郑州大学学报（医学版）
鄭州大學學報（醫學版）
정주대학학보（의학판）
JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES)
2015年
4期
511-514
,共4页
李新华%任永成%赵景志%王重建%尹磊%庞超%冯天平%王炳源%张红艳%杨香玉%张璐%胡东生%罗新萍
李新華%任永成%趙景誌%王重建%尹磊%龐超%馮天平%王炳源%張紅豔%楊香玉%張璐%鬍東生%囉新萍
리신화%임영성%조경지%왕중건%윤뢰%방초%풍천평%왕병원%장홍염%양향옥%장로%호동생%라신평
中老年女性%高甘油三酯腰围%2 型糖尿病%河南
中老年女性%高甘油三酯腰圍%2 型糖尿病%河南
중노년녀성%고감유삼지요위%2 형당뇨병%하남
middle and elderly female%hypertriglyceridemia-waist phenotype%type 2 diabetes mellitus%Henan
目的：：分析河南某农村中老年女性人群高甘油三酯腰围(HTGW)与2型糖尿病(T2DM)的关系。方法：采用整群抽样的方法调查河南某镇中老年女性人群的人口统计学特征、行为危险因素,并进行人体测量及空腹脂质谱和血糖检测。评估各危险因素与 T2DM 的关系。结果：共调查4651人,其中 T2DM 患者429人(患病率9.22%),HTGW 1642人(患病率35.30%)。单因素分析显示腰围异常、糖尿病家族史、年龄和 TG >1.7 mmol/ L是 T2DM 的主要危险因素,OR(95% CI)分别是2.77(2.11~3.64)、2.77(2.05~3.75)、2.14(1.74~2.62)和2.16(1.76~2.64),中度和重度体力活动可降低 T2DM 的患病风险,OR(95% CI)分别是0.14(0.03~0.57)和0.54(0.43~0.68)(P 均<0.05)。调整其他危险因素后 HTGW 与 T2DM 的 OR(95% CI)为4.43(3.06~6.41)(P <0.05)。结论：HTGW 增加河南农村中老年女性人群 T2DM 的患病风险,可以考虑作为 T2DM 的筛检工具。
目的：：分析河南某農村中老年女性人群高甘油三酯腰圍(HTGW)與2型糖尿病(T2DM)的關繫。方法：採用整群抽樣的方法調查河南某鎮中老年女性人群的人口統計學特徵、行為危險因素,併進行人體測量及空腹脂質譜和血糖檢測。評估各危險因素與 T2DM 的關繫。結果：共調查4651人,其中 T2DM 患者429人(患病率9.22%),HTGW 1642人(患病率35.30%)。單因素分析顯示腰圍異常、糖尿病傢族史、年齡和 TG >1.7 mmol/ L是 T2DM 的主要危險因素,OR(95% CI)分彆是2.77(2.11~3.64)、2.77(2.05~3.75)、2.14(1.74~2.62)和2.16(1.76~2.64),中度和重度體力活動可降低 T2DM 的患病風險,OR(95% CI)分彆是0.14(0.03~0.57)和0.54(0.43~0.68)(P 均<0.05)。調整其他危險因素後 HTGW 與 T2DM 的 OR(95% CI)為4.43(3.06~6.41)(P <0.05)。結論：HTGW 增加河南農村中老年女性人群 T2DM 的患病風險,可以攷慮作為 T2DM 的篩檢工具。
목적：：분석하남모농촌중노년녀성인군고감유삼지요위(HTGW)여2형당뇨병(T2DM)적관계。방법：채용정군추양적방법조사하남모진중노년녀성인군적인구통계학특정、행위위험인소,병진행인체측량급공복지질보화혈당검측。평고각위험인소여 T2DM 적관계。결과：공조사4651인,기중 T2DM 환자429인(환병솔9.22%),HTGW 1642인(환병솔35.30%)。단인소분석현시요위이상、당뇨병가족사、년령화 TG >1.7 mmol/ L시 T2DM 적주요위험인소,OR(95% CI)분별시2.77(2.11~3.64)、2.77(2.05~3.75)、2.14(1.74~2.62)화2.16(1.76~2.64),중도화중도체력활동가강저 T2DM 적환병풍험,OR(95% CI)분별시0.14(0.03~0.57)화0.54(0.43~0.68)(P 균<0.05)。조정기타위험인소후 HTGW 여 T2DM 적 OR(95% CI)위4.43(3.06~6.41)(P <0.05)。결론：HTGW 증가하남농촌중노년녀성인군 T2DM 적환병풍험,가이고필작위 T2DM 적사검공구。
Aim: To investigate the association of hypertriglyceridemia-waist(HTGW) with type 2 diabetes mellitus (T2DM) among the middle and elderly females in a rural area of Henan Province. Methods: With a clustered sampling method, 4 651 middle and elderly females were investigated by collecting data regarding demographic characteristics, be-havioral risk factors, anthropometric measurements, and fasting plasma lipid profiles and glucose. The odds ratio of each risk factor for T2DM was evaluated. Results: A total of 4 651 females were investigated,among whom, 429 females (9. 22% ) suffered from T2DM,and 1 642 females(35. 30% ) suffered from HTGW. The univariate analysis indicated that elevated waist circumference,family history of diabetes,age,and hypertriglyceridemia were main risk factors,and the OR (95% CI) was 2. 77(2. 11 - 3. 64),2. 77(2. 05 - 3. 75),2. 14(1. 74 - 2. 63),and 2. 16(1. 76 - 2. 64),respectively. Moderate and high physical activities were the protection factors for T2DM, and the OR(95% CI) was 0. 14(0. 03 - 0. 57) and 0. 54(0. 43 - 0. 68). After adjustment for age, education level, marital status, smoking, drinking, BMI, blood pres-sure,physical activity, and family history of diabetes, HTGW was significantly associated with T2DM, and the OR(95%CI) was 4. 43(3. 06 - 6. 41). Conclusion: HTGW is significantly associated with an increased risk of T2DM among the middle and elderly females in a rural area of Henan Province,and it might be a useful screening tool for T2DM.
