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刘文宣, 刘殿武, 李哲, 沈亚鑫, 郭淑琴. 糖代谢异常影响因素累积比数Logistic回归分析[J]. 中国公共卫生, 2010, 26(9): 1099-1101. DOI: 10.11847/zgggws2010-26-09-08
引用本文: 刘文宣, 刘殿武, 李哲, 沈亚鑫, 郭淑琴. 糖代谢异常影响因素累积比数Logistic回归分析[J]. 中国公共卫生, 2010, 26(9): 1099-1101. DOI: 10.11847/zgggws2010-26-09-08
LIU Wen-xuan, LIU Dian-wu, LI Zhe, . Analysis of influential factors for abnormal glucose metabolism with cumulative odds logistic regression[J]. Chinese Journal of Public Health, 2010, 26(9): 1099-1101. DOI: 10.11847/zgggws2010-26-09-08
Citation: LIU Wen-xuan, LIU Dian-wu, LI Zhe, . Analysis of influential factors for abnormal glucose metabolism with cumulative odds logistic regression[J]. Chinese Journal of Public Health, 2010, 26(9): 1099-1101. DOI: 10.11847/zgggws2010-26-09-08

糖代谢异常影响因素累积比数Logistic回归分析

Analysis of influential factors for abnormal glucose metabolism with cumulative odds logistic regression

  • 摘要: 目的 分析中老年人糖代谢异常影响因素,为2型糖尿病(T2DM)防治工作提供科学依据.方法 采用整群抽样方法抽取河北省保定市>40岁常住居民3 212人进行问卷调查、体检和实验室检查,采用累积比数Logistic回归法分析糖代谢异常的影响因素.结果 本次调查获得有效问卷3 102份.其中T2DM患者682例,糖尿病前期(IGR)患者284例,患病率分别为21.99%和9.15%,按2000年全国人口普查数据进行标化的患病率分别为19.03%和8.68%;糖尿病家族史(OR=2.74)、腰围增加(OR=1.47)、甘油三酯异常(OR=1.44)、腰臀比异常(OR=1.41)、从事专业技术类工作(OR=1.40)、收缩压高(OR=1.27)、年龄增大(OR=1.17)、体质指数异常(OR=1.16)、脾气暴躁或易激动(OR=1.14)及女性有重大胎儿生育史(OR=1.41)为保定市中老年人糖代谢异常发生的危险因素,女性(OR=0.80)和经常食用水果(OR=0.83)为其保护因素.结论 糖代谢异常的发生受多种因素影响;通过调整饮食结构、加强体育锻炼降低体重、控制血压和血脂、保持良好心态以及戒烟、限酒可有效预防T2DM.

     

    Abstract: Objective To explore main influential factors for abnormal glucose metabolism and to provide scientific evidence for conducting diabete smellitus type 2(T2DM) prevention programe.Methods A sample of 3212 community residents aged over 40years was chosen from Baoding city with randomcluster sampling.The residents completed a question naire and received physical examination and laboratory test.The cumulative loggstic regression was used in the data analysis.Results DM family history,waist circum ference,trigly ceride,waisthip ratio,engaged in technical work,systolic blood pressrue,age,body mass index,ill temperorirr itability,consumption of fruit,gender,reproductive history of fetal macro somia(only to female) were significantly associated with the progress of abnormal glucose metabolism.Among them,female and a high consumption of fruit were protective factors,the others were risk factors.Conclusion A bnormal glucose metabolism is related to many factors.T2DM could be prevented by adjusting diet,taking physical exercise,controling weight,blood pressure and serum lipid,keeping mental health,and stopping smoking and a lcohol drinking.

     

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