2010年石家庄市新华区18岁及以上居民Ⅱ型糖尿病现患率及影响因素分析

Prevalence and influencing factors of type 2 diabetes among residents aged 18 years and over in Xinhua District,Shijiazhuang City,2010

目的了解石家庄市新华区成年居民的Ⅱ型糖尿病患病情况及相关影响因素。方法以（（2010年中国居民营养与健康状况监测工作手册》为依据，采用多阶段整群随机抽样对新华区≥18岁居民进行抽样调查，包括问卷调查、体格测量、实验室检测等内容。问卷调查包括家庭成员基本情况、个人健康情况等。体格测量包括身高、体重、腰围、血压等。实验室检测项目包括空腹血糖、糖耐量试验、空腹血糖受损（IFG）、血清总胆固醇（TC）、血清甘油三酯（TG）和血清高密度脂蛋白胆固醇（HDL—C）等项目。在描述性分析基础上，对Ⅱ型糖尿病患病影响因素进行单因素分析和多因素logistic回归分析。结果共调查新华区≥18岁成年居民908人，其中男性392人，女性516人；18—44、45—59和≥60岁人群分别占38．88％（353／908）、31．83％（289／908）、29．30％（266／908）。其Ⅱ型糖尿病总患病率为13．22％（120／908），空腹血糖受损患病率为8．37％（76／908），标化患病率分别为9．41％、7．03％。多因素分析显示年龄增加、中心性肥胖、TC异常为Ⅱ型糖尿病患病的危险因素（OR=3．198、2．798、1．617，均P〈0．05或P〈0．01）；年龄增加、BMI越高、高血压为IFG的危险因素（OR=1．411、1．570、2．364，P〈0．05或P〈0．01）。结论石家庄市新华区≥18岁成年居民的Ⅱ型糖尿病患病情况较严重，年龄增加、中心性肥胖和Tc异常为Ⅱ型糖尿病的危险因素。

Objective To understand the prevalence of type 2 diabetes and its influencing factors among adult residents in Xinhua District, Shijiazhuang City. Methods Based on the Handbook of Chinese National Nutrition and Health Survey 2010, residents aged 18 years and over in Xinhua District, Shijia- zhuang City were selected by multistage cluster stratified random sampling fo investigation. Survey contents included questionnaire interview （family members＇basic information, personal health status, etc. ）, physi- cal examination （height, weight, waist circumstance, and blood pressure） , and laboratory testing （fasting glucose, oral glucose tolerance test, impaired fasting glucose [ IFG ], total cholesterol [ TC ~, triglyceride [TG], and high density lipoprotein cholesterol [ HDL-C ] ）. Based on descriptive epidemiology analysis, univariate and multivariate logistic regressions were used to analyze risk factors of type 2 diabetes. Results A total of 908 residents aged 18 years and over were selected from Xinhua District, including 392 males and 516 females. Participants aged 18 -44, 45 -59, and 60 years and over accounted for 38.88% （353/908）, 31.83% （289/908）, and 29. 30% （266/908） of the all subjects, respectively. The overall prevalence of type 2 diabetes and prevalence of IFG were 13.22% （ 120/908 ） and 8.37% （76/908）, re-spectively; accordingly, their standardized prevalence rates were 9.41% and 7.03% , respectively. Multi- variate logistic regression indicated that age rising （OR = 3. 198 ） , central obesity （OR = 2. 798 ） , and high TC （ OR = 1. 617） were strongly associated with the risk of type 2 diabetes （ P 〈 0. 05 or P 〈 0. 01 ）. Age rising （ OR = 1.411 ） , higher BMI （ OR = 1. 570 ） , and hypertension （ OR = 2. 364 ） were the risk factors for IFG （ P 〈 0. 05 or P 〈 0. 01 ）. Conclusion The prevalence of type 2 diabetes of residents aged 18 years and over was serious in Xinhua District, Shijiazhuang City. Age rising, central obesity, and high TC were risk factors associated with type 2 diabetes.