杭州城区居民糖代谢异常的流行病学调查

Epidemiological investigation on abnormal glucose metabolism of residents in Hangzhou city

目的调查杭州城区居民糖代谢异常的流行病学特征及危险因素。方法抽样调查杭州城区居民592人,采用问卷调查及相关指标检测、分析糖代谢异常的流行病学特征及危险因素。结果检出糖代谢异常共134例,患病率22.64%。男性患病率比女性高;患病率随年龄增长而增加(P<0.05),超重或肥胖、中心性肥胖、血脂紊乱、高血压及糖尿病家族史者患病率显著升高(P<0.05)。IGR与DM患病率差异有统计学意义(P<0.01),男性IGF患病率显著高于女性(P<0.05),男女DM患病率无显著差异(P>0.05)。年龄、MS、超重或肥胖、中心性肥胖及糖尿病家族史均为糖代谢异常的独立危险因素(P<0.01)。结论杭州城区居民糖代谢异常患病率较高,应加强对超重或肥胖尤其是中心性肥胖的控制和干预,尤其应加强与其他代谢异常的共同管理。

Objective To survey epidemiological characteristics and risk factors of abnormal glucose metabolism of residents in Hangzhou city. Methods Sample survey of 592 residents in Hangzhou city, used questionnaires and related indicators of detection, analysis of abnormal glucose metabolism, epidemiological characteristics and risk factors. Results The detection of glucose metabolism abnormal total of 134 cases, prevalence rate was 22.64%. Male prevalence was higher than women; prevalence of age constitute more than the increase （P 〈 0.05）, overweight or obesity, central obesity, dyslipidemia, hyper tension and family history of diabetes prevalence were significantly increased（P 〈 0.05）. IGR and DM differences in preva lence rates were statistically significant （P 〈 0.01）, male IGF prevalence were significantly higher than women（P 〈 0.05）, male and female prevalence of DM were no significant difference（P 〉 0.05）. Age, MS, overweight or obesity, central obesity and family history of diabetes were independent risk factors （P 〈 0.01）. Conclusion The residents of Hangzhou city glucose metabolism is abnormal high prevalence should be strengthened on overweight or obesity, especially central obesity con trol and intervention, in ~articular, should strengthen co-management and other metabolic disturbances.