2型糖尿病危险因素分析

Analysis on risk factors of type 2 diabetes

目的探索2型糖尿病危险因素,为社区预防糖尿病提供依据。方法对天津市红桥区丁字沽街道所属4个社区40岁以上人群中64例2型糖尿病患者进行匹配(1∶2)病例对照研究,采用条件logistic回归分析方法。结果单因素分析的结果提示,2型糖尿病可能的12个危险因素中与糖尿病发生有明显联系的危险因素有6个,保护因素有1个,家族史、父母身体肥胖、脑力劳动、自身超重及不良生活方式等是2型糖尿病的主要危险因素,体育锻炼是保护因素。结论 2型糖尿病是遗传及环境因素引起的内分泌代谢综合征,是常见慢性病,只有通过健康教育与社会预防才能得到适当控制。

[Objective]To study the risk factors of type 2 diabetes,provide the basis for community diabetes prevention. [Methods]64 patients with type 2 diabetes were collected from people over 40 yeas old in 4 communities of Dingzigu street in Hongqiao district of Tianjin.1∶2 matched case-control study was conducted,and the conditional logistic regression analysis was adopted. [Results]The results of single factor analysis showed： among 12 possible risk factors of type 2 diabetes,6 risk factors had significant relationship with diabetes,and there was 1 protective factor.The main risk factors of type 2 diabetes included family history,parental obesity,mental work,overweight and unhealthy life style.The physical exercise was the protective factor. [Conclusion]The type 2 diabetes is the endocrine and metabolism syndrome caused by genetic and environmental factors,which is a common chronic disease.Only health education and community prevention can it be properly controlled.