辽宁省40岁及以上城乡居民身体圆度指数与糖尿病患病关系的研究

Relationship between body roundness index and diabetes mellitus among urban and rural residents(≥40 years old)in Liaoning Province

目的了解辽宁省≥40岁城乡居民身体圆度指数(BRI)与糖尿病患病的关系,为糖尿病高危人群的早期筛查提供科学依据。方法于2017年9月—2019年3月,采用多阶段分层整群随机抽样方法选取辽宁省≥40岁的城乡居民进行问卷调查、体格检查和实验室检测。采用SPSS 25.0软件进行方差分析、χ2检验、趋势χ2检验和多因素logistic回归分析。结果共纳入18796名调查对象,其中糖尿病患者3200名,糖尿病患病率为17.0%。调查对象平均年龄为(60.4±9.9)岁,平均BRI为3.85±1.27。BRI第1分位数、第2分位数、第3分位数和第4分位数组的糖尿病患病率分别为8.0%、15.0%、19.5%和25.6%。多因素logistic回归分析结果显示,调整混杂因素后,与第1分位数相比,BRI第2分位数(OR=1.77,95%CI:1.54~2.02)、第3分位数(OR=2.14,95%CI:1.87~2.44)、第4分位数(OR=2.79,95%CI:2.45~3.19)均与糖尿病患病高风险相关(P<0.01)。结论BRI与糖尿病患病呈正相关。建议在常规体检中推广BRI,以早期明确糖尿病潜在高危人群,及时进行管理和干预,降低糖尿病及其相关疾病负担。

Objective To understand the relationship between body roundness index(BRI)and diabetes mellitus among urban and rural residents(≥40 years old)in Liaoning Province,and provide the scientific evidence for the early screening of high-risk population of diabetes mellitus.Methods From September 2017 to March 2019,the multi-stage stratified cluster random sampling method was used to select urban and rural residents(≥40 years old)in Liaoning Province as the subjects,the investigation was performed with the questionnaire,physical examination and laboratory detection.The analysis of variance,χ2 test,trendχ2 test and multivariate logistic regression were used to analyze the data.The used software was SPSS 25.0.Results A total of 18796 subjects were included,3200 cases were diabetes patients,morbidity of diabetes was 17.0%.The mean age of subjects was(60.4±9.9)years old,the mean BRI was 3.85±1.27.The diabetes morbidity rates in the first,second,third and fourth quartile of BRI were 8.0%,15.0%,19.5%and 25.6%,respectively.The multivariate logistic regression analysis showed that after adjusting the confounding factors,compared with the first quartile of BRI,the second(OR=1.77,95%CI:1.54-2.02),third(OR=2.14,95%CI:1.87-2.44)and fourth quartile(OR=2.79,95%CI:2.45-3.19)of BRI were correlated with high risk of diabetes(P<0.01).Conclusion BRI positively correlates with diabetes.It is suggested to promote BRI in routine physical examination,so as to identify the potential high-risk groups of diabetes at an early stage,to conduct timely management and intervention,and to reduce the burden of diabetes and related diseases.