天津医药

天津医药 ›› 2019, Vol. 47 ›› Issue (6): 640-645.doi: 10.11958/20181640

• 临床研究 • 上一篇    下一篇

大港油田地区不同性别及BMI的工作人群糖尿病风险因素分析

田秀标1 ， 马健1 ， 金娜娜2 ， 石节丽2 ， 刘艳2 ， 朱铁虹3△   

  1. 1天津市西青医院内分泌科 （邮编300380）； 2天津海滨人民医院内分泌与营养科； 3天津医科大学总院内分泌科
  • 收稿日期:2018-10-30 修回日期:2019-04-16 出版日期:2019-06-15 发布日期:2019-06-15
  • 通讯作者: 田秀标 E-mail:15022754681@163.com
  • 基金资助:
    2014年滨海新区卫生局科技项目

Analysis of diabetes risk factors of workers with different genders and BMI in Dagang oilfield

TIAN Xiu-biao1 , MA Jian1 , JIN Na-na2 , SHI Jie-li 2 , LIU Yan2 ， ZHU Tie-hong3△   

  1. 1 Department of Endocrinology, Tianjin Xiqing Hospital, Tianjin 300380, China; 2 Department of Endocrinology and Nutriology, Tianjin Seashore People's Hospital; 3 Department of Endocrinology, Tianjin Medical University General Hospital
  • Received:2018-10-30 Revised:2019-04-16 Published:2019-06-15 Online:2019-06-15
  • Contact: Xiu-Biao TIAN E-mail:15022754681@163.com
  • Supported by:
    Science and technology project of Binhai New Area Health Bureau of china

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摘要： 摘要： 目的 探讨大港油田地区不同性别工作人群及不同体质量指数 （BMI） 亚组的糖尿病风险因素。方法 采用横断面研究方法， 通过芬兰糖尿病风险评分问卷确定高风险人群， 将其分为糖尿病组和非糖尿病组。采用多因素 logistic回归分析不同性别及不同BMI亚组人群的糖尿病风险因素。结果 研究纳入1 995例， 男性985例 （49.4%）。男性人群糖尿病风险因素中血糖升高史 （HHBG） 风险比最高 （OR=3.183， 95%CI： 1.921~5.272）， 其次为年龄、 天冬氨酸转氨酶 （AST）、 高血压及治疗史 （HHT）、 吸烟， 三酰甘油 （TG） 风险最低 （OR=1.494， 95%CI： 1.033~2.162）； 女性人群中丙氨酸转氨酶 （ALT） 风险比最高 （OR=2.383， 95%CI： 1.153~4.927）， 其次为腰围、 TG和年龄， HHBG风险比最低（OR=2.081， 95%CI： 0.947~4.571）； BMI＜23.9 kg/m2 亚组男性风险因素为HHBG、 TG， 女性为年龄、 TG； 24.0 kg/m2 ≤ BMI＜27.9 kg/m2 亚组男性风险因素为年龄、 HHBG、 HHT， 女性为年龄、 ALT、 TG； BMI≥28.0 kg/m2 亚组男性风险因素为 HHBG、 HHT、 AST、 ALT， 女性为年龄。结论 油田地区男性工作年龄人群糖尿病主要风险因素依次为HHBG、 年龄、 AST、 HHT、 吸烟、 TG， 在不同BMI亚组中HHBG始终为糖尿病风险因素； 女性依次为ALT、 腰围、 TG、 年龄、 HHBG， 年龄成为不同BMI亚组共同风险因素。

关键词: 糖尿病, 2型, 危险因素, 人体质量指数, 年龄因素, 横断面研究, 油田

Abstract: Abstract: Objective To investigate the diabetes risk factors of working age people with different sex and body mass index (BMI）levels in Dagang oilfield. Methods A cross-sectional study was conducted by the Finland diabetes risk score questionnaire to determine the increased risk population, which was divided into diabetes mellitus group and non-diabetes mellitus group. Multivariate logistic regression was used to examine the risk factors of diabetes for different sex and BMI groups. Results The study population comprised 1 995 participants with 985 (49.4%) males. The highest diabetes risk factor of male was the history of high blood glucose (HHBG, OR=3.183, 95%CI: 1.921-5.272), followed by age, aspartate aminotransferase (AST), history of hypertension, history of treatment (HHT) and smoking, with the lowest risk of triglyceride (TG, OR=1.494, 95%CI: 1.033-2.162), while the highest in female was alanine aminotransferase (ALT, OR=2.383, 95%CI: 1.153-4.927), followed by waist circumference (WC), total triglyceride (TG) and age, with the lowest risk of HHBG (OR= 2.081, 95%CI: 0.947-4.571). The risk factors in BMI＜23.9 subgroup for men were the HHBG and TG, while age and TG were risk factors for women. The risk factors in 24.0≤BMI＜27.9 subgroup for men were the age, HHBG and HHT, while age, ALT, and TG were risk factors for women. The risk factors of BMI≥28.0 subgroup were HHBG, HHT, AST and ALT, while only the age for women. Conclusion The main diabetes risk factors of male from high to low are HHBG, age, AST, HHT, smoking and TG, and HHBG is always the risk factor for diabetes in different BMI subgroups. The risk factors of female diabetes are ALT, WC, TG, age, and HHBG in turn. Age is the common risk factor of different BMI subgroups.

Key words: diabetes mellitus, type 2, risk factors, body mass index, age factors, cross-sectional studies, oil field