2003年和2010年上海市某疗养院体检者糖尿病和空腹血糖受损检出率

Prevalence of diabetes mellitus and impaired fasting glucose of health check-up in a sanatorium of Shanghai in 2003 and 2010

目的 对2003年和2010年上海市体检者糖尿病（DM）和空腹血糖受损（ IFG）检出率进行分析并探讨其变化情况.方法 将2003年和2010年某疗养院人群按性别和年龄分组,每5年为一小组,共分成10个小组.分别统计各组IFG和DM检出率,根据《中国人口统计年鉴2006》公布的全国人口年龄和性别组成标化DM和IFG检出率.结果 在同年度,相同性别DM和IFG检出率随年龄增加而增大,60～69岁组基本达到最高峰,至≥70岁组发病率有下降趋势,但仍处于高位.2003年体检人群DM检出率男性和女性分别为3.99％ （986/24 699）和1.61％ （176/10 948）,2010年分别达7.85％ （3366/42 899）和2.55％ （531/20 820）；2003年体检人群IFG检出率男性和女性分别为9.97％ （2462/24 699）和5.88％ （644/10 948）,2010年分别达30.96％（ 13 283/42 899）和17.16％（3573/20 820）.2003和2010年年龄标化DM检出率,男性分别为3.89％和6.90％（x2=371.89,P＜0.01）,女性分别为2.12％和3.23％（x2=29.32,P＜0.01）；2003和2010年年龄标化IFG检出率,男性分别为9.51％和28.55％（x2=3865.56,P＜0.01）,女性分别为6.97％和17.88％（x2=790.81,P＜0.001）.按人口年龄和性别组成标化DM和IFG检出率,2003和2010年DM检出率分别为3.00％和5.05％（x2=385.39,P＜0.01）,IFG检出率分别为8.23％和23.17％（x2=4480.21,P＜0.01）.结论 从2003年到2010年,体检人群DM和IFG检出率有了明显提高,DM的一级预防应从青年开始,预防重点应放在IFG人群尤其是男性.

Objective To examine the prevalence changes of diabetes mellitus（DM） and impaired fasting glucose（IFG） from 2003 to 2010 in the health check-up subjects in Shanghai.Methods Health check-up subjects were divided into ten groups by sex and each 5 years old,and the prevalence of crude DM,crude IFG were calculated first.According to Chinese sex and age structure of China Population Statistics Yearbook 2006,sex and age standardized DM and standardized IFG were computed.Results In the same year,the prevalences of crude DM and IFG increased with increasing age for both male and female,reached the summit at 60-69 age group,when at ≥70 age group,they had a downtrend and were still at higher level.The prevalences of crude DM were 3.99% （986/24 699） in male and 1.61% （ 176/10 948） in female in 2003,and were 7.85% （3366/42 899） and 2.55% （531/20 820） in 2010.The prevalences of crude IFG were 9.97% （ 2462/24 699 ） in male and 5.88% （ 644/10 948 ） in female in 2003,and were 30.96% （13 283/42 899）and 17.16% （3573/20 820） in 2010.The prevalences of age standardized DM in 2003 and 2010 were 3.89% and 6.90% for male （ x2 =371.89,P 〈 0.01 ）,2.12% and 3.23% for female （x2 =29.32,P 〈 0.01 ）,respectively.The prevalences of age standardized IFG in 2003 and 2010 were 9.51% and 28.55% （x2 =3865.56,P 〈0.01 ） for male,6.97% and 17.88% （x2 =790.81,P 〈0.01 ） for female.The prevalences of age and sex standardized DM were 3.00% and 5.05 % （ x2 =385.39,P 〈 0.0 1 ）,and prevalences of age and sex standardized IFG were 8.23% and 23.17% （ x2 =4480.21,P 〈 0.01 ）.Conclusion From 2003 to 2010,prevalences of DM and IFG had increased greatly.It concluded that firstlevel prevention of DM for health check-up subjects should start from youth,and should lay emphasis on population of IFG,especially for male.