上海市泖港镇社区居民空腹血糖偏高的检出率及相关因素分析

Prevalence of elevated FPG and associated factors among residents in Maogang,Songjiang District in Shanghai

【目的】了解上海松江泖港社区居民空腹血糖异常率及其相关因素。【方法】采取整群抽样的方法,于2016年7月至12月对泖港镇20~74岁常住居民进行问卷调查、体格检查及空腹血糖检测。问卷收集一般人口学特征及相关生活、饮食、行为习惯等信息。使用卡方检验与logistic回归分析空腹血糖异常率的相关因素。【结果】6 217名研究对象采集了血液样本;6 165人完成了问卷调查。研究对象中57.4%为女性;集中于45~74岁年龄段(88.9%)。空腹血糖偏高者占9.2%。logistic回归分析提示社区人群空腹血糖偏高的相关因素为年龄大、体质指数(BMI)高、中心性肥胖、高血压病史和糖尿病家族史(P<0.05)。自述为糖尿病患者的有597人,占调查人数的9.7%;自述糖尿病患者中本次检测空腹血糖偏高者占58.1%,多因素回归分析发现仅有中心性肥胖与其正相关(OR=1.72,95%CI:1.14~2.60)。【结论】本次泖港社区调查人群空腹血糖偏高检出率为9.2%,并与年龄、肥胖、高血压病史和糖尿病家族史有关。

[Objective]To examine the prevalence of elevated fasting plasma glucose（ FPG） and correlates among residents from Maogang,Songjiang District in Shanghai. [Methods] Cluster sampling was used in Maogang and aged 20-74 years old residents were recruited from July to December,2016. Questionnaire was used in face-to-face interviews to collect data on socio-demographic characteristics, dietary,behavioral and life-style factors. Blood sample was collected and FPG were measured. Chi-square test and logistic regression were used to examine the association between elevated FPG and associated factors.[Results]A total of 6 217 participants provided blood samples and 6 165 were interviewed. Fifty-seven percent of the participants were female,and 88. 9% of them aged between 45 to 74 years old. Among all participants,9. 2% showed elevated FPG. Multiple logistic regression showed that elevated FPG was significantly associated with increased age,increased BMI,central obesity,history of high blood pressure and family history of diabetes（ all P〈 0. 05）. Among the study participants,597（ 9. 7%） were reported to have been diagnosed with diabetes,and 58. 1% showed elevated FPG in the survey. Multiple logistic regression showed that central obesity was significantly associated with elevated FPG（ OR = 1. 72,95% CI：1. 14-2. 60） among diabetic patients. [Conclusion] The prevalence of elevated FPG is 9. 2% among residents in Maogang,Shanghai and is positively associated with age,BMI,high blood pressure and family history of diabetes.