南京市城区40岁以上社区居民新诊断糖尿病的危险因素

Related risk factors for newly diagnosed diabetes among residents aged over 40 years in Nanjing City

目的：分析南京市城区40岁以上社区居民新诊断糖尿病相关危险因素,为该地区糖尿病防治提供依据。方法：对南京市城区6个社区40岁以上居民糖尿病流调资料,采用Logistic回归方法分析新诊断糖尿病的危险因素。结果：8 039例社区居民新诊断糖尿病率10.87%,男性新诊断糖尿病率显著高于女性（13.15%vs.9.74%）。多因素Logistic回归分析显示,男性、增龄、超重和肥胖、糖尿病家族史、缺乏体力活动是新诊断糖尿病发生的危险因素（OR值1.339~1.862,均P〈0.05）。结论：男性、增龄、超重和肥胖、糖尿病家族史、缺乏体力活动等是南京城区社区居民糖尿病发生的主要危险因素。

Objective Toinvestigate the related risk factors of newly diagnosed diabetes among residents aged over 40 years in Nanjing City, and to provide evidence for diabetes prevention. Methods The clinical data were collected from the diabetes epidemiologic investigation among residents aged 40-79 years from 6communities in Nanjing City. Univariate and multiple logistic regression analyses were performed to analyze the potential risk factors for newly diagnosed diabetes. Results The prevalence rate of new diagnosed diabetes from 8039 subjects was 10.87%. A higher prevalence rate of new diagnosed diabetes was found in male than that in female（13.15% vs. 9.74%, P〈0.01）. Multiple logistic regression analyses revealed that the main risk factors for newly diagnosed diabetes were male, age, family history, body mass index（BMI） and less physical activity after adjusting other factors（adjusted OR 1.339-1.862, P〈0.05）. Conclusions Male, age, family history,body mass index（BMI） and less physical activity may be the main risk factors for diabetes among residents in Nanjing City.