CAJ | 학술논문

目的：探讨成都地区中老年人群糖尿病前期合并高血压前期的患病率及影响因素，为本地区中老年人群心血管疾病的预防工作提供理论依据。 　　方法：采取分层整群抽样方法，选取成都城乡地区40~79岁中老年居民5240例，经统一培训的医护人员进行血压、血糖测量及资料收集，了解高血压前期合并糖尿病前期患病率及相关影响因素。 　　结果：成都城乡地区中老年人群高血压前期合并糖尿病前期患病率为12.5％，标化患病率为11.5%。城市居民患病率12.4%，农村居民患病率13.2%（P=0.47）；男性患病率12.7%，女性患病率12.4%（P=0.81）。随着年龄的增加，高血压前期合并糖尿病前期患病率呈明显增高趋势。多元Logistic回归分析发现，年龄大、超重或肥胖（女性包括腹型肥胖）、兄弟姐妹高血压病史、高甘油三酯血症、多次分娩（女性）、绝经（女性）使高血压前期合并糖尿病前期的风险增加（P均<0.05），较高的文化程度使男性患高血压前期合并糖尿病前期的风险减小（P<0.05）；适度运动使女性高血压前期合并糖尿病前期的的风险减小（P<0.05）。 　　结论：中老年人群高血压前期合并糖尿病前期患病率高，与年龄密切相关。中老年高血压前期合并糖尿病前期人群的防治控制应从提高全民文化水平、控制腰围及体重、调整饮食结构、适度运动入手。
목적：탐토성도지구중노년인군당뇨병전기합병고혈압전기적환병솔급영향인소，위본지구중노년인군심혈관질병적예방공작제공이론의거。 　　방법：채취분층정군추양방법，선취성도성향지구40~79세중노년거민5240례，경통일배훈적의호인원진행혈압、혈당측량급자료수집，료해고혈압전기합병당뇨병전기환병솔급상관영향인소。 　　결과：성도성향지구중노년인군고혈압전기합병당뇨병전기환병솔위12.5％，표화환병솔위11.5%。성시거민환병솔12.4%，농촌거민환병솔13.2%（P=0.47）；남성환병솔12.7%，녀성환병솔12.4%（P=0.81）。수착년령적증가，고혈압전기합병당뇨병전기환병솔정명현증고추세。다원Logistic회귀분석발현，년령대、초중혹비반（녀성포괄복형비반）、형제저매고혈압병사、고감유삼지혈증、다차분면（녀성）、절경（녀성）사고혈압전기합병당뇨병전기적풍험증가（P균<0.05），교고적문화정도사남성환고혈압전기합병당뇨병전기적풍험감소（P<0.05）；괄도운동사녀성고혈압전기합병당뇨병전기적적풍험감소（P<0.05）。 　　결론：중노년인군고혈압전기합병당뇨병전기환병솔고，여년령밀절상관。중노년고혈압전기합병당뇨병전기인군적방치공제응종제고전민문화수평、공제요위급체중、조정음식결구、괄도운동입수。
Objective: To analyze the prevalence and risk factor of co-exiting pre-hypertension and pre-diabetes condition in middle to elder adults, and to provide the theoretical basis for preventing cardiovascular disease in relevant population in Chengdu area. Methods: A total of 5240 middle to elder adults from (40-79) years of age in Chengdu area were enrolled for a stratiifed cluster sampling study. The blood pressure, glucose and other clinical information were collected by more than 30 medical professionals with uniifed training to investigate the prevalence of co-exiting pre-hypertension and pre-diabetes condition with the risk factors. Results: The overall prevalence rate of coexisting pre-hypertension and pre-diabetes condition was at 12.5% in Chengdu area and the standardized prevalence was at 11.5%. The prevalence rate in urban area was 12.4% and in rural was 13.2%, P=0.47, the prevalence in male gender was 12.7% and in female was 12.4%,P=0.81. With the increased age, the prevalence trend was elevated accordingly. Multi-regression analysis indicated that the elder age, overweight or obesity (female with abdominal obesity), sibling history of hypertension, hyper-triglyceridemia, multiple childbirth and menopause had the higher risk of coexisting pre-hypertension and pre-diabetes condition, allP<0.05; the higher educational level could decrease the risk of prevalence in male gender,P<0.05 and the proper exercise could decrease the risk in female gender,P<0.05. Conclusion: There is a high prevalence rate of coexisting pre-hypertension and pre-diabetes condition in middle to elder population in Chengdu area and the prevalence is closely related to age. It is important to prevent such condition by elevating educational level nationwide, controlling waist and body weight, adjusting diet structure with proper exercise.