广州市番禺区≥60岁老年人2型糖尿病和糖尿病前期患病现状及其影响因素

Status and associated risk factors of T2DM and PM in the elderly ≥60 years old in Panyu District,Guangzhou

目的了解≥60岁老年人群2型糖尿病(T2DM)和糖尿病前期(PM)流行现状,探讨相关危险因素,为制定综合干预措施提供参考。方法采用分层整群抽样的方法,调查广州市番禺区1905名老年人,采用SPSS 22.0进行统计分析。结果调查对象中男562名(29.50%),女1343名(70.50%);T2DM和PM患者检出率分别为10.47%和18.32%,高于广州市2004年和2008年报道的DM患病率。多因素Logistic回归分析结果显示,T2DM和PM患病率的主要影响因素为平均每日静态行为时间<2h或>6h(OR=2.004,95%CI为1.659~2.421)、年龄60~<65岁(OR=1.828,95%CI为1.442~2.317)、饮酒频率为经常/每天(OR=1.537,95%CI为1.114~2.120)、有心脑血管疾病/外周血管病变/血脂异常病史(OR=1.508,95%CI为1.232~1.846)、嗜糖(OR=1.623,95%CI为1.261~2.090)、有糖尿病家族史(OR=1.350,95%CI为1.036~1.759)、身体质量指数(BMI)偏胖/肥胖(OR=1.293,95%CI为1.085~1.542)和居住在乡村(OR=1.262,95%CI为1.032~1.544)。结论广州市番禺区T2DM和PM患病率呈持续上升态势,应根据高风险人群特征,制定综合干预措施,提高糖尿病防控效果。

Objective To understand the prevalence of type 2 diabetes(T2DM)and prediabetes(PM)in the elderly population over 60 years of age,explore relevant risk factors,and provide reference for the development of comprehensive interventions.Methods A stratified cluster sampling method was used to investigate 1905 elderly people in Panyu District,Guangzhou,and SPSS 22.0 was used for statistical analysis.Results The survey subjects included 562 males(29.50%)and 1343 females(70.50%).The detection rates of T2DM and PM patients were 10.47%and 18.32%,respectively,which were higher than the DM prevalence reported in Guangzhou in 2004 and 2008.The results of multivariate logistic regression analysis showed that the main influencing factors of the prevalence of T2DM and PM were the average daily static behavior time<2 hor>6 h(OR=2.004,95%CI:1.659-2.421),age 60-<65 years old(OR=1.828,95%CI:1.442-2.317),drinking frequency was often or daily(OR=1.537,95%CI:1.114-2.120),with cardiovascular and cerebrovascular disease or peripheral vascular disease or lipid Abnormal medical history(OR=1.508,95%CI:1.232-1.846),sugar addiction(OR=1.623,95%CI:1.261-2.090),family history of diabetes(OR=1.350,95%CI:1.036-1.759),body mass index(BMI)was overweight or obese(OR=1.293,95%CI:1.085-1.542)and living in the countryside(OR=1.262,95%CI:1.032-1.544).Conclusion The prevalence of T2DM and PM in Panyu District of Guangzhou is on the rise,and comprehensive intervention measures should be formulated according to the characteristics of high-risk populations to improve the effect of diabetes prevention and control.