大港油田地区不同性别及BMI的工作人群糖尿病风险因素分析

Analysis of diabetes risk factors of workers with different genders and BMI in Dagang oilfield

目的探讨大港油田地区不同性别工作人群及不同体质量指数(BMI)亚组的糖尿病风险因素。方法采用横断面研究方法,通过芬兰糖尿病风险评分问卷确定高风险人群,将其分为糖尿病组和非糖尿病组。采用多因素logistic回归分析不同性别及不同BMI亚组人群的糖尿病风险因素。结果研究纳入1 995例,男性985例(49.4%)。男性人群糖尿病风险因素中血糖升高史(HHBG)风险比最高(OR=3.183,95%CI:1.921~5.272),其次为年龄、天冬氨酸转氨酶(AST)、高血压及治疗史(HHT)、吸烟,三酰甘油(TG)风险最低(OR=1.494,95%CI:1.033~2.162);女性人群中丙氨酸转氨酶(ALT)风险比最高(OR=2.383,95%CI:1.153~4.927),其次为腰围、TG和年龄,HHBG风险比最低(OR=2.081,95%CI:0.947~4.571);BMI<23.9 kg/m^2 亚组男性风险因素为HHBG、TG,女性为年龄、TG;24.0 kg/m^2≤BMI<27.9 kg/m^2亚组男性风险因素为年龄、HHBG、HHT,女性为年龄、ALT、TG;BMI≥28.0 kg/m^2亚组男性风险因素为HHBG、HHT、AST、ALT,女性为年龄。结论油田地区男性工作年龄人群糖尿病主要风险因素依次为HHBG、年龄、AST、HHT、吸烟、TG,在不同BMI亚组中HHBG始终为糖尿病风险因素;女性依次为ALT、腰围、TG、年龄、HHBG,年龄成为不同BMI亚组共同风险因素。

Objective To investigate the diabetes risk factors of working age people with different sex and body mass index (BMI) levels in Dagang oilfield. Methods A cross-sectional study was conducted by the Finland diabetes risk score questionnaire to determine the increased risk population, which was divided into diabetes mellitus group and non-diabetes mellitus group. Multivariate logistic regression was used to examine the risk factors of diabetes for different sex and BMI groups. Results The study population comprised 1 995 participants with 985 (49.4%) males. The highest diabetes risk factor of male was the history of high blood glucose (HHBG, OR=3.183, 95%CI: 1.921-5.272), followed by age, aspartate aminotransferase (AST), history of hypertension, history of treatment (HHT) and smoking, with the lowest risk of triglyceride (TG, OR=1.494, 95%CI: 1.033-2.162), while the highest in female was alanine aminotransferase (ALT, OR=2.383, 95%CI: 1.153-4.927), followed by waist circumference (WC), total triglyceride (TG) and age, with the lowest risk of HHBG (OR= 2.081, 95%CI: 0.947-4.571). The risk factors in BMI<23.9 subgroup for men were the HHBG and TG, while age and TG were risk factors for women. The risk factors in 24.0≤BMI<27.9 subgroup for men were the age, HHBG and HHT, while age, ALT, and TG were risk factors for women. The risk factors of BMI≥28.0 subgroup were HHBG, HHT, AST and ALT, while only the age for women. Conclusion The main diabetes risk factors of male from high to low are HHBG, age, AST, HHT, smoking and TG, and HHBG is always the risk factor for diabetes in different BMI subgroups. The risk factors of female diabetes are ALT, WC, TG, age, and HHBG in turn. Age is the common risk factor of different BMI subgroups.