蚌埠市中青年人群未诊断糖尿病风险因素研究

刘华青; 张敏; 林玲; 吴学森; 金齐力

doi:10.13898/j.cnki.issn.1000-2200.2019.02.030

蚌埠市中青年人群未诊断糖尿病风险因素研究

Study on the risk factors of undiagnosed diabetes among young and middle-aged people in Bengbu city

摘要

摘要:
目的探讨蚌埠市社区中青年人群未诊断糖尿病状况及其风险因素，为糖尿病早期发现、早期诊断及早期干预提供参考。
方法自蚌埠市龙子湖区7个社区随机抽选1 424例无糖尿病史者作为研究对象，通过问卷调查、人体测量和实验室检测获取信息。空腹血糖≥7.0 mmol/L或糖化血红蛋白≥6.5%界定为未诊断糖尿病。
结果共调查1 424例，未诊断糖尿病病人142例（10.0%）。多因素logistic回归分析显示，年龄增加、高血压病史、糖尿病家族史、腰围增加、肥胖、每日蔬菜摄入量少于400 g和每日不吃水果均是未诊断糖尿病的独立风险因素（P < 0.05~P < 0.01）。
结论蚌埠市社区中青年人群未诊断糖尿病比例仍然较高，腰围、肥胖、吸烟、蔬菜和水果摄入量等个体可控制因素与其发生密切相关。

Abstract:
ObjectiveTo investigate the incidence of undiagnosed diabetes, and its risk factors among young and middle-aged people in community of Bengbu city for providing the valuable information in the early detection, diagnosis and intervention of undiagnosed diabetes.
MethodsOne thousand four hundred and twenty-four people without diabetes history from seven communities in Longzihu district of Bengbu were investigated.The information of somatometry and laboratory biochemical test was obtained by questionnaire.The fasting plasma glucose ≥ 7.0 mmol/L or HbA1c ≥ 6.5% were defined as diabetes.
ResultsAmong 1 424 participants without diagnosed diabetes, 142 people were with undiagnosed diabetes.The results of multiple logistic regression analysis showed that the age increasing, hypertension, family history of diabetes, waist circumference increasing, obesity, eating less than 400 g of vegetables a day and no intaking fruit everyday were the independent risk factors of undiagnosed diabetes(P < 0.05 to P < 0.01).
ConclusionsThe proportion of undiagnosed diabetes is high among young and middle-aged people in community of Bengbu.The controllable factors(including the waist circumference, obesity, smoking, daily consumption of vegetable and fruit are closely related to the incidence of undiagnosed diabetes.

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