川东北地区体检人群糖尿病和糖尿病前期的流行率分析

Prevalence of diabetes and prediabetes in northeast Sichuan area

目的调查川东北地区健康体检人群中糖尿病和糖尿病前期(PDM)的流行情况。方法选取2013年于该院进行健康体检的8 053例18岁以上体检者,检测其空腹血糖、糖化血红蛋白(HbA1C)和血脂等项目。糖尿病和PDM诊断采用2013年美国糖尿病协会(ADA)诊断标准。结果川东北地区18岁以上健康体检人群的空腹血糖和HbA1C水平随年龄的增加而升高,糖尿病患病率为8.5%,PDM的患病率为39.6%。男性人群糖尿病和PDM患病率分别为10.7%、41.5%,均明显高于女性(分别为5.7%、37.2%),差异有统计学意义(P<0.05)。糖尿病患病率随年龄的增加而逐渐增加,而PDM患病率呈先升后降趋势。结论川东北地区糖尿和PDM病流行程度较高。

Objective To investigate the prevalence of diabetes and prediabetes in northeast Sichuan area.Methods A total of 8053 adult residents（over 18 years old）from the hospital who had underwent physical examination were recruited in the study.The concentrations of Fasting plasma glucose（FPG）,glycated hemoglobin A1c（HbA1C）and blood lipids were measured.Diabetes and prediabetes were defined according to the 2013 American Diabetes Association criteria.Results The FPG and HbA1 Cconcentrations increased with age.The overall prevalence of diabetes and prediabetes were estimated to be 8.5%and 39.6%in the adult population in northeast sichuan area respectively.The prevalence of diabetes and prediabetes in men were significantly higher than those in women（10.7% vs.5.7%,41.5% vs.37.2%,P〈0.05,respectively）.Furthermore,the prevalence of diabetes increased with age,and the prevalence of prediabetes had a trend of first enhancement followed by a decline.Conclusion The prevalence of diabetes and prediabetes are relatively high in northeast Sichuan area.