Abstract
马骏,王建华,王正伦,刘新民.2型糖尿病危险因素的病例对照研究[J].Chinese journal of Epidemiology,2001,22(5):365-367
2型糖尿病危险因素的病例对照研究
A case-control study of risk factors for type 2 diabetes mellitus
Received:February 20, 2001  
DOI:
KeyWord: 2型糖尿病  胰岛素抵抗  危险因素  病例对照研究
English Key Word: Type 2 diabetes mellitus  Insulin resistance  Risk factor  Case control study
FundProject:
Author NameAffiliation
MA Jun 天津医科大学公共卫生学院卫生统计学教研室 300070 
WANG Jianhua 流行病学教研室 
WANG Zhenglun 流行病学教研室 
刘新民 流行病学教研室 
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Abstract:
      目的研究胰岛素抵抗等因素与2型糖尿病的关系。方法对根据WHO诊断标准确诊的102例2型糖尿病病人进行1∶1配比病例对照研究,采用条件logistic回归分析方法处理资料。结果单因素分析结果显示胰岛素抵抗与2型糖尿病发病有关,OR值为1.530(95%CI:1.234~1.896),用可能起混杂作用的多重因素调整后,这种关系依然存在。结论胰岛素抵抗是2型糖尿病病因,并且其作用相对独立。
English Abstract:
      Objective The prevalence of type 2 diabetes mellitus is increasing so to investigate the relation between insulin resistance and development of type 2 diabetes mellitus. Methods A 1∶1 pair matched case control study was conducted with diagnostic criteria recommended by WHO. Controls matched with cases by age, sex, race and resident place. Information on demographic, history of disease, life style were obtained through questionnaire. Variables including fasting blood glucose (FBG), fasting blood insulin (FBI), total cholesterol (TC), triglyceride (TG), waist to hip ratio (WHR),waist to thigh ratio (WTR) were measured for every subject. Conditional logistics regression was used for data analysis. Results The results showed that insulin resistance, history of hypertension and waist to hip ratio were associated with type 2 diabetes mellitus. The values of OR were 1.530 (95% CI : 1.234 - 1.896 ), 4.833 (95% CI : 1.996 - 11.703 ), 21.996 (95% CI : 5.461 - 88.593 ), respectively. Conclusion Insulin resistance was risk factor causing type 2 diabetes mellitus, independent of other risk factors.
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