山东省居民糖调节受损及糖尿病影响因素分析

SURVEYLOGISTIC regression analysis on risk factors of impaired glucose regulation and diabetes mellitus among residents of Shandong province

目的了解山东省居民糖调节受损(IGR)和糖尿病(DM)相关影响因素,为DM筛查和干预措施提供参考依据。方法于2011年7—9月采用多阶段分层随机抽样方法对在山东省抽取的20个县(市、区)共15 262名常住居民进行问卷调查和体格检查。结果调查的15 262名居民中,空腹血糖受损(IFG)、糖耐量受损(IGT)和DM患者分别为1 618、262和941例,经加权处理后患病率分别为9.34%(95%CI=6.58%～12.10%)、1.53%(95%CI=1.09%～1.98%)和5.50%(95%CI=4.51%～6.48%);多因素非条件SURVEYLOGISTIC回归分析结果表明,年龄≥40岁、超重、腰围超标和高血压是山东省居民IFG患病的危险因素;职业性体力劳动时间≥6 h是山东省居民IFG患病的保护因素;年龄≥40岁、超重、腰围超标和高血压是山东省居民IGT患病的危险因素;年龄≥40岁、超重、腰围超标、高血压、职业性体力劳动时间≥6 h和有慢性病史是山东省居民DM患病的危险因素。结论年龄≥40岁、超重、腰围超标和高血压是山东省居民IGR和DM的共同危险因素。

Objective To explore risk factors of impaired glucose regulation（IGR） and diabetes mellitus（DM） among residents of Shandong province and to provide evidence for the intervention of the disease.Methods Using multistage stratified cluster random sampling method,15 262 residents were investigated with a standard questionnaire and the measurements of height,weight,waist circumference,hip circumference,and blood pressure.Results Totally 1 618,262 and 941 cases of impaired fasting glucose（IFG）,impaired glucose tolerance（IGT）,and DM were detected with the weighted prevalences of 9.34%（95%confidence interval：6.58-12.10）,1.53%（95%CI：1.09-1.98）,and 5.50%（95%CI：4.51-6.48）.At the age of more than 40 years,hypertension,waist circumference exceeding the standard,and overweight were risk factors for IFG;having occupational physical labor more than 6 hours was protective factors for IFG.At the age of more than 40 years,hypertension,waist circumference exceeding the standard,and overweight were risk factors for IGT.At the age of more than 40 years,hypertension,waist circumference exceeding the standard,overweight,chronic disease history,and having occupational physical labor more than 6 hours were risk factors for DM.Conclusion At the age of more than 40 years,hypertension,waist circumference exceeding the standard,and overweight were common risk factors for IGR and DM.