| 张宏,蒋升,徐焱成.新疆维吾尔族、哈萨克族和汉族糖尿病 前期人群血清尿酸及代谢综合征 分布的横断面研究[J].Chinese journal of Epidemiology,2013,34(10):958-960 |
| 新疆维吾尔族、哈萨克族和汉族糖尿病 前期人群血清尿酸及代谢综合征 分布的横断面研究 |
| A cross．．sectional study on serum Ulric acid level and the distrilbution of mel妇bolic syndrome among Uigur，Han and Kazak prediabetic groups in Xiinjiiang |
| Received:May 25, 2013 |
| DOI：10．3760/cma．j．issn．0254-6450．2013．10．003 |
| KeyWord: 糖尿病前期|尿酸水平|维吾尔族|哈萨克族 |
| English Key Word: ediabetic|Uric acid level|Uygur|Kzark |
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| Abstract: |
| 目的探讨新疆维吾尔(维)族、哈萨克(哈)族和汉族糖尿病前期人群血清尿酸水 平、血压和血脂异常，分析代谢综合征和肥胖的分布。方法对30一80岁2053名维族、2219名哈 族和2656名汉族居民进行糖尿病前期筛查，分析三组糖尿病前期人群代谢特点及比较组间差 异。结果(1)共筛查出糖尿病前期患者1934例(28．3％)，其中维族患病率最高(31．6％)，哈族最 低(25．5％)，汉族居中(27．O％)，组间比较差异有统计学意义(P=0．00)；(2)糖尿病前期患者高低 密度脂蛋白胆固醇血症比例高达80．5％，高尿酸血症患病率为30．3％，代谢综合征患病率为 58．3％，三组间比较差异无统计学意义(P>0．05)；(3)糖尿病前期患者88．o％合并有高血压及高血 压前期，其中哈族最高(96．8％)，维族为85．1％，汉族为83．7％，组间比较差异有统计学意义(z2= 59．959，P-----0．00)；(4)糖尿病前期患者合并肥胖总体为35．4％，汉族为29．6％，维族为36．8％，哈族 为41．o％，组间比较差异有统计学意义(f=19．097，P=0．00)。结论新疆维族、哈族和汉族人群 糖尿病前期患病率存在差异，以维族人群最高；糖尿病前期人群中普遍存在血脂异常、高血压、高 尿酸、代谢综合征及肥胖，其中哈族人群高血压患病率最高，维族人群肥胖患病率最高。 |
| English Abstract: |
| Objective To explore the levels of uric acid，blood pressure，serum 1．ipiid metabolic disorders and the distrfibution of obesity and metabolic syndr：ome(MS)among Uygnr．Han and Kazak pre-diabetic groups i[11 Xinjiang．Methads Across—sectional study was conducted on 2053 Uygur residents，22 l 9 Kazak residents and 2656 Han residents aged 30—80．all wiith prediabectic syndromes,．The pre--dialectic patients were divided into three groups for analysis on metabolic features and inter-group comparisons．Results (1)In totall，1934 pre-diabetic cases(28．3％)were diagnosed． with the highest prevalence(31．6％)seen jin Uygurs and thetowest(25．5％)：in Kazaks and medium (27．0％)j[11 Hans．Data from the inter-group comparison showed statistically significant di：fferences (P=0．00)．(2)Prevalence of high LDL-C was 80．5％．with hyperuricemia as 30．3％and MS as 58．3％，while the inter-group comparison did not show any statisticalty significant differences(P> 0．05)．(3)Prevalence of pre-diabetic when combined with hypertension or earlier-stage hypertension． reached 88．0％，with the highest(96．8％)among Kazak group，85．1％j111 Uygurs and 83．7％jin Han population．Data from the inter-group comparison showed statistically significant difference(59．959． P=0．00)．(4)The overall prevalence ofprediabectic．when combined with obesity was 35．/1％．wiith 29．6％in Han，36．8％i11 Uygur and 41．0％in Kazak groups．D,ata from the inter-group comparison showed statistically significant di．fference 2=19．097，P=0．00)．Clondusion According to Results from this cross-sectional study regarding the metabolic fe,atures of Uygur，Kazak and Han prediab,lectic groups，differences were seen in the prevalence rates of pre．-diabetic among Uygur Conclusion Kazak and Han ethnic groups，wiith the highest seen in Uygurs and the lowest i111 Kazaks．Hyperlipidemia，hypertension，hyperuricemia，MS and obesity were commonly seen in all the prediabectic groups，with the highest preva．1ence of hype．rtension seen in the Kazak group and the highest rate ofobesity in Uygur group． |
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