文章摘要
程改平,戴婷婷,柳园,廖晓阳,刘健康,任长久,张晓玲.成都市城乡居民糖尿病患病率及影响因素研究[J].中华流行病学杂志,2014,35(4):386-389
成都市城乡居民糖尿病患病率及影响因素研究
revalence and related risk factors among residents with diabetes in urban and rural areas in ChefIgdu
收稿日期:2013-10-18  出版日期:2015-04-27
DOI:10.3760/cma.j.issn.0254-6450.2014.04.009
中文关键词: 糖尿病  膳食模式  因子分析  影响因素
英文关键词: Diabetes  Dietary pattem  Factor analysis  Influencing factors
基金项目:四川省卫生厅科研课题(080273,090324)
作者单位E-mail
程改平 四川大学华西医院临床营养科, 成都 610041  
戴婷婷 四川大学华西医院临床营养科, 成都 610041  
柳园 四川大学华西医院临床营养科, 成都 610041  
廖晓阳 全科医学科/临床流行病学与循证医学中心 liaoxiaoyang@sohu.com 
刘健康 成都市建设路社区卫生服务中心  
任长久 大邑县卫生院  
张晓玲 大邑县卫生院  
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中文摘要:
      目的 探讨成都市城乡居民糖尿病患病率及其影响因素。方法 采用整群抽样方法 抽取1847名成都市城乡居民,利用问卷调查居民一般情况及过去一年食物摄人情况,测量身高、体重,并行口服葡萄糖耐量试验,在总人群和城乡居民中分别以因子分析提取膳食模式,并以多因素非条件logistic回归分析糖尿病影响因素。结果 调查对象中糖尿病患病率达23.2%,人口标化患病率为20.2%;城乡居民糖尿病患病率分别为28.7%和11.1%。经logistic回归分析,总人群中,与青年人比较,中年人(OR=2.337,95%Cl:1.305~4.185)和老年人(OR=5.990,95%Cl:3.389~10.586)有更高的糖尿病患病风险;职业为管理人(OR=1.434,95%Cl:1.000~2.057)和普通职员(OR=2.870,95%CI:1.653~4.980)较务农人员有更高的患病风险。城市居民中,中年人(OR=2.973,95%CI:1.101~8.031)和老年人(OR=5.972,95%Cl:2.267~15.730)与青年人比较有更高的患病风险;职业为普通职员(OR=2.196,95%C1:1.213~3.975)较务农人员有更高的患病风险;在农村居民中,高能量高蛋白膳食模式者(OR=1.404,95%Cl:1.113-1.772)有更高的糖尿病风险。结论 成都市城乡居民糖尿病患病率较高,年龄、职业和膳食结构均对糖尿病有影响,且影响因素存在差异,营养改善工作应按照城乡人群特点区分。
英文摘要:
      Objective To determine the prevalence of diabetes meltitus and related riskfactors among residents in the urban and rural area of Chengdu.Methods A cluster sampling wasused to establish a study population of inhabitants aged 30 to 70.Totally,1 847 participlants wereenrolled in this study.Questionnaire including general information and dietary information in the past year was used to collect related data.Height,bodv weight and oral glucose tolerance test(0GTT)were measured.Factor analysis was used to analyze the dietary pattern while multivariateunconditional logistic regression used for risk factors in totalpopulation,urban and rural residents,respectively.Results The population standardized prevalence rates of diabetes in the overall。urbanand rural residents were 20.2%,28.7%,11.1%,respectively.Among totaI population,middle。aged(OR=2.337,95%Cl:1.305-4.185)and the elderly(OR=5.990,95%Cl 3.389-10.586)residents hadhigher diabetes risk than the younger ones.Administrators(OR=1.434,95%Cl:1.000-2.057)andordinary clerks(OR=2.870,95%Cl 1.653-4.980)were more vulnerable to diabetes than peasants.Similarly.middle.aged(OR=2.973,95%Cl:1.101-8.031)and elderly(OR=5.972,95%Cl:2.267-15.730)turned out to be more predisposed than young people in the urban area.Compared withpeasants.ordinary clerks(OR=2,196,95%Cl:1.213-3.975)seemed to be more liable to diabetes.Inthe mral areas.dietary pattem with higher energy and protein(OR=1.404,95%Cl 1.113-1.772)could be subject to diabetes.Conclusion The prevalence of diabetes in Chengdu was relatively highfactors.The factors in different districts are vaious.Intervention on nutrition should be different,area-wise.
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