CAJ | 학술논문

目的：通过在冀东社区调查失眠与糖尿病患病风险的关系，为糖尿病社区一级预防提供证据。方法2013年7月至11月，采用横断面研究方法，选择河北省唐山市曹妃甸冀东社区18岁以上人群为调查对象，经过统一培训的社区医师采用自行设计的流行病学调查表，收集人群的人口学、行为方式、危险因素等信息。采用美国糖尿病学会(ADA)2013年诊断标准进行糖尿病诊断；睡眠质量评估采用阿森斯失眠量表。采用多因素非条件Logistic回归模型进行统计学分析。结果共有6635名居民作为研究对象，平均年龄40.6（30.7,52.3）岁，其中男性3419人（51.5%）。糖尿病患病率为7.9%（525/6635），失眠患病率为14.3%（948/6635）。失眠人群的糖尿病患病率高于非失眠人群[11.9%（113/948）比7.2%（412/5687），P<0.01]；按年龄分层，在40~59岁人群，失眠人群糖尿病患病风险是非失眠人群的1.46倍（OR=1.46，95%CI=1.05～2.03）；在阿森斯失眠量表不同条目中，白天身体功能下降的糖尿病患病风险是身体功能正常人群的1.54倍[1.54（1.02～2.31）]。结论失眠是40～59岁社区人群糖尿病患病的相关因素；白天身体功能下降与糖尿病患病相关。
목적：통과재기동사구조사실면여당뇨병환병풍험적관계，위당뇨병사구일급예방제공증거。방법2013년7월지11월，채용횡단면연구방법，선택하북성당산시조비전기동사구18세이상인군위조사대상，경과통일배훈적사구의사채용자행설계적류행병학조사표，수집인군적인구학、행위방식、위험인소등신식。채용미국당뇨병학회(ADA)2013년진단표준진행당뇨병진단；수면질량평고채용아삼사실면량표。채용다인소비조건Logistic회귀모형진행통계학분석。결과공유6635명거민작위연구대상，평균년령40.6（30.7,52.3）세，기중남성3419인（51.5%）。당뇨병환병솔위7.9%（525/6635），실면환병솔위14.3%（948/6635）。실면인군적당뇨병환병솔고우비실면인군[11.9%（113/948）비7.2%（412/5687），P<0.01]；안년령분층，재40~59세인군，실면인군당뇨병환병풍험시비실면인군적1.46배（OR=1.46，95%CI=1.05～2.03）；재아삼사실면량표불동조목중，백천신체공능하강적당뇨병환병풍험시신체공능정상인군적1.54배[1.54（1.02～2.31）]。결론실면시40～59세사구인군당뇨병환병적상관인소；백천신체공능하강여당뇨병환병상관。
Objective To provide evidence on the primary prevention of diabetes mellitus by exploring the relationship between insomnia and diabetes. Methods This cross-sectional study was conducted in Jidong community, Caofeidian district, Tangshan city, Hebei Province from July to November 2013. A questionnaire was used by uniform trained community physicians to collect information on demography characteristics, behavior styles and other risk factors. Participants aged above 18 years old habitants were enrolled. The diagnostic criteria of diabetes mellitus used the American Diabetes Association diagnostic criteria in 2013. Athens Insomnia Scale (AIS) was used to evaluate the sleep quality. Logistic regression models were used to test the relationship between insomnia and diabetes. Results The median age of 6 635 subjects (3 419 males, 51.5%) was 40.6 years. The prevalence of diabetes was 7.9% and insomnia was 14.3%in the total subjects, 11.9%and 7.2%in those with and without insomnia respectively (P<0.01). After stratified by age, insomnia increased the risk of diabetes in subjects aged 40?59 years old (OR=1.46, 95%CI=1.05?2.03). Among the eight items of AIS, function decreasing during the day was significant associated with diabetes (1.54, 1.02?2.31). Conclusion Insomnia is a relevant factor of diabetes mellitus in people aged 40?59 years. Function decreasing during the day, one of symptoms of insomnia, was associated with diabetes mellitus.