重庆市西部新城地区体检人群空腹血糖受损发生情况与危险因素分析

Prevalence and risk factors of impaired fasting glucose among physical examination population in the western new city of Chongqing

目的：了解重庆市西部新城体检人群空腹血糖受损（impaired fasting glucose,IFG）的发生率,分析IFG与血脂等多种危险因素的关系。方法：回顾分析2015年1月至7月来我院健康体检4 558人体检资料,比较分析IFG的发生现况及其影响因素。结果：该人群IFG发生率为23.74%（1 082/4 558）。男性（OR=1.56,P=0.000）、50岁～组（OR=2.25,P=0.000）、65～91岁组（OR=3.21,P=0.000）、高甘油三酯（OR=1.16,P=0.001）、高总胆固醇（OR=1.35,P=0.001）、高尿酸（OR=1.26,P=0.026）、血压偏高（OR=1.89,P=0.000）、高体质指数（OR=2.48,P=0.001;OR=3.15,P=0.000）均为IFG的危险因素。结论：体检人群IFG发生率较高,应对危险因素高度重视并积极干预,以有效预防糖尿病的发生。

Objective：To know the prevalence of impaired fasting glucose（IFG）in the physical examination population in the Western New City of Chongqing,and to analyze the relationship between IFG and high lipid and other risk factors. Methods：The clinical data of 4 558 persons who were admitted to physical examination in the University-Town Hospital of Chongqing Medical University since January to July in 2015 were retrospectively analyzed,and present situation and influence factors of IFG were comparatively analyzed.Results：The prevalence of IFG was 23.74%（1 082/4 558）. Male（OR=1.56,P=0.000）,older（OR=2.25,P=0.000;OR=3.21,P=0.000）,hyper-triglyceridemia（OR=1.16,P=0.001）,hyper-total cholesterol（OR =1.35,P =0.001）,hyperuricemia（OR =1.26,P =0.026）,hyperblood pressure（OR=1.89,P=0.000）,and overweight or obesity（OR=2.48,P=0.001;OR=3.15,P=0.000）all were risk factors of IFG.Conclusion：The prevalence of IFG is high in the physical examination population. It is important to pay more attention to the risk factors,and adopt positive intervention measures to prevent diabetes effectively.