Relationship between dyslipidemia and diabetes mellitus among adult residents in Jiangsu province

ObjectiveTo explore the relationship between dyslipidemia and diabetes mellitus in adult residents of Jiangsu province,and to provide a scientific basis for formulating strategies and measures for comprehensive prevention and control of dyslipidemia and diabetes mellitus.MethodsMulti-stratified clustering sampling method was used to sample 8 400 residents aged 18 years or above from 14 disease surveillance points of Jiangsu Provincial Surveillance on Chronic Diseases and Risk Factors in Adults.The data were collected with a face-to-face questionnaire survey and analyzed with SPSS 18.0.ResultsThe prevalence of dyslipidemia was 35.0%,with the prevalence rate of higher total cholesterol(TC)of 4.7%,lower high density lipoprotein cholesterol(HDL-C)of 21.1%,higher low density lipoprotein cholesterol(LDL-C)of 1.7%,and higher triglyceride(TG)of 13.4%.The prevalence rate of diabetes mellitus was 8.5%.The results of correlation analysis showed that fasting blood glucose had positive correlation with TC,LDL-C,and TG(P=0.000) and negative correlation with HDL-C(r=-0.054,P=0.000).The results of multivariate unconditioned logistic regression analysis showed that the risk of diabetes mellitus were 2.40,1.91,1.77,and 2.24 times higher for the adults with dyslipidemia,higher TC,lower HDL-C,and higher TG,respectively,compared to those of normal adults;and an increase of one standard deviation of TC,LDL-C and TG were associated with 17%(odds ratioOR=1.17,95% confidence interval95%CI=1.07-1.26),20%(OR=1.20,95%CI=1.11-1.30),and 26%(OR=1.26,95%CI=1.19-1.34)higher risk of diabetes mellitus,and an increase of one standard deviation of HDL-C was associated with 32%(OR=0.76,95%CI=0.70-0.84)of decreased risk of diabetes mellitus,respectively.The risk of diabetes mellitus increased in turn with the influence of TC,LDL-C,TG,and HDL-C.ConclusionDyslipidemia is closely associated with diabetes mellitus in adult residents of Jiangsu province.Comprehensive prevention and control of dyslipidemia and diabetes mellitus should be strengthened in the population.