、中心型肥胖、体质指数(BMI)、腰围和腰身比等肥胖测量指标与糖尿病患病关系.结果江苏省成年人糖尿病患病率为8.5％,肥胖率为13.6％,中心型肥胖率为30.8％.不同年龄组居民糖尿病患病分布差异有统计学意义(x2=119.77,P＜0.05),且患病率随年龄的增长呈上升趋势.肥胖、中心型肥胖、BMI、腰围和腰身比均与糖尿病患病显著相关(x2=39.01、86.82、95.11、114.61、119.76,均P＜0.05),且随着BMI、腰围和腰身比的增加,糖尿病的患病风险也不断升高;BMI、腰围和腰身比每增加1个测量单位,糖尿病患病风险相应升高13％(OR=1.13,95％CI:1.10～1.15)、5％(OR=1.05,95％CI:1.04～1.06)和8％(OR=1.08,95％CI:1.07～1.10);腰身比、腰围和BMI每增加1个标准差(SD),糖尿病患病风险分别增加62％(OR=1.62,95％ CI:1.49～1.76)、61％(OR=1.61,95％CI:1.48～1.75)和49％ (OR=1.49,95％CI:1.38～1.62),BMI、腰围和腰身比对糖尿病患病风险的影响依次升高. 结论 BMI、腰围和腰身比与糖尿病患病密切相关.肥胖是糖尿病患病的重要影响因素,糖尿病患病风险随肥胖程度的增加而升高.
목적 탐토강소성성년인비반측량지표여당뇨병환병관계.방법 채용다계단정군수궤추양방법,재강소성14개성인만성병급기위험인소감측점수궤추취8 400명≥18세상주거민진행문권조사、체격검사화실험실검측.운용비조건logistic회귀방법,분석비반、중심형비반、체질지수(BMI)、요위화요신비등비반측량지표여당뇨병환병관계.결과 강소성성년인당뇨병환병솔위8.5％,비반솔위13.6％,중심형비반솔위30.8％.불동년령조거민당뇨병환병분포차이유통계학의의(x2=119.77,P＜0.05),차환병솔수년령적증장정상승추세.비반、중심형비반、BMI、요위화요신비균여당뇨병환병현저상관(x2=39.01、86.82、95.11、114.61、119.76,균P＜0.05),차수착BMI、요위화요신비적증가,당뇨병적환병풍험야불단승고;BMI、요위화요신비매증가1개측량단위,당뇨병환병풍험상응승고13％(OR=1.13,95％CI:1.10～1.15)、5％(OR=1.05,95％CI:1.04～1.06)화8％(OR=1.08,95％CI:1.07～1.10);요신비、요위화BMI매증가1개표준차(SD),당뇨병환병풍험분별증가62％(OR=1.62,95％ CI:1.49～1.76)、61％(OR=1.61,95％CI:1.48～1.75)화49％ (OR=1.49,95％CI:1.38～1.62),BMI、요위화요신비대당뇨병환병풍험적영향의차승고. 결론 BMI、요위화요신비여당뇨병환병밀절상관.비반시당뇨병환병적중요영향인소,당뇨병환병풍험수비반정도적증가이승고.
Objective To explore the relationship between the measures of adiposity and the prevalence of diabetes mellitus in adults of Jiangsu province.Methods Total of 8 400 inhabitants aged 18 years and above were selected from 14 chronic no-communicable diseases surveillance areas by multi-stage cluster random sampling method in Jiangsu province.Information of the inhabitants was collected with a questionnaire survey,anthropometric measurement and biochemical test of blood.Data was analyzed to explore the relationship between obesity,central obesity,the measures of adiposity including weight,body mass index(BMI),waist circumference,waist-height ratio and the prevalence of diabetes mellitus by unconditional logistic regression analysis.Results The prevalence of diabetes mellitus,obesity and central obesity was 8.5％,13.6％,30.8％ respectively in adults of Jiangsu province.The distributional difference of the prevalence of diabetes mellitus in different age groups was statistically significant (x2=119.77,P＜0.05).The prevalence showed an obvious rising trend with age growth.The results of unconditional logistic regression analysis showed that obesity,central obesity,weight,BMI,waist circumference and waist-height ratio were associated with diabetes mellitus(x2=39.01,86.82,95.11,114.61,119.76,all P＜0.05).The risk of diabetes mellitus was rising with the increase of BMI,waist circumference and waist-height ratio.About 1-unit greater measures of BMI,waist circumference and waist-height ratio were respectively associated with 13％ (OR=1.13,95％CI:1.10-1.15),5％ (OR=1.05,95％CI:1.04-1.06) and 8％ (OR=1.08,95％CI:1.07-1.10) higher risk of diabetes mellitus.And about 1-SD greater measures of waistheight ratio,waist circumference and BMI were respectively associated with 62％ (OR=1.62,95％CI:1.49-1.76),61％ (OR=1.61,95％ CI:1.48-1.75) and 49％ (OR=1.49,95％CI:1.38-1.62) higher risk of diabetes mellitus.The risk of diabetes mellitus increased in turn with the influence of BMI,waist circumference and waist-height ratio.Conclusions The BMI,waist circumference and waist-height ratio were closely associated with the prevalence of diabetes mellitus.Obesity is the important factor with great influence on the prevalence of diabetes mellitus.The prevalence of diabetes mellitus will increase with increased obesity degree.