河南省居民体质量指数、腰围与糖尿病患病相关性分析

Correlation analysis between body mass index, waist circumference and diabetes mellitus among residents of Henan Province

目的了解河南省居民体质量指数、腰围与糖尿病患病的相关关系。方法采用多阶段随机整群抽样方法,共抽取7 588名常住居民进行问卷调查、体格测量和实验室检测。结果河南省城市居民超重率为32.04%,肥胖率为15.54%,中心性肥胖率为32.76%,随着体质量指数和腰围的增高,糖尿病患病率呈升高趋势。Logistic分析显示,体质量过轻人群患糖尿病风险比肥胖人群低3.866倍(95%CI 2.056~11.513),比超重人群低2.510倍(95%CI 1.513~8.140);中心性肥胖糖尿病患病风险是正常腰围人群的1.371倍(95%CI 1.094~1.717)。结论河南省城市居民患病情况与人体肥胖指标高度相关,应从控制肥胖入手控制糖尿病。

Objective To investigate the relationship between body mass index(BMI), waist circumference(WC) and diabetes prevalence in Henan Province. Methods A multistage stratified random cluster sample was used in urban dwellers. A total of 7 588 participants were surveyed by questionnaire, physical measurement, laboratory examination. Results The overweight rate of urban residents in Henan Province was 32.04%; the obesity rate was 15.54%; the central obesity rate was 32.76%. The prevalence rate of diabetes was shown to increase over BMI and WC. Binary logistic analysis showed that diabetes risk in underweight was 3.866 times(95% CI 2.056~11.513) lower than that in obesity and2.510 times(95%CI 1.513~8.140) lower than that in overweight. Diabetes risk in central obesity was1.371 times(95%CI 1.094~1.717) higher than that in normal WC. Conclusion The prevalence of urban residents in Henan Province is highly related to BMI and WC, and the control of diabetes should be focused on reducing weight.