新疆汉族、维吾尔族和哈萨克族儿童糖尿病患病率调查及相关因素分析

Prevalence and associated factors of diabetes mellitus in children of Han, Uigurs and Kazaks ethnicities in Xinjiang

目的了解新疆汉族、维吾尔（维）族、哈萨克（哈）族儿童糖尿病患病率及其危险因素。方法通过整群随机抽样方法，抽取喀什、和田和福海3个地区为研究现场，随机抽取年龄0～17岁汉、维和哈族儿童5283人作为研究对象，以问卷收集资料并进行体格及实验室检查。空腹血糖受损（IFG）和糖尿病诊断标准按2007年中国糖尿病防治指南，统计不同民族、年龄、性别组人群糖尿病患病率及分析危险因素。结果IFG总检出率为0．5％，糖尿病总患病率为0．1％，按2000年全国人口普查年龄构成标化后分别为0．68％和0．09％。超重和肥胖为新疆儿童糖尿病危险因素，OR值分别为2．844和3．963。结论新疆汉、维和哈族儿童糖尿病和IFG年龄标化患病率低于北京（2004年）和全国5～17岁儿童青少年水平。

Objective To investigate the prevalence rates of diabetes mellitus and its associated risk factors in children with Hail, Uygur and Kazak ethnicities in Xinjiang. Methods A cross-sectional random samples involving aged 0-17 years were carried out to analyze the prevalence rates and associated risk factors of diabetes mellitus in children of Han, Uigur and Kazak ethnicities from 3 prefectures （Hetian, Kashi and Fuhai） in Xinjiang Autonomous Regions. Diabetes mellitus and impaired fasting glucose （IFG） were defined by the China Diabetes Prevention and Control Standard set in 2007. Data was collected through filling in the questionnaires and results from physical examination and laboratory tests. Results The total prevalence rates of IFG and diabetes mellitus were 0.68% and 0.09%, respectively. Data from logistic regression analysis suggested that overweight and obesity were risk factors for diabetes mellitus in children from Xinjiang, with odds ratio values as 2.844 and 3.963, respectively. Conclusion Children with Han, Uygur and Kazak ethnicities in Xinjiang had an overall standardized prevalence rates of diabetes mellitus. IFG were 0.57% and 1.35% lower than the 2004 data from children at same age groups in Beijing and the whole nation, also 0.19% lower then the national rate of 5-17 years-old children juvenile diabetes.