江西省成年居民糖调节受损和糖尿病患病状况及影响因素分析

程冷眉; 朱丽萍; 颜玮; 陈轶英; 刘杰; 吉路; 徐艳; 何军荣

doi:10.16462/j.cnki.zhjbkz.2018.05.015

江西省成年居民糖调节受损和糖尿病患病状况及影响因素分析

doi: 10.16462/j.cnki.zhjbkz.2018.05.015

程冷眉¹,
朱丽萍^1,2, ,,
颜玮²,
陈轶英²,
刘杰²,
吉路²,
徐艳²,
何军荣³

1. 南昌大学公共卫生学院流行病与卫生统计学系, 江西南昌 330006;
2. 江西省疾病预防控制中心慢性非传染性疾病防制所, 江西南昌 330029;
3. 赣州市人民医院质量管理办公室, 江西赣州 341000

基金项目:

中央财政转移支付地方项目"中国慢病监测"（2013）；江西省卫生厅科技计划（20143183）

详细信息

作者简介:
程冷眉(1992-),女,海南儋州人,在读硕士研究生。主要研究方向:慢性病预防与控制。

中图分类号: R587.1;R181.2
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出版历程
- 收稿日期: 2017-12-24
- 修回日期: 2018-02-05

Analysis on prevalence and risk factors of impaired glucose regulation and diabetes mellitus among adult inhabitants in Jiangxi Province

1. Department of Epidemiology and Health Statistics, School of Public Health, Nanchang University, Nanchang 330006, China;
2. Department of Non-Communicable Chronic Disease Prevention, Jiangxi Center for Disease Control and Prevention, Nanchang 330029, China;
3. Office of Quality Management, Ganzhou People's Hospital, Ganzhou 341000, China

摘要

摘要: 目的了解江西省成年居民糖调节受损（impaired glucose regulation，IGR）和糖尿病（diabetes mellitus，DM）患病状况及影响因素。方法采用多阶段分层整群随机抽样的方法，对10个慢性病监测点5 904名成年居民进行询问调查、身体测量和实验室检测，收集个人相关特征、血压、血糖、血脂等情况。结果江西省成年居民空腹血糖受损（impaired fasting glucose，IFG）、糖耐量受损（impaired glucose tolerance，IGT）、IGR和糖尿病标化患病率分别为4.41%、7.42%、11.81%和6.69%。不同性别、地区人群各指标患病率均随年龄增加呈上升趋势。IGR患病的危险因素包括年龄增大、超重或肥胖、危险饮酒、高总胆固醇（total cholesterol，TC）血症、高甘油三酯（triglycerides，TG）血症和低高密度脂蛋白胆固醇（high-density lipoprotein cholesterol，HDL-C）血症（均有P<0.05）；DM患病的危险因素包括年龄增大、超重或肥胖、高TG血症、高低密度脂蛋白胆固醇（low-density lipoprotein cholesterol，LDL-C）血症、低HDL-C血症和高血压（均有P<0.05）。结论江西省成年居民IFG、IGT、IGR和DM患病率较高，应加强对可控危险因素的干预，积极应对IGR人群，降低DM的发生。
- 糖尿病 /
- 慢性病 /
- 患病率 /
- 危险因素
Abstract: Objective To explore the prevalence and risk factors of impaired glucose regulation (IGR) and diabetes mellitus (DM) among adult residents in Jiangxi Province.Methods A total of 5 904 adult residents from 10 disease surveillance points were selected by multistage stratified cluster random sampling methods. Personal characteristics, blood pressure, blood glucose and blood lipids were collected by questionnaires, physical examinations and laboratory tests.Results The standardized prevalence rates of impaired fasting glucose (IFG), impaired glucose tolerance (IGT), IGR and DM were 4.41%, 7.42%, 11.81% and 6.69%, respectively. The findings suggested that there was an upward trend in the prevalence rates of IFG, IGT, IGR and DM as age increased. The increase of age, overweight or obesity, hazardous drinking, hypercholesterolemia, hypertriglyceridemia and low high-density lipoprotein cholesterol (HDL-C) were risk factors of IGR (all P<0.05). The increase of age, overweight or obesity, hypertriglyceridemia, high low-density lipoprotein cholesterol, low HDL-C and hypertension were risk factors of DM (all P<0.05).Conclusions The prevalence rates of IFG, IGT, IGR and DM were high among adult residents in Jiangxi Province. We should strengthen intervention in controllable risk factors, actively respond to the IGR population and reduce the incidence of DM.
- Diabetes mellitus /
- Chronic disease /
- Prevalence /
- Risk factors