深圳市龙岗区60岁以上常住居民空腹血糖现况调查

Analysis of fasting blood glucose of residents aged over 60 years in Longgang district of Shenzhen

目的了解深圳市龙岗区60岁以上老年人血糖水平分布,为糖尿病有效干预提供依据。方法采用分层整群随机抽样方法,对龙岗区随机抽取4个街道办事处的8个社区2 349名60岁以上老人开展问卷调查和血糖检查。结果调查对象糖尿病患病率为19.97%(469/2 349),空腹血糖损伤患病率为9.41%(221/2 349),不同性别糖尿病患病率差异无统计学意义(F=1.03,P=0.17),而空腹血糖损伤患病率分布差异有统计学意义(t=4.12,P=0.01)。平均血糖浓度为(6.10±2.34)mmol/L,其中男性为(5.98±2.22)mmol/L,女性为(6.17±2.42)mmol/L,差异无统计学意义(t=-1.17,P=0.24)。Pearson相关分析,年龄与血糖不具有相关性(r=-0.22,F=0.07,P=0.54)。结论深圳市龙岗区60岁以上老年人糖尿病患病形势严峻,年龄不是血糖的主要影响因素,需加强生活方式等干预。

Objective To explore the distribution of the fasting blood glucose levels of residents aged over 60 years and provide the effective interventions for diabetes. Methods Stratified cluster random sampling method was used to select 2 349 residents over 60 years old in 8 communities of 4 streets in Longgang district for fasting blood glucose checking and questionnaire. Results The prevalences of diabetes and impaired fasting glucose（IFG） were 19.97% and 9.41%, respectively. There was no statistic prevalence differentiation in diabetes （F=1.03, P=0.17） except IFG （F=4.12, P=0.01 ）. The average blood glucose concentration of investigators was （6.10±2.34）mmol/L, （5.98±2.22）mmol/L in male and （6.17±2.42）mmol/L in female, while no significant difference was found in gender glucose distribution （t=-1.17, P=0.2d）. And there was no correlation between age and blood glucose level （r=-0.22, significant test F=0.07, P=0.54） with pearson correlation analysis. Conclusion The diabetes prevalence situation is grim for residents over 60 years old in Longgang district of Shenzhen, but the age is not the main risk factor for fasting blood glucose level, and lifestyle interventions should be strengthened to prevent and control the diabetes mellitus.