中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2014年
12期
1337-1342
,共6页
陶然%杜怀东%周金意%苏健%杨婕%胡一河%马良才%周仁仙%卞铮
陶然%杜懷東%週金意%囌健%楊婕%鬍一河%馬良纔%週仁仙%卞錚
도연%두부동%주금의%소건%양첩%호일하%마량재%주인선%변쟁
糖尿病%身体测量指标%血糖%患病风险
糖尿病%身體測量指標%血糖%患病風險
당뇨병%신체측량지표%혈당%환병풍험
Diabetes%Anthropometric measure%Blood glucose%Prevalence
目的 探讨成年人身体测量指标与糖尿病患病的关系.方法 利用“中国慢性病前瞻性研究”(CKB)苏州市项目点53 260名30～79岁常住居民有效基线调查数据,通过logistic多元回归分析研究身体测量指标与糖尿病患病的关系.结果 调查人群糖尿病患病率为5.3％,其中半数为新检测发现患者.糖尿病患病率随年龄增加而升高,年龄每增加10岁,患病风险增加61％(OR=1.61,95％CI:1.54～ 1.67).无论男女性别,BMI、体脂比、腰围、臀围、腰臀比和腰身比均与糖尿病患病呈显著正相关.中心性肥胖指标与糖尿病患病风险的关系强于全身性肥胖指标,其中腰臀比与糖尿病患病风险的关系最强.腰臀比每增加1个标准差(s),男性(s=0.06)的糖尿病患病风险增加72％(61％ ～ 83％),女性(s=0.07)增加93％(83％～ 102％).在同一分析模型中“腰围”和“臀围”相互调整后,腰围值每增加5 cm,男女性糖尿病患病风险性分别增加65％和57％;但臀围值每增加5 cm,男女性糖尿病患病风险性分别减少38％和34％.结论 BMI、体脂比、腰围、腰臀比和腰身比等肥胖测量指标均与糖尿病患病呈显著正相关;中心性肥胖指标,尤其是“腰臀比”,与糖尿病患病风险的关系强于全身性肥胖指标.控制“腰围”后,“臀围”与糖尿病患病呈显著负相关.
目的 探討成年人身體測量指標與糖尿病患病的關繫.方法 利用“中國慢性病前瞻性研究”(CKB)囌州市項目點53 260名30～79歲常住居民有效基線調查數據,通過logistic多元迴歸分析研究身體測量指標與糖尿病患病的關繫.結果 調查人群糖尿病患病率為5.3％,其中半數為新檢測髮現患者.糖尿病患病率隨年齡增加而升高,年齡每增加10歲,患病風險增加61％(OR=1.61,95％CI:1.54～ 1.67).無論男女性彆,BMI、體脂比、腰圍、臀圍、腰臀比和腰身比均與糖尿病患病呈顯著正相關.中心性肥胖指標與糖尿病患病風險的關繫彊于全身性肥胖指標,其中腰臀比與糖尿病患病風險的關繫最彊.腰臀比每增加1箇標準差(s),男性(s=0.06)的糖尿病患病風險增加72％(61％ ～ 83％),女性(s=0.07)增加93％(83％～ 102％).在同一分析模型中“腰圍”和“臀圍”相互調整後,腰圍值每增加5 cm,男女性糖尿病患病風險性分彆增加65％和57％;但臀圍值每增加5 cm,男女性糖尿病患病風險性分彆減少38％和34％.結論 BMI、體脂比、腰圍、腰臀比和腰身比等肥胖測量指標均與糖尿病患病呈顯著正相關;中心性肥胖指標,尤其是“腰臀比”,與糖尿病患病風險的關繫彊于全身性肥胖指標.控製“腰圍”後,“臀圍”與糖尿病患病呈顯著負相關.
목적 탐토성년인신체측량지표여당뇨병환병적관계.방법 이용“중국만성병전첨성연구”(CKB)소주시항목점53 260명30～79세상주거민유효기선조사수거,통과logistic다원회귀분석연구신체측량지표여당뇨병환병적관계.결과 조사인군당뇨병환병솔위5.3％,기중반수위신검측발현환자.당뇨병환병솔수년령증가이승고,년령매증가10세,환병풍험증가61％(OR=1.61,95％CI:1.54～ 1.67).무론남녀성별,BMI、체지비、요위、둔위、요둔비화요신비균여당뇨병환병정현저정상관.중심성비반지표여당뇨병환병풍험적관계강우전신성비반지표,기중요둔비여당뇨병환병풍험적관계최강.요둔비매증가1개표준차(s),남성(s=0.06)적당뇨병환병풍험증가72％(61％ ～ 83％),녀성(s=0.07)증가93％(83％～ 102％).재동일분석모형중“요위”화“둔위”상호조정후,요위치매증가5 cm,남녀성당뇨병환병풍험성분별증가65％화57％;단둔위치매증가5 cm,남녀성당뇨병환병풍험성분별감소38％화34％.결론 BMI、체지비、요위、요둔비화요신비등비반측량지표균여당뇨병환병정현저정상관;중심성비반지표,우기시“요둔비”,여당뇨병환병풍험적관계강우전신성비반지표.공제“요위”후,“둔위”여당뇨병환병정현저부상관.
Objective To explore the relationships between anthropometric measures as body mass index (BMI),percentage body fat,waist circumference (WC),hip circumference (HC),waist-to-hip ratio (WHR),waist-to-height ratio (WHtR) and the risks of diabetes.Methods We analyzed the baseline data of 53 260 participants who were aged 30-79 years and had been enrolled into the China Kadoorie Biobank (CKB) study from Suzhou city,Jiangsu province.Unconditional logistic regression analyses were conducted with adjustment for potential confounders.Results Overall,5.3％ of the participants had diabetes,with about a half of them being newly detected through on-site screening tests.The prevalence of diabetes increased with age,61％ higher(OR=l.61,95％ confidence interval:1.54-1.67) risk of diabetes,with 10 years increase of age.In both genders,all anthropometric measures were positively and significantly associated with diabetes,with the associations of measures in central adiposity stronger than those in general obesity,with WHR as the strongest.Each standard deviation (1-s) with greater WHR(＜0.06 in men and 0.07 in women) was associated with 72％ (61％-83％) higher risk of diabetes in men and 93％ (83％-102％) in women.After adjusting for HC,each WC with 5 cm larger,showing 65％ and 57％ higher risks in men and women respectively.However,after adjusting for WC,every 5cm greater HC appeared and associated with respective 38％ and 34％ lower risks.Conclusion Measures on adiposity including BMI,percentage body,WC,WHR and WHtR fat were all positively associated with the prevalence of diabetes.Measures of central obesity,particularly WHR,were more strongly associated with diabetes than measures of general obesity.When WC was under control,HC appeared inversely associated with diabetes.
