内江市20～60岁机关从业人员空腹血糖受损及相关因素横断面的调查研究

A cross-sectional study on the prevalence and its related factors of impaired fasting glucose in the staffs of enterprises and government institutions in Neijiang

目的探讨内江市20～60岁企事业机关单位从业人员的IFG情况及相关因素。方法用整体分层随机抽样法抽取内江市企事业机关单位从业人员9905名,进行问卷调查、体格检查及生化检测等,用Logistic多元回归分析IFG及相关因素。将IFG分组与正常组比较相关疾病。结果 IFG共1095例,患病率为11.05%,其中女216例,患病率5.64%,男879例,患病率14.48%,差异有统计学意义(χ2=152.57,P<0.01)。IFG者不同FPG组高血压、血脂异常、脂肪肝等患病率较FPG正常组高,差异有统计学意义(P<0.01)。Logistic多元回归分析提示,IFG与肥胖、性别、运动、文化程度、高脂饮食、家族史有关。结论内江市20～60岁企事业机关从业人员的IFG患病率为11.05%,随FPG升高,IFG者高血压、血脂异常、脂肪肝、高尿酸血症、肥胖的患病率明显高于正常组。

Objective To investigate the prevalence and its related factors of impaired fasting glucose （IFG） in the staffs of enterprises and government institutions in Neijiang aged 20- 60 years. Methods Total 9905 people were investigated. Questionnaire, physical examinations, and lab tests were adopted. Unconditional multivariate logistic regression model was used to analyze the related factors. Results In this study, the prevalence of IFG was 11.05% including 216 women （5.64~） and 879 man （14. 48%）, and the difference was significant （χ2= 152. 57, P〈0. 01）. The incidence of hypertension, non-normal serum lipid, and fatty liver in the IFG group was significantly higher than in the normal FPG group （P〈0.01）. The result of multivariate logistic regression analysis showed that the related factors for IFG were obesity, sex, the educational level, physical exercise, high-fat food, and family history. Conclusion The prevalence of IFG is 11.05% in the staffs aged 20 - 60 years in enterprises and government institutions in Neijiang. With a FPG rising, the incidence of hypertension, non-normal serum lipid, adiposis hepatica, hyperuricemia, and obesity is gradually and significantly increased.