天津市体检人群糖尿病前期的流行病学调查

Epidemiological survey of pre-diabetes in a health examination population in Tianjin

目的:了解天津市体检人群糖尿病前期患病情况及流行病学特征。方法:对2013年5月-2014年12月共6 943名体检者进行问卷调查、体格检查及血液生化指标测定,应用SAS 9.3进行数据分析。结果:研究对象中糖尿病前期患病率43.08%,男性高于女性,差异有统计学意义(P=0.000)。与正常血糖人群相比,糖尿病前期患者的年龄、体质指数、腰围、总胆固醇、甘油三酯、低密度脂蛋白胆固醇及血压相对增高,而高密度脂蛋白胆固醇与身体活动量相对降低,差异有统计学意义(P=0.000)。低学历、正在吸烟与曾经吸烟、饮酒及有心血管病家族病史的人群患病率明显升高(P=0.000)。结论:目前天津市体检人群糖尿病前期患病率正处于较高水平,应引起足够重视。

Objective： To explore the prevalence and epidemiological features of pre-diabetes among people undertaking health examination in Tianjin. Methods： During the research period（from 2013.5 to 2014.12） there were 6 943 participants who had received health examinations. Data were collected through questionnaire, physical examination and blood biochemical indexes. Statistical analyses were performed using the Statistical Analysis System 9.3 edition. Results： The prevalence of pre-diabetes was 43.08%, and the prevalence was significantly higher in males than in females（P=0.000）. Compared with the normal group, the participants in the pre-diabetes group were older and had higher body mass index, waist circumference, total cholesterol, triglycerides, low-density lipoprotein cholesterol,systolic blood pressure, diastolic blood pressure and lower high-density lipoprotein cholesterol and physical activity（P =0.000）. The prevalence of pre-diabetes was significantly higher in subjects with lower educational level, current smokers or ex-smokers, drinkers, and subjects who had cardiovascular disease family history（P=0.000）. Conclusion： The prevalence of pre-diabetes in a health examination population in Tianjin is high and should arouse enough caution.