吉林省长春市老年人2型糖尿病及糖调节受损患病现况及影响因素分析

doi:10.13481/j.1671-587x.20150535

Abstract

Abstract:

Objective To investigate the prevalence of type 2 diabetes(T2DM)and impaired glucose regulation(IGR) in Changchun city in Jilin province,and to analyze its influencing factors and provide the evidence for the prevention and treatment of T2DM. Methods 847 elderly aged over 60 from six districts of Changchun city in Jilin province were selected by multistage stratified random cluster sampling method.The investigation was conducted by the combination of questionnaire and physical examinations.According to the 1999 diagnosis criteria of WHO and self-report,the citizens were divided into normal glucose tolerance group(NGR,n=541),impaired glucose regulation group (IGR,n=150),and type 2 diabetes mellitus group(T2DM,n=158).The levels of height,body mass index(BMI),blood pressure,blood glucose,and blood lipid of the objects in various groups were compared.Maltivariate Logistic regression was carried out to analyze the influencing factors of T2DM. Results The prevalence rates of IGR and T2DM were 17.7% and 18.6% respectively in the people aged over 60 years in Changchun city in Jilin province;the prevalence rates in male with IGR and T2DM had no significant difference compared with those in female(P>0.05);there were significant differences in the SBP,DBP,BMI,and TG levels of the objects between NGR,IGR,and T2DM groups(P<0.05);the level of TG of the objects in NGR group was higher than that in IGR group(P<0.05).Both the SBP and BMI of the objects in T2DM group were higher than those in IGR group(P<0.05).The SBP,DBP,BMI,and TG levels of the objects in T2DM group were higher than those in NGR group(P<0.05).The multivariate Logistic regression results showed that BMI may be the influencing factor of T2DM. Conclusion The prevalences of IGR and T2DM are high in the citizens aged over 60 in Changchun city in Jilin province;some biochemistry indexes are abnormal in the stage of IGR,and BMI may increase the risk of diabetes.We should take comprehensive measures to control the incidence of diabetes and reduce the prevalence.

Key words: diabetes mellitus,type 2, impaired glucose regulation, influencing factors

CLC Number:

R587.1

MA Yuan, FANG Fang, CUI Weiwei, GAO Tianlin, ZHENG Feng, WANG Yuejuan, TIAN Huimin, LIU Ya. Analysis on condition and influencing factors of T2DM and IGR of elderly in Changchun city in Jilin province[J].Journal of Jilin University Medicine Edition, 2015, 41(05): 1060-1065.

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Analysis on condition and influencing factors of T2DM and IGR of elderly in Changchun city in Jilin province

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