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陈思东, 俞守义, 许雅, 朱春燕. Ⅱ型糖尿病发病危险因素研究[J]. 中国公共卫生, 2002, 18(7): 814-815. DOI: 10.11847/zgggws2002-18-07-26
引用本文: 陈思东, 俞守义, 许雅, 朱春燕. Ⅱ型糖尿病发病危险因素研究[J]. 中国公共卫生, 2002, 18(7): 814-815. DOI: 10.11847/zgggws2002-18-07-26
CHEN Si-dong, YU Shou-yi, XU Ya, . Study on Risk Factors for Type 2 Diabetes[J]. Chinese Journal of Public Health, 2002, 18(7): 814-815. DOI: 10.11847/zgggws2002-18-07-26
Citation: CHEN Si-dong, YU Shou-yi, XU Ya, . Study on Risk Factors for Type 2 Diabetes[J]. Chinese Journal of Public Health, 2002, 18(7): 814-815. DOI: 10.11847/zgggws2002-18-07-26

Ⅱ型糖尿病发病危险因素研究

Study on Risk Factors for Type 2 Diabetes

  • 摘要: 目的 探讨Ⅱ型糖尿病的危险因素以及心理因素与糖尿病发生的关系.方法 选择99例住院的糖尿病新发病例,进行1:2配比的病例对照研究,并利用SCL-90症状自评表测量研究对象的心理状况.结果 多元条件Logistic回归分析结果表明,糖尿病家族史OR为1.881(1.122~3.153),吸烟OR为1585(1.053~2.384),油腻甜食的喜欢程度OR为1.362(1.060~1.748),油腻甜食吃用程度OR为1347(1049~1730),腰臀比例OR为1686(1.113~2.555).坚持适当的体力锻炼对预防糖尿病的发生有明显的作用,OR值为0.612(0.456~0.820).心理状况测定结果表明,病例组与全国常模比较,强迫症状、人际关系、精神病态的因子分明显低于全国常模,而躯体比、焦虑、恐怖因子分明显高于全国常模.结论 研究提示,糖尿病家族史、吸烟、喜欢食油腻甜食、腰臀比过大是Ⅱ型糖尿病的危险因素,体育锻炼为保护因素.心理状况与Ⅱ型糖尿病有一定关系,但尚不能确定其因果.

     

    Abstract: Objective To explore the risk factors for type 2 diabetes and relationship between the psychological factors and occur rence of diabetes.Methods N inety nine new inpatients with type 2 diabetes match 1:2 were investig ated with consulting quest ionnaires about suspicious risk factors and symptoms checklist 90.Results The results of multivariate logistic regression analysis showed that family diabetes history(OR=1.88,95% CI 1.122~3.153),smo king(OR=1.585,95% CI 1.053~2.384),liking greasy and sweet food(OR=1.362,95% CI 1.060~1.748),often eating greasy and sweet food(OR=1.347,95% CI 1.049~1.730),high proportion of waist and buttocks(OR=1 686,95% CI 1 113~2 555),often taking physical exercise(OR=0.612,95% CI 1.456~0.820)were positively related to type 2 diabetes.The results of investigating of SCL-90 showed that the prevalence of force symptom,poor relationship among people,and energetic morbid state was significantly lower,but the prevalence of anxious,terror were higher,than those in sample from people of the whole nation.Conclusion The results of study suggested that family diabetes history,smoking,liking greasy and sweet food,often eating greasy and sweet food,high proportion of waist and buttocks were risk factors for type 2 diabetes;often taking physical exercise might prevent the occurrence of type 2 diabetes;there was relationship between psychological factors and type 2 diabetes,but it couldnt be defined causality.

     

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