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于洋, 徐爱强, 马吉祥, 郭晓雷, 苏军英, 贺桂顺, 刘甲野. 农村居民糖尿病及糖调节受损特征分析[J]. 中国公共卫生, 2008, 24(12): 1454-1456. DOI: 10.11847/zgggws2008-24-12-22
引用本文: 于洋, 徐爱强, 马吉祥, 郭晓雷, 苏军英, 贺桂顺, 刘甲野. 农村居民糖尿病及糖调节受损特征分析[J]. 中国公共卫生, 2008, 24(12): 1454-1456. DOI: 10.11847/zgggws2008-24-12-22
YU Yang, XU Ai-qiang, MA Ji-xiang, . Analysis on epidemiologic characteristics of diabetes mellitus and impaired glucose regulation among rural residents in Shandong province, China[J]. Chinese Journal of Public Health, 2008, 24(12): 1454-1456. DOI: 10.11847/zgggws2008-24-12-22
Citation: YU Yang, XU Ai-qiang, MA Ji-xiang, . Analysis on epidemiologic characteristics of diabetes mellitus and impaired glucose regulation among rural residents in Shandong province, China[J]. Chinese Journal of Public Health, 2008, 24(12): 1454-1456. DOI: 10.11847/zgggws2008-24-12-22

农村居民糖尿病及糖调节受损特征分析

Analysis on epidemiologic characteristics of diabetes mellitus and impaired glucose regulation among rural residents in Shandong province, China

  • 摘要: 目的 分析山东省中西部农村25岁~居民糖尿病及糖调节受损的流行特征.方法 采用多阶段分层随机抽样方法,共调查16388人,开展问卷调查并测量身高、体重、腰围、血压和空腹血糖.空腹血糖在6.1~7.0mmol/L者再进行口服葡萄糖耐量(OGTT)试验.根据WHO1999年糖尿病诊断标准将调查人群分为正常人、孤立性空腹血糖受损(I-IFG)、空腹血糖受损合并糖耐量受损(IFG/IGT)和糖尿病(DM).结果 该地区农村居民IFG标化患病率为6.85%,DM为3.38%,I-IFG为4.41%,IFG/IGT为0.83%,且患病率均随年龄、腰围、身高、体质指数(BMI)的增加而升高.年龄>35岁,I-IFG、IFG/IGT和年龄>45岁DM患病率升高明显.男性腰围≥85cm、女性腰围≥80cm,IFG/IGT和DM患病率升高明显.BMI≥24,I-IFG、IFG/IGT和DM患病率升高明显.调查对象的年龄、腰围、BMI、腰臀比、收缩压和舒张压按正常人→I-IFG→IFG/IGT、DM顺序逐渐升高,但IFG/IGT和DM两者间变化无差异.结论 山东省中西部农村居民I-IFG、IFG/IGT和DM的流行特征基本相同.糖尿病及糖调节受损发病较高,应重视和加强宣传和早期预防控制工作.

     

    Abstract: Objective To analyze epidemiolog ic character istics of diabetes mellitus(DM)and impaired glucose regulation(IGR)among rural residents aged>25 years in midwestern area of Shandong province.Methods By multi- stage and randomization sampling method,a sample of 16 388 rural residents was selected and investigated.All participants were interviewed with a standard questionnaire.Height,weight,waist circumference and fasting plasma glucose(FPG)were measured using standardized method.Oral glucose tolerance test(OGTT)were performed for subjects with FPG valued from 6.1 to 7.0 mmol/L.Isolated IFG(I-IFG),impaired fasting glucose with impaired glucose tolerance(IFG/IGT)and DM were defined according to the criteria of WHO 1999.Results Age-adjusted prevalence rate for IFG,DM,-IIFG,IFG/IGT was 6.85%,3.38%,4.41%,0.83%,respectively.With the increasing of age,waist circumference,BMI(body mass index),the prevaleace of I-IFG,IFG/IGT and DM increased.Measurements of -IIFG and IFG/IGT showed higher prevalence among those aged >35 years,while DM was higher among those aged >45 years.IFG/IGT and DM were higher among those with waist circumference≥85 cm in male and ≥80 cm in female.The prevalence of I-IFG,IFG/IGT and DM increased significantly for those BMI ≥24.Age,waist circumference,BMI,waist to height radio,systolic pressure,diastolic pressure increased in the order of normal population,I-IFG,IFG/IGT and DM group.There was no difference between IFG/IGT and DM groups.Conclusion-IIFG,IFG/IGT and DM showed same prevalence char acters in the study population.DM and IGT should be set for publicity and early prevention.

     

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