东南大学学报（医学版）
東南大學學報（醫學版）
동남대학학보（의학판）
Journal of Southeast University (Medical Science Edition)
2015年
5期
749-753,754
,共6页
汪秋实%闫丽%吕淑荣%苏健%覃玉%向全永
汪鞦實%閆麗%呂淑榮%囌健%覃玉%嚮全永
왕추실%염려%려숙영%소건%담옥%향전영
糖尿病前期%空腹血糖受损%糖耐量减低%血脂异常%危险因素
糖尿病前期%空腹血糖受損%糖耐量減低%血脂異常%危險因素
당뇨병전기%공복혈당수손%당내량감저%혈지이상%위험인소
prediabetes%impaired fasting glucose%impaired glucose tolerance%dyslipidemia%risk factors
目的：了解糖尿病前期人群血脂异常及其危险因素，为糖尿病和血脂异常防治提供科学依据。方法：采用分层整群随机抽样方法抽取8400名调查对象，调查该人群中糖尿病前期者血脂异常分布情况及其影响因素。结果：空腹血糖受损（IFG）、糖耐量减低（IGT）和IFG合并IGT 3组糖尿病前期人群血脂异常率分别为35.1％、35.9％和45.9％，3组间血脂异常率差异有统计学意义（ P＝0.003）。多因素Logistic回归分析显示，地处农村、每日静坐时间5 h以上是IFG人群血脂异常的危险因素，随着舒张压或腰围的增加，该人群血脂异常的风险也将增加；高中以上文化、高血压、超重和肥胖是IGT人群血脂异常的危险因素，饮酒是其保护因素；超重和肥胖是IFG合并IGT人群血脂异常的危险因素。结论：糖尿病前期人群血脂异常率较高，不同类型糖尿病前期者血脂异常率不同；超重、肥胖、高腰围和高血压是糖尿病前期人群血脂异常的重要危险因素；应采取针对性的措施及时干预不同类型糖尿病前期人群的血脂异常。
目的：瞭解糖尿病前期人群血脂異常及其危險因素，為糖尿病和血脂異常防治提供科學依據。方法：採用分層整群隨機抽樣方法抽取8400名調查對象，調查該人群中糖尿病前期者血脂異常分佈情況及其影響因素。結果：空腹血糖受損（IFG）、糖耐量減低（IGT）和IFG閤併IGT 3組糖尿病前期人群血脂異常率分彆為35.1％、35.9％和45.9％，3組間血脂異常率差異有統計學意義（ P＝0.003）。多因素Logistic迴歸分析顯示，地處農村、每日靜坐時間5 h以上是IFG人群血脂異常的危險因素，隨著舒張壓或腰圍的增加，該人群血脂異常的風險也將增加；高中以上文化、高血壓、超重和肥胖是IGT人群血脂異常的危險因素，飲酒是其保護因素；超重和肥胖是IFG閤併IGT人群血脂異常的危險因素。結論：糖尿病前期人群血脂異常率較高，不同類型糖尿病前期者血脂異常率不同；超重、肥胖、高腰圍和高血壓是糖尿病前期人群血脂異常的重要危險因素；應採取針對性的措施及時榦預不同類型糖尿病前期人群的血脂異常。
목적：료해당뇨병전기인군혈지이상급기위험인소，위당뇨병화혈지이상방치제공과학의거。방법：채용분층정군수궤추양방법추취8400명조사대상，조사해인군중당뇨병전기자혈지이상분포정황급기영향인소。결과：공복혈당수손（IFG）、당내량감저（IGT）화IFG합병IGT 3조당뇨병전기인군혈지이상솔분별위35.1％、35.9％화45.9％，3조간혈지이상솔차이유통계학의의（ P＝0.003）。다인소Logistic회귀분석현시，지처농촌、매일정좌시간5 h이상시IFG인군혈지이상적위험인소，수착서장압혹요위적증가，해인군혈지이상적풍험야장증가；고중이상문화、고혈압、초중화비반시IGT인군혈지이상적위험인소，음주시기보호인소；초중화비반시IFG합병IGT인군혈지이상적위험인소。결론：당뇨병전기인군혈지이상솔교고，불동류형당뇨병전기자혈지이상솔불동；초중、비반、고요위화고혈압시당뇨병전기인군혈지이상적중요위험인소；응채취침대성적조시급시간예불동류형당뇨병전기인군적혈지이상。
Objective:Study on the dyslipidemia and its risk factors in pre-diabetes, and to provide evidences for the diabetes and dyslipidemia control and treatment.Methods:8 400 residents were selected by stratified cluster random sampling,and finally the pre-diabetes of the total residents were surveyed using standardized questionnaires. One-way anova and Logistic regression methods were used to analyze the distribution of dyslipidemia and related risk factors.Results:The prevalence of dyslipidemia in IFG, IGT, and IFG+IGT group were 35.1%, 35.9%, and 45.9%respectively, and the prevalence were significantly different among the three groups(P=0.003).The results of binary Logistic analysis indicated that living in rural areas, sitting over five hours daily were the risk factors of dyslipidemia in IFG group; and with the increase of diastlic pressure and large waist circumstance, the risk of dyslipidmia in the group are likely to rise.in those had high school or higher degree, hypertension, overweight and obesity were risk factors of dyslipidemia in IGT group, while drinking liquor was a protective factor;staying overweight and obesity were risk factors of dyslipidemia in IFG+IGT group.Conclusion:The prevalence of dyslipidemia in pre-diabetes is higher than that in general population, and also there were significant differences in different types of pre-diabetes.The timely targeted effective measures should be taken to intervene the dyslipidemia for the pre-diabetes.
