藏族居民2型糖尿病及空腹血糖受损情况调查

Type 2 diabetes mellitus and impaired fasting blood glucose among Tibet citizens

目的了解西藏自治区拉萨市城镇藏族居民2型糖尿病和空腹血糖受损情况。方法随机抽样调查30～70岁藏族居民370人。采用世界卫生组织诊断标准,判定2型糖尿病和空腹血糖受损情况,同时进行问卷调查及血糖、血脂的测量,计算体质指数和腰臀比。结果拉萨市30～70岁城镇居民糖尿病患者率为7.6%,其中,男性为2.2%,女性为10.3%,差异有统计学意义,P=0.009。空腹血糖受损的患病率为13.5%,其中男性为11.0%,女性为15.0%,P=0.405。30～69岁人群年龄结构与世界人口年龄进行标化后,糖尿病的患病率为7.2%,其中男性为2.1%,女性为8.9%。结论藏族居民2型糖尿病患病率与2002年的调查结果相比,有逐年增高趋势;女性糖尿病的患病率高于男性。空腹血糖受损人群患病率较高。

Objective To investigate the prevalence of type 2 diabetes mellitus （DM） and impaired fasting blood glucose （IFG） among citizens in Lhasa, Tibet. Methods 370 Tibetan man and women 30 to 70 years old selected randomly were invited for the health survey. The World Health Organization diagnostic criteria in 1999 for DM and IFG were used. Questionnaire survey, blood pressure, fasting blood glucose profile and anthropometric measurement were carried out. Results The overall prevalence of DM was 7.6% （2.2% vs 10.3% in men and in women, P = 0.009） and there was significant difference between men and women.The overall prevalence of IFG was 13.5% （11.0% vs. 15.0% in men and in women, P = 0.405）. The age - standardized prevalence of DM was 7.2 % （2.1% vs. 8.9 % in men and in women）. Conclusion The prevalence of type 2 diabetes is increasing compared with previous study in Lhasa in 2002. The prevalence of type 2 diabetes meUitus is higher in females than in males. The high prevalence of IFG is found in men and women.