辽宁省居民空腹血糖偏高检出率及影响因素分析

Analysis of the prevalence and influencing factors of elevated FPG in Liaoning Province

【目的】了解和掌握辽宁省居民非糖尿病者空腹血糖偏高情况,探讨相关危险因素,以期有效预防及缓解糖尿病的发生和发展,切实减轻社会经济负担。【方法】采用流行病学分层整群随机抽样方法选取3个城市和3个农村点的35~75岁居民进行调查,共计53497人,包括问卷调查及相关指标检测,应用logistic回归分析空腹血糖偏高的危险因素和保护因素。【结果】辽宁省空腹血糖偏高检出率为24.7%。男性检出率为23.2%,女性检出率为26.0%。多因素分析结果显示,女性、高年龄、高学历、职业(除农民)、饮酒、肥胖、高血压、血脂异常均为空腹血糖偏高的独立危险因素(P<0.05或P<0.001)。【结论】辽宁省35~75岁居民空腹血糖偏高检出率较高,应加强重点人群的健康干预,以有效降低辽宁省糖尿病的发病率。

[Objective]To determine the prevalence rate of elevated fasting plasma glucose(FPG)in residents of Liaoning Province and to identify the risk factors,which will help to effectively prevent/alleviate the occurrence and development of diabetes for reduction of socioeconomic burden.[Methods]A multi-stage stratified random cluster sampling method was used to investigate the residents of 3 towns and 3 rural areas in Liaoning Province.A total of 53497 adults(aged 35-75 years)were surveyed by questionnaires and the risk or protective factors were analyzed by logistic regression method.[Results]The prevalence rate of elevated FPG was 24.7%with 23.2%in males and 26.0%in females,respectively.The results of multivariate logistic regression showed that age increase,female,high education,occupation(except farmers),alcohol drinking,obesity,hypertension,and dyslipidemia were risk factors of FPG(P<0.05 or P<0.001).[Conclusion]The prevalence of elevated FPG is high in the study population aged 35-75 years in Liaoning.It is necessary to strengthen the intervention in this part of the population in order to reduce the incidence of diabetes mellitus.