天津医药

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天津市老年人2型糖尿病流行病学调查

王虹月1,王建华2,职心乐1,朱红1,刘新民1   

  1. 1. 天津医科大学
    2.
  • 收稿日期:2010-04-19 修回日期:2010-08-16 出版日期:2011-02-15 发布日期:2011-02-15
  • 通讯作者: 王虹月

Research of type 2 diabetes prevalence in old age population in Tianjin

  • Received:2010-04-19 Revised:2010-08-16 Published:2011-02-15 Online:2011-02-15

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摘要： 摘要 目的 了解天津市老年人2型糖尿病的患病情况及其危险因素。方法 目标人群选择天津市区和乡镇年龄在60岁及以上的居民并满足居住5年及以上，按比例分层整群抽样抽取了4325人进行横断面调查。对抽样人群分别进行问卷调查、空腹血糖的检测以及体格检查。采用logistic回归分析方法探讨T2DM 相关的危险因素。 结果 天津市老年人群的高血糖筛查阳性率为21﹪，糖尿病患病率为16.43﹪，以2000年第五次全国人口普查数据资料标化后筛查阳性率为19.88﹪，糖尿病患病率为15.55﹪，其中女性筛查阳性率23.18%（标化率为21.19%），糖尿病患病率为18.42%（标化率为16.64%）均高于男性18.58%（标化率18.17%）和14.24%（标化率13.91%），差异有统计学意义（χ2值分别为13.12、13.05，均P<0.01）。城市男女筛查阳性率23.70%，24.69%和男性糖尿病患病率19.03%均高于农村，差异有统计学意义(χ2值分别为48.90、4.59、52.96，P<0.01、P<0.05、P<0.01)。多因素logistic回归分析显示，老年人2型糖尿病发病的可疑危险因素包括体重变化、糖尿病家族史、腰围（Waist）、高血压（OR值分别为1.105，3.642，1.038，1.476，均P<0.01）；可疑保护因素包括新鲜蔬菜、水果的摄入量多和乳制品摄入量多（OR值分别为0.292，0.497，0.663，0.707，0.681，0.883，均P<0.05）。结论 天津市的老年人2型糖尿病患病率与其他国内大城市老年糖尿病现患率相似。关于影响因素的分析主要是体重变化、家族史、腰围和高血压可能是发病的危险因素，鲜蔬摄入量多，水果和乳制品摄入量多可能为发病的保护性因素。

关键词: 2型糖尿病, 患病率, 老年人, 危险因素

Abstract: Abstract Objective To investigate the prevalence of type 2 diabetes and its risk factors in old population in Tianjin. Methods select the target population of urban and rural areas and meet the residents live 5 years and above. A cross-sectional study was conducted in this research. Using the multi-phasic stratified cluster sampling, we selected 4325 residents who are more than 60 years old in Tianjin. We collect information of risk factors throughout face-to-face questionnaire, fasting blood glucose and testing physical examination. Finally, unconditional multivariate logistic regression model was used to explore the risk factors for T2DM in old population. Results The prevalence of type 2 diabetes based on the criterion of FBG≥6.1mmol/l was21%（standardized prevalence:19.88%）；The prevalence of type 2 diabetes which based on the criterion of FBG≥7.0mmol/l is 16.43% (standardized prevalence:15.55%).And both of the prevalence in female was higher. The difference was statistically significant(χ2=13.12、13.05，both P<0.01).Upon the examination, the prevalence of type 2 diabetes which based on the criterion of FBG≥6.1mmol/l in male and female and the prevalence of type 2 diabetes in male which based on the criterion of FBG≥7.0mmol/l in urban was higher than that in rural, and the difference was statistically significant(χ2=48.90、4.59、52.96，P<0.01、P<0.05、P<0.01).The results of multivariate logistic regression showed that the risk factors for type 2 diabetes development in old population may be weight change, family history of diabetes, waist, hypertension(OR=1.105，3.642，1.038，1.476，all P<0.01). While the protective factors may be intake of more fresh vegetables, fruit, dairy(OR=0.292，0.497，0.663，0.707，0.681，0.883，all P<0.05). Conclusions The prevalence of type 2 diabetes in old population in Tianjin is similar to the level of the other big cities in china. Analysis of influencing factors are mainly changes of body weight, family history, waist and hypertension may be the risk factors, intake of more fresh vegetables, fruit, and dairy may be the protective factors.

Key words: Prevalence, Diabetes, Old age population, Risk factors