山西省长治市社区老年人糖代谢状况及影响因素分析

Analysis on the prevalence and influencing factor of glucose metabolic disorder in community elderly population in Changzhi of Shanxi province

目的了解长治市社区老年人糖代谢状况,并分析其危险因素,为制定合理防治计划提供依据。方法采用多阶段整群随机抽样的方法对4 104名65岁以上老年人进行调查,内容包括问卷调查、体检,并检测空腹血糖、血脂等。结果长治市老年人糖尿病患病率为17.6%,糖调节受损(IGR)为11.1%,非条件Logistic回归分析显示年龄、甘油三酯(TG)、低密度脂蛋白(SBP)、体质量指数(BMI)为糖代谢紊乱的危险因素,高密度脂蛋白(HDL)为保护因素。结论长治市老年人的糖代谢状况不容乐观,及早发现和预防控制具有十分重要的意义。

Objective To investigate the prevalence and influencing factor of glucose metabolic disorder in community elderly population. Methods With randomized cluster sampling, a total of 4 104 aged over 65 years were enrolled in the study. Investigations included questionnaires, physical examination, fasting plasma glucose, blood lipids, etc. Results The prevalence of DM and IGR were 17.6 ~% nd 11.1% ,respectively. Logistic regression analysis showed that age, SBP,TG and BMI were dangerous factors and HDL was protection factor. Conclusion DM and IGR trends to be a severe health problem in the elderly, and early detection and intervention are strongly recommended.