银川地区常住人口2型糖尿病流行病学调查

摘要

目的 了解银川地区18岁以上常住居民T2DM患病率及其影响因素,为T2DM及其并发症的防治提供理论依据. 方法 采用整群随机抽样的方法,对银川东苑等社区2900名常住居民进行体格检查、问卷调查及血液生化等指标检测. 结果 T2DM患病率为3.9％,IFG患病率为4.06％.其中男、女患病率分别为3.7％和4.1％,差异无统计学意义(x2T2DM=0.076,P＞0.05);IFG患病率男3.0％,女5.2％,差异有统计学意义(P＜0.05).随着年龄增加T2DM和IFG患病率呈升高的趋势(趋势x2T2DM=71.239,P＜0.01;趋势x2IFG=35.148,P＜0.01);多因素Logistic回归显示年龄、常吃水果、劳动强度、BMI、SBP、糖尿病家族史与T2DM有关.结论 肥胖是诱发糖尿病的重要危险因素;高血糖、高血压、高血脂和高体重常常并存代谢综合征,共同损害血管.应合理膳食,加强体育锻炼,预防糖尿病的发生.%Objective To study the prevalence and risk factors of type 2 diabetes mellitus (T2DM) in residents of Yinchuan and to provide theoretical basis for the prevention and control of T2DM and its complications. Methods Multi-stage random cluster sampling was used to analyze 2900 recruited subjects who were 18 years of age or over and were permanent residents of Yinchuan dongyuan and other communities. Data were collected through door to door survey, physical examination and laboratory testing. Risk factors of DM were analyzed by Logistic regression. Results The prevalence of T2DM and IFG were 3. 9% and 4. 06% respectively. The gender specific rate for DM was 3. 7% for male and 4. 1% for female (X2T2DM=0. 076,P>0. 05). The prevalence of IFG was higher in female(5. 2%) than in male (3. 0%). The total prevalence rate of T2DM and IFG was increased with age, and Multi-logistic regression indicated that age, fruits intake, physical activity level, BM1, SBP and the family history of DM were related with T2DM. Conclusions Obesity, dyslipidemia, hypertension are the major factors associated with T2DM. Residents need rational diet and do more physical exercises to prevent DM.