新疆乌鲁木齐维吾尔族≥18岁居民糖尿病患病率及其影响因素调查

Epidemiology and risk factors of diabetes in population≥18 years old of Uygur in Urumqi,Xinjiang

目的了解新疆乌鲁木齐市维吾尔族居民糖尿病前期及糖尿病患病情况,并分析其危险因素,为糖尿病防治提供基础依据。方法2017年5月在乌鲁木齐市进行横断面调查,抽取两个区的四个社区进行。采用1990年WHO诊断标准,统计糖尿病前期及糖尿病患病情况,对相关危险因素进行分析。结果共选择2013名乌鲁木齐市维吾尔族居民为调查对象,糖尿病患病率9.8%,糖尿病前期患病率9.6%,未诊断糖尿病患者占53.8%。IFG、IGT、IFG+IGT、新诊断DM、既往DM患病率分别为2.5%、6.1%、1.0%、5.3%、4.5%。糖尿病前期及糖尿病青年、中年、老年患病率分别为8.5%、31.7%、55.2%。糖尿病前期及糖尿病在BMI<24、超重、肥胖中患病率分别是6.2%、18.8%、36.8%,中心性肥胖中糖尿病前期及糖尿病的患病率为28.1%。腰围、收缩压、心率、甘油三酯(TG)、低密度脂蛋白(LDL-C)、血肌酐、糖尿病家族史、食水果多、喜食油炸食品、体力活动小是糖尿病前期及糖尿病的独立危险因素。结论乌鲁木齐乃至新疆地区维吾尔族居民糖尿病形式严峻,应关注中青年健康,加强糖尿病科普宣传,提倡合理饮食、增加运动量、控制体重,延缓和控制糖尿病的到来。

Objective To investigate the prevalence of prediabetes and diabetes in adults population of Uygur in Urumqi,Xinjiang,and we analyze the risk factors.Methods The residents in four communities from two districts of Urumqi city in May 2017 were selected by random cluster sampling method to be enrolled in the study.According to WHO 1990 diabetes diagnostic criteria,the diabetes screening was conducted,then the single factor and Logistic analysis were used to analyze the related risk factors.Results Among the 2013 subjects,the overall prevalence of diabetes and prediabetes among adults in Urumqi was 9.8%and 9.6%,undiagnosed diabetes 53.8%.The prevalence rates of IFG,IGT,IFG+IGT,newly diagnosed DM and previous DM were 2.5%,6.1%,1.0%,5.3%and 4.5%,respectively.The prevalence rates of prediabetes and diabetes in young,middle-aged and elderly were 8.5%,31.7%,55.2%,respectively.The prevalence rates of prediabetes and diabetes in BMI<24,overweight and obesity were 6.2%,18.8%and 36.8%,respectively,and the prevalence rates of prediabetes and diabetes in central obesity were 28.1%.The Logistic regression analysis indicated that WC,systolic bloodpressure,heart rate,triglycerides,LDL-C,blood creatinine,family history of diabetes,eating more fruits,eating fried food,and less physical activity were the independent risk factors for prediabetes and diabetes in adults population of Uygur in Urumqi,Xinjiang.Conclusion The prevalence of diabetes and prediabetes is rather high in adults population of Uygur in Urumqi,Xinjiang.We should pay attention to the health of young and middle-aged people,strengthen the popularization of diabetes,advocate reasonable diet,increase exercise,control weight,and delay and reduce the incidence of diabetes.