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中年女性职业及糖尿病前期状态与肥胖的关联

Association of Occupational & Prediabetes Statuses with Obesity in middle aged Women.

作者信息

Pranita A, Balsubramaniyan B, Phadke A V, Tambe D B, Apte G M, Kharche J S, Godbole Gayatri, Joshi A R

机构信息

Assistant Professor, Department of Physiology, Bharati Vidyapeeth Deemed University Medical College , Dhanakawadi.

出版信息

J Clin Diagn Res. 2013 Jul;7(7):1311-3. doi: 10.7860/JCDR/2013/5466.3134. Epub 2013 Jul 1.

Abstract

BACKGROUND

The association between Type 2 Diabetes Mellitus and Obesity is very close. The prediabetes status i.e Impaired Fasting Glucose (IFG) reflects an intermediate condition between normality and diabetes. The socioeconomic position (SEP) is one of the non traditional determinants of type 2 DM. The occupational status, which is a good indicator of the socioeconomic status, also indicates the level and the type of stress that they are exposed to, as well as the individual lifestyle choices. The present work was planned to study the relationship of the prediabetic status with obesity and the occupational status by estimating the Fasting Blood Glucose (FBG) levels.

OBJECTIVES

To study the association of the occupational status with the fasting blood glucose levels and obesity in middle aged women.

METHOD

The Fasting Blood Glucose levels and the BMI were estimated in 300 asymptomatic middle aged women who had no family history of Type 2 Diabetes Mellitus (D.M.), who had been divided into the Control (I), the Pre - obese (IIa) and the Obese groups (IIb). The occupational status was broadly divided into the categories of housewives and service women. The results was analysed statistically by using the correlation coefficient and the 'z' test.

RESULT

The mean FBG levels in the pre - obese and the obese groups were higher than those in the control group. We found significant differences in the FBG levels in the normal weight, the pre - obese as well as in the obese groups among the service women, but no significant correlation was found in the pre - obese and the obese groups. Among the housewives, we found significant differences in the FBG levels of the normal weight and the obese groups, but not in the pre - obese group. Also, no significant correlation was found in the pre - obese and obese groups among the service women.

CONCLUSION

The BMI may be good risk predictor for Type 2 D.M. irrespective of the occupational status, especially in middle aged women.

摘要

背景

2型糖尿病与肥胖之间的关联非常密切。糖尿病前期状态,即空腹血糖受损(IFG)反映了正常与糖尿病之间的中间状态。社会经济地位(SEP)是2型糖尿病的非传统决定因素之一。职业状况是社会经济地位的一个良好指标,它还表明了他们所面临的压力水平和类型,以及个人的生活方式选择。本研究旨在通过估计空腹血糖(FBG)水平来研究糖尿病前期状态与肥胖及职业状况之间的关系。

目的

研究中年女性的职业状况与空腹血糖水平及肥胖之间的关联。

方法

对300名无2型糖尿病家族史的无症状中年女性进行空腹血糖水平和体重指数(BMI)评估,这些女性被分为对照组(I)、超重前期组(IIa)和肥胖组(IIb)。职业状况大致分为家庭主妇和职业女性两类。使用相关系数和“z”检验对结果进行统计学分析。

结果

超重前期组和肥胖组的平均空腹血糖水平高于对照组。我们发现职业女性中正常体重、超重前期以及肥胖组的空腹血糖水平存在显著差异,但超重前期组和肥胖组之间未发现显著相关性。在家庭主妇中,我们发现正常体重组和肥胖组的空腹血糖水平存在显著差异,但超重前期组没有。此外,职业女性的超重前期组和肥胖组之间也未发现显著相关性。

结论

无论职业状况如何,尤其是在中年女性中,BMI可能是2型糖尿病的良好风险预测指标。

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