新余市渝水区成年人血糖及相关身体指标监测分析

Correlation between Blood Glucose and Body Indexes in Adults in Yushui District of Xinyu City

目的掌握新余市渝水区成年人糖尿病患病现状及相关身体指标情况，分析糖尿病的危险因素，针对糖尿病危险因素提出防控措施。方法采用多阶段分层抽样方法，随机抽取新余市渝水区居民600名（城市和农村常住居民各300名）进行相关身体指标（身高、体质量、腰围及血压）和血糖[空腹血糖（GLU)、餐后血糖（OGTT)]的测量。结果600名社区居民中男性占49.33%，女性占50.67%。男女间身高、体质量、体质指数、腰围、收缩压、舒张压比较差异均有统计学意义（均P<〇.05)。超质量占32.50%，肥胖占6.83%，腰围超标占42.67%;男女间腰围超标率比较差异有统计学意义（49.66%比35.86%=11.687,P=0.001)。600名居民中糖尿病患病率为9.50%，标化率为8.11%;糖尿病前期患病率为22.29%，标化率为16.37%。城市居民糖尿病患病率高于农村居民（12.67%比6.33%)、腰围异常人群糖尿病患病率高于腰围正常人群（12.89%比6.98%)、高血压人群糖尿病患病率高于正常人群糖尿病患病率(24.24%比5.34%)，均P<0.05;40岁以后随年龄增长糖尿病患病率逐渐升高。Logistic回归分析：居住地为城市（Oi?=3.617;95%CI:1.916.6.826)、年龄增长（Oi?=l.711;95%CI:1.292.2.265)及高血压（QR=4.316;95%CT:2.285.8.152)均为糖尿病的危险因素。结论新余市渝水区居民超质量率、肥胖率、腰围超标率及糖尿病患病率较高，需要针对高危人群开展糖尿病的综合防治工作。

Objective To analyze the risk factors for diabetes through investigating the prevalence of diabetes and the related body indexes in adults in Yushui District of Xinyu City, and to propose the targeted prevention and control measures. Methods A total of 600 permanent residents(300 urban residents and 300 rural residents) were selected by using multi-stage stratified random sampling method to measure their body indexes(height,weight,waistline,blood pressure) and fasting and postprandial blood glucose levels. Results Among the 600 residents, males and females accounted for 49. 33% and 50. 67% , respectively. In addition, 32. 50% of these residents had overweight, 6. 83% had obesity, and 42. 67% had excessive waist circumference. There were significant differences in height, weight, body mass index, waistline, systolic blood pressure, diastolic blood pressure and incidence of excessive waist circumference between males and females (P<C〇. 05). The morbidity and standardized morbidity of diabetes were 9. 50% and 8. 11 % , respectively. The morbidity and standardized morbidity of pre-diabetes were 22. 2 9 % and 16. 3 7 % ,respectively. The morbidity of diabetes among urban residents, residents with abnormal waistline and hypertensive residents was higher than that among rural residents, residents with normal waistline and non-hypertensive residents,respectively(12. 6 7 % , 12. 8 9 % and 2 4 . 2 4 % vs 6.33%,6. 9 8 % and 5. 3 4 % ,respectively;P <C〇. 05). Furthermore,the morbidity of diabetes increased with age in residents older than 40 years. Logistic regression analysis showed that living in urban area(QK 二 3. 6 1 7 ; 9 5 % C J:1. 916-6. 826) , increasing age(QR 二 1. 7 1 1 ; 9 5 % C J:1. 292-2. 265) , and hyperten sio n (O R — i . 316 ;95 %CI ;2. 285-8. 152) were the risk factors for diabetes. Conclusion The incidence of overweight,obesity,excessive waistline and diabetes is high among residents in Yushui District of Xinyu City. Therefore,targeted prevention and treatment of diabetes should be performed in high-risk population.