CAJ | 학술논문

目的：分析2010—2012年中国成年居民血糖水平和糖尿病患病情况。方法数据来自2010—2012年中国居民营养与健康状况监测。采用多阶段分层与人口成比例的整群随机抽样方法进行抽样，调查对象为中国内地31个省份150个调查县（区）的18岁以上居民，共116068名。按2013年WHO全球慢性病监测框架的糖尿病诊断标准（FBG≥7.0 mmol/L或正接受药物治疗的糖尿病患者）和1999年国际糖尿病联盟（IDF）的糖尿病诊断标准，分别对116068名有效调查对象进行糖尿病患病率进行分析。采用2009年国家统计局公布的人口数据进行年龄标化，经过复杂抽样加权处理，对血糖水平和糖尿病患病率进行调整。结果中国成年居民空腹血糖水平（均值±标准误）为（5.28±0.03）mmol/L ，其中，男性为（5.30±0.03）mmol/L ，女性为（5.26±0.03）mmol/L。青年（18～44岁）、中年（45～59岁）及老年（≥60岁）居民空腹血糖水平分别为（5.09±0.03）、（5.47±0.04）、（5.64±0.05）mmol/L。城市、农村成年居民空腹血糖水平分别为（5.35±0.04）、（5.22±0.06）mmol/L。按WHO全球慢性病监测框架标准，中国成年居民糖尿病患病率为5.7%（95%CI：5.1%～6.2%），城市、农村居民糖尿病患病率分别为6.4%（95%CI：5.6%～7.3%）、4.9%（95%CI：4.1%～5.7%）。按IDF标准，成年居民糖尿病患病率为6.8%（95%CI：6.2%～7.4%）。城市、农村居民糖尿病患病率分别为7.6%（95%CI：6.7%～8.6%）、6.0%（95%CI：5.0%～6.9%）。结论2010—2012年中国成年居民血糖水平和糖尿病患病率均较高，应继续加强糖尿病防控工作。
목적：분석2010—2012년중국성년거민혈당수평화당뇨병환병정황。방법수거래자2010—2012년중국거민영양여건강상황감측。채용다계단분층여인구성비례적정군수궤추양방법진행추양，조사대상위중국내지31개성빈150개조사현（구）적18세이상거민，공116068명。안2013년WHO전구만성병감측광가적당뇨병진단표준（FBG≥7.0 mmol/L혹정접수약물치료적당뇨병환자）화1999년국제당뇨병련맹（IDF）적당뇨병진단표준，분별대116068명유효조사대상진행당뇨병환병솔진행분석。채용2009년국가통계국공포적인구수거진행년령표화，경과복잡추양가권처리，대혈당수평화당뇨병환병솔진행조정。결과중국성년거민공복혈당수평（균치±표준오）위（5.28±0.03）mmol/L ，기중，남성위（5.30±0.03）mmol/L ，녀성위（5.26±0.03）mmol/L。청년（18～44세）、중년（45～59세）급노년（≥60세）거민공복혈당수평분별위（5.09±0.03）、（5.47±0.04）、（5.64±0.05）mmol/L。성시、농촌성년거민공복혈당수평분별위（5.35±0.04）、（5.22±0.06）mmol/L。안WHO전구만성병감측광가표준，중국성년거민당뇨병환병솔위5.7%（95%CI：5.1%～6.2%），성시、농촌거민당뇨병환병솔분별위6.4%（95%CI：5.6%～7.3%）、4.9%（95%CI：4.1%～5.7%）。안IDF표준，성년거민당뇨병환병솔위6.8%（95%CI：6.2%～7.4%）。성시、농촌거민당뇨병환병솔분별위7.6%（95%CI：6.7%～8.6%）、6.0%（95%CI：5.0%～6.9%）。결론2010—2012년중국성년거민혈당수평화당뇨병환병솔균교고，응계속가강당뇨병방공공작。
Objective To analyse the blood glucose level and the diabetes prevalence in Chinese adults aged 18 and above from 2010 to 2012. Methods Data was collected from 2010-2012 Chinese Nutrition and Health Surveillance. Participants were recruited using a complex, multistage, and probability sampling design. A total of 116 068 residents aged 18 and above from 150 counties in 31 provinces in China were included to assess the diabetes prevalence based on two criteria. One was the criterion proposed by WHO Global Monitoring Framework(FBG≥7.0 or diagnosed diabetes patients who are using medicines) in 2013. Another one was the 1999 International Diabetes Federal(IDF) criterion. Age and sex standardization was performed based on the China 2009 population published by National Statistics Bureau and they were seen as the standard population. The glucose level and the prevalence of diabetes after weight adjustment for complex sampling were reported. Results The average FBG level( xˉ± sxˉ) was (5.28 ± 0.03)mmol/L in Chinese adults, and it was (5.30 ± 0.03)mmol/L and (5.26 ± 0.03)mmol/L for male and female, respectively. The average FBG levels were (5.09±0.03),(5.47±0.04),and (5.64±0.05)mmol/L in young aged group (18-44 years old), middle aged group (45-59 years old)and elderly aged group(≥60 years old), respectively. The average FBG level was (5.35 ± 0.04)mmol/L and (5.22 ± 0.06)mmol/L in urban and rural residents, respectively. According to the criteria of WHO Global Monitoring Framework, the diabetes prevalence of Chinese adults was 5.7%(95%CI:5.1%-6.2%), and 6.4% (95%CI:5.6%-7.3%)and 4.9%(95%CI:4.1%-5.7%) in urban and rural residents, respectively. According to the criteria of IDF, the diabetes prevalence of Chinese adults was 6.8%(95%CI:6.2%-7.4%), and 7.6%(95%CI:6.7%-8.6%)and 6.0%(95%CI:5.0%-6.9%)in urban and rural, respectively. Conclusion The FBG level and prevalence of diabetes in Chinese adults in 2010-2012 were pretty high. It is essential to continue to strengthen diabetes prevention and control.