松江地区Ⅱ型糖尿病人群危险因素的病例对照研究

A Case-control Study on Risk Factors of Type Ⅱ Diabetes Mellitus in the Populations of Songjiang District,Shanghai

目的 探讨松江地区Ⅱ型糖尿病的危险因素 ,为该类地区人群Ⅱ型糖尿病干预对策与措施的制定提供依据。方法 用 1 5 0例Ⅱ型糖尿病患者进行 1 :1配对病例对照研究。结果 条件Logistic回归模型显示 ,糖尿病家族史 (OR =4 1 3 )、高血压 (OR =1 87)、高血脂 (OR =3 0 3 )和腰臀比 (OR =2 1 7)为Ⅱ型糖尿病的危险因素。结论 对具有糖尿病家族史、高血压、高脂血症和肥胖者应加强干预工作。

Objective To investigate the risk factors of type Ⅱdiabetes mellitus in the populations in Songjiang District, Shanghai. Methods A questionnaire survey, physical examination, and laboratory examination were conducted among 150 newly-diagnosed patients with type Ⅱdiabetes mellitus, 43 males and 107 females, aged 53.7±9.8, and 150 sex, age-matched non-diabetics. Results Conditional logistic regression analysis showed that family diabetic history (OR=4.13), hypertension (OR=1.87), hyperlipemia (OR=3.03), and low waist/hip ratio (OR=2.17) were the risk factors of type Ⅱdiabetes mellitus. Conclusion Intervention with typeⅡdiabetes mellitus in the suburban people should be focused on those with family diabetic history, hypertension, hyperlipemia, and low waist/hip ratio.