宝山区糖尿病高危人群筛查结果分析

Screening of diabetes among high-risk populations in Baoshan District

目的了解上海市宝山区糖尿病高危人群糖尿病患病情况,为社区糖尿病防治工作提供依据。方法采用多阶段分层整群随机抽样方法抽取宝山区≥35岁常住居民,采用《上海市社区居民糖尿病风险评估表》筛选糖尿病高危人群为调查对象,通过问卷调查收集人口学信息、疾病史和用药史等资料;测量身高、体重、腰围、臀围和血压;通过空腹血糖和口服葡萄糖耐量试验筛查糖尿病;采用多因素logistic回归模型分析糖尿病高危人群糖尿病患病的影响因素。结果纳入糖尿病高危人群3107人,其中男性1165人,占37.50%;女性1942人,占62.50%。年龄为(63.58±9.77)岁。检出糖尿病674例,检出率为21.69%。多因素logistic回归分析结果显示,男性(OR=1.689,95%CI:1.357~2.104)、年龄(40岁~,OR=4.833,95%CI:1.036~22.553;50岁~,OR=2.627,95%CI:1.432~4.819;60岁~,OR=1.551,95%CI:1.119~2.150;≥70岁,OR=1.579,95%CI:1.232~2.025)、中职/高中学历(OR=2.677,95%CI:1.636~4.380),超重/肥胖(OR=1.891,95%CI:1.447~2.472)、高血压(OR=1.306,95%CI:1.049~1.626)、血脂异常(OR=1.428,95%CI:1.114~1.831)、糖调节受损(OR=15.161,95%CI:11.827~19.434)和有2型糖尿病家族史(OR=2.092,95%CI:1.619~2.704)的高危人群糖尿病患病风险升高。结论宝山区糖尿病高危人群糖尿病检出率为21.69%,性别、年龄、文化程度、超重/肥胖、高血压、血脂异常、糖调节受损和有2型糖尿病家族史是影响因素。

Objective To investigate the prevalence of diabetes among individuals at high risk of diabetes in Baoshan District,Shanghai Municipality,so as to provide insights into community-based diabetes management.Methods Permanent residents at ages of 35 years and older were sampled from Baoshan District using a multistage stratified cluster sampling method,and residents at a high risk of diabetes were screened using the Form for Risk Assessment of Diabetes among Community Residents in Shanghai Municipality.Participants'demographics,disease history and history of medication were collected using questionnaire surveys,and height,body weight,waist circumference,hip circumference,and blood pressure were measured.Diabetes was screened using fasting blood glucose and glucose tolerance test.The factors affecting the development of diabetes were identified among high-risk residents for diabetes using a multivariable logistic regression model.Results A total of 3107 residents at a high risk for diabetes were enrolled,including 1165 men(37.50%)and 1942 women(62.50%)with a mean age of(63.58±9.77)years.The prevalence of diabetes was 21.69%among the study subjects,and multivariable logistic regression analysis showed that men(OR=1.689,95%CI:1.357-2.104),age(40 years-,OR=4.833,95%CI:1.036-22.553;50 years-,OR=2.627,95%CI:1.432-4.819;60 years-,OR=1.551,95%CI:1.119-2.150;70 years and older,OR=1.579,95%CI:1.232-2.025);high school/technical secondary school(OR=2.677,95%CI:1.636-4.380),overweight/obesity(OR=1.891,95%CI:1.447-2.472),hypertension(OR=1.306,95%CI:1.049-1.626),dyslipidemia(OR=1.428,95%CI:1.114-1.831),history of impaired glucose regulation(OR=15.161,95%CI:11.827-19.434)and family history of type 2 diabetes mellitus(OR=2.092,95%CI:1.619-2.704)caused an increased risk of diabetes among residents at a high risk diabetes.Conclusions The prevalence of diabetes was 21.69%among high-risk populations of diabetes in Baoshan District.Gender,age,educational level,overweight/obesity,hypertension,dyslipidemia,history of impaired glucose regulation and family history of type 2 diabetes mellitus are factors affecting the development of diabetes among high-risk populations.