Division of Family Medicine, Department of Community Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2009 Dec;25(12):647-55. doi: 10.1016/S1607-551X(09)70570-4.
We implemented a nationwide population-based study in Taiwan to compare the physical and biochemical parameters, diet and exercise lifestyles, and prevalences of diabetes, hyperlipidemia, and hypertension between males and females, and to clarify the determinants of diabetes, hyperlipidemia, and hypertension in Taiwan. In this cross-sectional study, 7,578 subjects were selected from the general population by stratified random sampling for the Surveillance of Taiwanese Civil Health in 2002. Blood samples were taken and information on body composition, demographics, exercise and dietary habits, and medical and drug histories were obtained from structured interviews administered by well-trained interviewers. A total of 6,600 subjects (87.1%), aged 15.6-95.0 years old, completed the survey. The overall prevalences of diabetes, hyperlipidemia, and hypertension were 9.9%, 22.8%, and 15.7%, respectively, and hyperlipidemia (27.0%) and hypertension (19.2%) were more prevalent in males. Males were more likely to have high-fat and high-cholesterol diets, compared with females. Although there were differences in the prevalences of hyperlipidemia and hypertension between the sexes, adjusted logistic regression analysis demonstrated little contribution of diet and exercise habits to the risks of diabetes, hyperlipidemia, or hypertension after adjusting for age, sex, waist-to-hip ratio, serum blood sugar levels, cholesterol, triglycerides, apolipoprotein A1, apolipoprotein B, glutamate oxaloacetate transaminase, glutamate pyruvate transaminase, creatinine, uric acid, and blood pressure.
我们在台湾进行了一项全国性的基于人群的研究，旨在比较男性和女性之间的身体和生化参数、饮食和运动生活方式以及糖尿病、高脂血症和高血压的患病率，并阐明台湾地区糖尿病、高脂血症和高血压的决定因素。在这项横断面研究中，我们通过分层随机抽样从 2002 年台湾民众健康监测中选择了 7578 名受试者。采集血样，并通过受过良好培训的访谈员进行的结构化访谈获取身体成分、人口统计学、运动和饮食习惯以及医疗和药物史信息。共有 6600 名（87.1%）年龄在 15.6-95.0 岁的受试者完成了调查。糖尿病、高脂血症和高血压的总体患病率分别为 9.9%、22.8%和 15.7%，男性的高脂血症（27.0%）和高血压（19.2%）更为常见。与女性相比，男性更有可能食用高脂肪和高胆固醇饮食。尽管男女之间的高脂血症和高血压患病率存在差异，但在调整年龄、性别、腰臀比、血清血糖水平、胆固醇、甘油三酯、载脂蛋白 A1、载脂蛋白 B、谷草转氨酶、谷丙转氨酶、肌酐、尿酸和血压后，饮食和运动习惯对糖尿病、高脂血症或高血压的风险贡献不大。
