2022年重庆市荣昌区40~79岁人群糖尿病前期流行现状及相关影响因素

Prevalence of pre-diabetes mellitus and its related influencing factors among people aged 40-79 years in Rongchang District of Chongqing Municipality,2022

目的了解重庆市荣昌区糖尿病前期流行现状及相关影响因素。方法采用多阶段随机抽样的方法,在全区21个街道或镇开展调查,每个调查点随机抽取3~5个村或社区,每个村或社区随机抽取20~50名符合条件的调查对象,调查包括问卷调查,体格检查和血生化检测。采用非条件二分类逐步后退法的多因素logistic回归分析不同影响因素与糖尿病前期患病的相关性。结果3017例调查对象中,男女比例为0.94∶1,平均年龄为(62.14±11.13)岁,农村地区居民占60.19%,小学及以下受教育程度占60.79%,农林牧渔劳动者占53.73%,已婚/再婚/同居占89.13%。糖尿病前期患者合计1176例,患病率为38.98%。多因素logistic回归分析发现,年龄增长(50岁~:OR=1.477,95%CI:1.147~1.903;60岁~:OR=1.542,95%CI:1.184~2.008;70~79岁:OR=1.680,95%CI:1.285~2.196),吸烟(OR=1.315,95%CI:1.090~1.587),偏咸的饮食口味(OR=1.484,95%CI:1.192~1.847),每周每天食用≥200 g水果的频次(3~4 d/周:OR=1.223,95%CI:1.016~1.473;≥5 d/周:OR=1.666,95%CI:1.364~2.035),身体活动不足(OR=1.488,95%CI:1.284~1.724),超重(OR=1.337,95%CI:1.129~1.582),肥胖(OR=1.399,95%CI:1.104~1.773),中心性肥胖(OR=1.233,95%CI:1.043~1.458)与糖尿病前期患病的高风险相关。结论荣昌区糖尿病前期患病率相对较高,高龄、吸烟、饮食口味偏咸、超重、肥胖、中心性肥胖、身体活动不足的人群需进行重点干预。

Objective To investigate the prevalence of pre-diabetes mellitus(PDM)and its related influencing factors in Rongchang District of Chongqing Municipality.Methods A multi-stage random sampling method was used to conduct a survey in 21 streets or towns in Rongchang District.3-5 villages or communities were randomly selected from each surveyed site,and then 20-50 eligible surveyed subjects were randomly selected from each village or community.The investigation contents included questionnaire survey,physical examination and blood biochemical test.Multivariate logistic regression based on non-conditional binary classification step-back method was used to analyze the correlations of different influencing factors with the prevalence of PDM.Results Among 3,017 surveyed subjects,the male to female ratio was 0.94:1,and the average age was(62.14±11.13)years old.Rural residents,subjects with primary school education or below,workers in agriculture,forestry,animal husbandry and fishing,and the married/remarried/cohabitants accounted for 60.19%,60.79%,53.73%and 89.13%respectively.A total of 1,176 patients with PDM were detected,and the prevalence rate of PDM was 38.98%.Multivariate logistic regression analysis displayed that the increase of age(50-years:OR=1.477,95%CI:1.147-1.903;60-years:OR=1.542,95%CI:1.184-2.008;70-79 years:OR=1.680,95%CI:1.285-2.196),smoking(OR=1.315,95%CI:1.090-1.587),salty diet pattern(OR=1.484,95%CI:1.192-1.847),frequency of having fruits≥200 g per day per week(3-4 days/per week:OR=1.223,95%CI:1.016-1.473;≥5 days/per week:OR=1.666,95%CI:1.364-2.035),insufficient physical activity(OR=1.488,95%CI:1.284-1.724),overweight(OR=1.337,95%CI:1.129-1.582),obesity(OR=1.399,95%CI:1.104-1.773)and central obesity(OR=1.233,95%CI:1.043-1.458)were associated with a high risk of suffering from PDM.Conclusion The prevalence rate of PDM in Rongchang District is relatively high.Priority interventions should be conducted among populations with advanced age,smoking,salty diet pattern,overweight,obesity,central obesity and insufficient physical activity.