安阳市殷都区老年2型糖尿病患病流行病学调查及患病率、睡眠质量的相关性

Epidemiological survey of elderly patients with type 2 diabetes mellitus and correlation between prevalence and sleep quality in Yindu district of Anyang city

目的探讨老年人2型糖尿病(type 2 diabetes mellitus,T2DM)流行病学调查及患病率与睡眠质量的相关性。方法采用多级随机分层抽样法抽取4523名符合条件的常驻老年居民,采用问卷调查受检者人口学特征(年龄、收入、文化程度、婚姻状况、民族、户籍等)、生理特征(身高、体重、性别、腰围、臀围等)、行为特征(运动时间、吸烟、饮酒频率等)、睡眠特征(睡眠时间、睡眠潜伏期、安眠类药物使用、日间犯困、匹兹堡睡眠质量指数等),采集血样检测低密度脂蛋白(low density lipoprotein,LDL)、甘油三酯(triglyceride,TG)、总胆固醇(total cholesterol,TC)、高密度脂蛋白(high density lipoprotein,HDL)、空腹血糖(fasting blood glucose,FBG),采用多因素logistic回归分析对T2DM患病率影响因素进行分析,以Pearson相关分析T2DM与睡眠质量的相关性。结果发放4523份问卷,其中有效问卷4403份,结果显示T2DM老年患者共1167例。多因素logistic回归分析显示体质量指数、腹型肥胖、日常运动、饮酒、吸烟是老年人群T2DM患病的独立危险因素;Pearson相关分析显示睡眠潜伏期、安眠药物使用、匹兹堡睡眠质量指数评分与T2DM呈正相关(r=0.276、0.285、0.278,P<0.05)。结论体质量指数超标、腰围超标、日常运动量不足、饮酒、吸烟、高血压、血脂异常为老年人T2DM的独立危险因素,而睡眠潜伏期、安眠药物使用、匹兹堡睡眠质量指数评分与T2DM呈正相关。

Objective To study the epidemiological survey of type 2 diabetes mellitus(T2 DM)in the elderly and the correlation between the prevalence and sleep quality.Methods A total of 4523 eligible elderly residents were selected by a stratified random stratified sampling method.The demographic characteristics of the respondents(age,income,education level,marital status,nationality,household registration,etc.),physiological characteristics(height,body weight,gender,waist circumference,hip circumference,etc.),behavioral characteristics(exercise time,smoking,drinking frequency,etc.)and sleep characteristics were investigated by questionnaires.Blood samples were collected to detect LDL,TG,TC,HDL and FBG.Multivariate logistic regression analysis was used to analyze the influencing factors of T2 DM prevalence.Pearson correlation was used to analyze the correlation between T2 DM and sleep quality.Results Totally 4523 questionnaires were sent out,of which 4403 were valid.The results showed that there were 1167 elderly patients with T2 DM.Multivariate logistic regression analysis showed that BMI,abdominal obesity,daily exercise,drinking and smoking were independent risk factors for T2 DM in the elderly;Pearson correlation analysis showed that sleep latency,sleeping drug use and PSQI score were positively correlated with T2 DM(r was 0.276,0.285,0.278,respectively;P<0.05).Conclusion BMI,waist circumference,lack of daily exercise,drinking,smoking,hypertension and dyslipidemia are independent risk factors of T2 DM in the elderly,while sleep latency,sleeping drug use and PSQI score are positively correlated with T2 DM.