云南省成年居民糖尿病流行及分布现况分析

Prevalence and distribution of diabetes mellitus among adults in Yunnan province

目的了解云南省≥18岁居民糖尿病流行及分布现况。方法 2013年采用多阶段分层整群随机抽样方法抽取云南省≥18岁常住人口6000人,通过问卷调查、空腹血糖及服糖后2 h血糖检测,分析调查对象糖尿病及糖尿病前期的患病及分布情况。结果共获得5828例有效样本,云南省≥18岁成人糖尿病患病率为6.7%(男性为6.2%,女性为7.2%),男性与女性糖尿病患病率比较差异无显著性(χ~2=0.408,P=0.523);调查对象糖尿病患病率随年龄增长而逐渐升高(χ~2=93.511,P<0.001);城市居民糖尿病患病率高于农村居民(χ~2=37.145,P<0.001)。调查对象空腹血糖受损(impaired fasting glucose,IFG)患病率为3.1%(男性为3.4%,女性为2.7%),IFG患病率呈现随年龄增长逐渐升高的趋势(χ~2=8.042,P=0.005),回族居民IFG患病率高于其他民族(χ~2=15.442,P=0.004)。调查对象糖耐量减低(impaired glucose tolerance,IGT)患病率为3.1%(男性为3.0%,女性为3.3%),男性与女性IGT患病率比较差异无显著性(χ~2=1.246,P=0.264)。调查对象IGT患病率呈现随年龄增长逐渐升高的趋势(χ~2=60.320,P<0.001);回族居民IGT患病率高于其他民族(χ~2=46.178,P<0.001),城市居民IGT患病率高于农村居民(χ~2=7.205,P<0.001)。调查对象糖尿病前期患病率为6.2%(男性为6.4%,女性为6.0%),男性与女性糖尿病前期患病率比较差异无显著性(χ~2=2.136,P=0.144)。调查对象糖尿病前期患病率呈现随年龄增长逐渐升高的趋势(χ~2=60.548,P<0.001);回族居民糖尿病前期患病率高于其他民族(χ~2=55.094,P<0.001),城市居民糖尿病前期患病率高于农村居民(χ~2=19.635,P<0.001)。结论云南省≥18岁居民糖尿病及糖尿病前期的总体患病率低于全国多数地区水平,但≥60岁老年人及城市地区居民糖尿病患病率较高。

Objective To understand the prevalence and distribution of diabetes mellitus among people aged≥18years old in Yunnan province.Method Multi-stage stratified cluster sampling Method was used to extract6000permanent resident aged≥18years old in2013.The prevalence and distribution of diabetes mellitus and pre-diabetes mellitus were analyzed by questionnaire,fasting plasma glucose(FPG)and oral glucose tolerance test-2h(OGTT-2h).Result A total of5828cases were included in this study.The overall prevalence rate of diabetes mellitus in adults in Yunnan province was6.7%(male was6.2%,female was7.2%),there was no significant difference between male and female(χ^2=0.408,P=0.523),the prevalence rate increased gradually with age(χ^2=93.511,P<0.001),and the prevalence rate of urban residents was significantly higher than that in rural areas(χ^2=37.145,P<0.001).The prevalence rate of impaired fasting glucose(IFG)was3.1%(male was3.4%,female was2.7%),the prevalence rate of IFG increased with age(χ^2=8.042,P=0.005),and which in Hui population was higher than that in other ethnic(χ^2=15.442,P=0.004).The prevalence rate of impaired glucose tolerance(IGT)was3.1%(male was3.0%,female was3.3%),and there was no significant difference between male and female(χ^2=1.246,P=0.264),the prevalence rate of IGT increased with age(χ^2=60.320,P<0.001),and which in Hui population was higher than that in other ethnic(χ^2=46.178,P<0.001),in urban areas was higher than that in rural areas(χ^2=7.205,P<0.001).The prevalence rate of pre-diabetes mellitus was6.2%(male was6.4%,female was6.0%),and there was no significant difference between male and female(χ^2=2.136,P=0.144),the prevalence rate of pre-diabetes mellitus increased with age(χ^2=60.548,P<0.001),and which in Hui population was higher than that in other ethnic(χ^2=55.094,P<0.001),which in urban areas was higher than that in rural areas(χ^2=19.635,P<0.001).Conclusion The prevalence rate of diabetes mellitus and pre-diabetes mellitus in adults in Yunnan is lower than that in most parts rate of the country,and the prevalence rate of diabetes mellitus is higher in the population aged≥60years and in urban areas.