广州城郊社区居民糖尿病及糖调节受损的流行现状调查分析

Epidemiological investigation of diabetes and prediabetes in community residents in the suburbs of Guangzhou

目的了解广州城郊社区18岁以上居民糖尿病及糖调节受损的流行情况并分析其影响因素。方法采用分层整群抽样方法,抽取广州市城郊6个社区18岁以上,居住5年及5年以上的居民共1532人进行糖尿病患病率及糖调节受损的流行病学调查。结果完成调查1532人,广州城郊社区居民糖尿病患病率为8.48%,糖调节异常患病率为6.59%;年龄、体质量指数、糖尿病家族史、高血压家族史、高血脂、高血压和吸烟均为糖尿病和糖调节异常的独立危险因素。结论广州城郊社区居民糖尿病患病及糖调节异常流行状况严峻,防治糖尿病的关键在于对40岁以上有糖尿病和高血压家族史人群在肥胖、高血压及脂代谢紊乱等危险因素的控制。

Objective To identify the prevalence and risk factors of diabetes and prediabetes in the community residents above 18 years old in the suburbs of Guangzhou.Methods Between April and May in 2008,the residents above 18 years living in 6 communities of Guangzhou for 5 or more years were sampled with multistage clustering sampling.The sampled residents were surveyed by questionnaires,and physical examination and glucose determination were carried out.Results A total of 1532 residents were sampled.The incidence of diabetes mellitus in these community residents was 8.46%,and that of impaired glucose regulation was 6.59%.Age,body mass index,family history of diabetes mellitus,case history of hypertension,hyperlipidemia,hypertension and smoking were all the independent risk factors for impaired glucose regulation and diabetes mellitus.Conclusion Diabetes and prediabetes are prevalent in the community residents in Guangzhou.Controlling the risk factors such as obesity,hypertension,lipid metabolism disorderamong the residents above 40 years with a family history of diabetes mellitus and hypertension is key to prevention of impaired glucose regulation and diabetes mellitus.