济宁市微山县鲁桥镇老年人群糖尿病患病现状及影响因素调查

Survey on prevalence and associated factors of diabetes mellitus among the elderly population,Luqiao town,Weishan county,Jining city

目的 了解山东省济宁市微山县鲁桥镇老年人糖尿病患病情况及相关因素,为制定本地区糖尿病防治措施提供依据。方法 对济宁市微山县鲁桥镇65岁以上老年人进行健康体检,内容包括一般状况、生活方式、脏器功能、查体、辅助检查、主要用药情况、健康评价、健康指导,并利用Logistic回归进行相关因素分析。结果 济宁市微山县鲁桥镇老年人糖尿病患病率为11.33%。男性患病率10.02%,女性患病率12.45%,不同性别人群糖尿病患病率差异无统计学意义(P>0.05)。体重过低人群患病率5.14%,肥胖人群患病率27.52%,差异有统计学意义(P<0.05)。年龄、体重指数、婚姻状况、吸烟是糖尿病发病的主要危险因素(O R分别为1.30、1.73、0.80、1.21,P<0.01),饮酒、锻炼情况、盐摄入情况也是糖尿病发病的危险因素(O R分别为1.60、0.55、1.70,P<0.05)。结论 济宁市微山县鲁桥镇老年人糖尿病患病率较高,应控制体重、增加体育锻炼、控制吸烟饮酒不良行为习惯减少糖尿病的发病。

Objective To understand the prevalence and associated factors of diabetes mellitus in the elderly in Luqiao town,Weishan county,Jining city,so as to provide a basis for formulating diabetes prevention and treatment measures in this area.Methods Health checkups were conducted for the elderly over 65 years old in the town,which included general condition,lifestyle,organ function,physical examination,auxiliary examination,main medication,health evaluation,and health guidance.Associated factors were analyzed by using Logistic regression.Results The prevalence of diabetes in elderly people in Luqiao town,Weishan county,Jining city was 11.33%.The prevalence was 10.02% for male and 12.45% for female,and there was no statistically significant difference in the prevalence of diabetes between genders.The prevalence of underweight people was 5.14%,and that of obese people was 27.52%;the difference was statistically significant.Age,body mass index,marital status,and smoking were the main risk factors for the onset of diabetes(O R=1.30,1.73,0.80,1.21,P<0.01),moreover,drinking,exercise and salt intake were also risk factors for diabetes(O R=1.60,0.55,1.70,P<0.05).Conclusion The prevalence of diabetes among the elderly in Luqiao town,Weishan county,Jining city is relatively high,and people should control their weight,increase physical exercise,and control bad behavior habits of smoking and drinking to reduce the incidence of diabetes.