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成都农村糖尿病及糖尿病前期人群的血脂水平

[Levels of serum lipids in rural populations with diabetes and pre-diabetes in Chengdu].

作者信息

Liao Xiao-yang, Zhang Wei, Wang Wei-wen, Li Shuang-qing, Zhao Qian

出版信息

Sichuan Da Xue Xue Bao Yi Xue Ban. 2014 May;45(3):447-50.

Abstract

OBJECTIVE

To investigate the serum lipid levels in rural residents with diabetes and pre-diabetes conditions in Chengdu.

METHODS

Random cluster sampling method was employed to select participants of 35-70 year-old rural residents in Chengdu. The participants (n=971) were given standard 75 g oral glucose tolerance tests (OGTT) and divided into five groups: impaired fasting glucose (IFG) group, impaired glucose tolerance (IGT) group, IFG and IGT (IFG+ IGT) group, diabetes mellitus (DM) group and normal glucose tolerance (NGT) group. Their serum total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-c) and low density lipoprotein cholesterol (LDL-c) were measured.

RESULTS

The age-adjusted standardized prevalence of DM and pre-diabetes in rural residents in Chengdu were 12.8% and 34.5%, respectively, without significant gender differences. IGT was the most common type of abnormal glucose metabolism in pre-diabetes. High serum TG and LDL-c and low serum HDL-c were found in 45.9%, 30.6% and 9.9% participants with DM, respectively. High serum LDL-c and TG and low serum HDL-c were found in 38.1%, 30.6% and 7.6% of participants with IGR. Participants with DM or/and IGR had higher levels of LDL-c and TG and lower levels of HDL-c than those in the NGT group.

CONCLUSION

Pre-diabetes and diabetes are prevalent in rural residents in Chengdu, which are usually accompanied with various degrees of dyslipidemia.

摘要

目的

调查成都农村地区糖尿病及糖尿病前期居民的血脂水平。

方法

采用随机整群抽样方法选取成都市35 - 70岁农村居民作为研究对象。对971名研究对象进行标准75g口服葡萄糖耐量试验(OGTT),并分为五组:空腹血糖受损(IFG)组、糖耐量受损(IGT)组、IFG合并IGT(IFG + IGT)组、糖尿病(DM)组和糖耐量正常(NGT)组。检测其血清总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL - c)和低密度脂蛋白胆固醇(LDL - c)水平。

结果

成都农村居民中DM和糖尿病前期的年龄调整后标准化患病率分别为12.8%和34.5%,无明显性别差异。IGT是糖尿病前期最常见的糖代谢异常类型。DM患者中血清TG升高、LDL - c升高和HDL - c降低的比例分别为45.9%、30.6%和9.9%。IGR患者中血清LDL - c升高、TG升高和HDL - c降低的比例分别为38.1%、30.6%和7.6%。DM或/和IGR患者的LDL - c和TG水平高于NGT组,HDL - c水平低于NGT组。

结论

成都农村居民中糖尿病前期和糖尿病患病率较高,且常伴有不同程度的血脂异常。

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