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印度尼西亚城市劳动年龄人群糖尿病的患病率及临床特征

Prevalence and clinical profile of diabetes mellitus in productive aged urban Indonesians.

作者信息

Mihardja Laurentia, Soetrisno Uken, Soegondo Sidartawan

机构信息

National Institute Health Research and Development of Indonesia Jakarta Indonesia.

Department of Internal Medicine Medical Faculty University of Indonesia Jakarta Indonesia.

出版信息

J Diabetes Investig. 2014 Sep;5(5):507-12. doi: 10.1111/jdi.12177. Epub 2013 Dec 1.

Abstract

AIMS/INTRODUCTION: To estimate the prevalence and clinical profile of diabetes mellitus in productive aged urban Indonesians based on the National Basic Health Research 2007.

MATERIALS AND METHODS

The statistical analyses of a cross-sectional survey included the data of 15,332 adults, aged 18-55 years, living in an urban area. Blood glucose was measured by an automatic clinical chemistry analyzer by 2-h, 75-g post glucose load after an overnight fast. Weight, height, waist circumference and blood pressure data were measured and recorded, whereas the sociodemographic and prior illness data were collected by interviewing the participants.

RESULTS

The prevalence of diabetes mellitus in productive age urban Indonesians was 4.6%, consisting of 1.1% previously diagnosed diabetes mellitus and 3.5% undiagnosed diabetes mellitus. Diabetes mellitus affected more women than men, which increased with age, was higher among the high socioeconomic group and increased with increasing body mass index. The prevalence of diabetes mellitus was higher in centrally obese people. Hypertension was highly related with diabetes mellitus occurrence. The prevalence of previously diagnosed diabetes mellitus with overweight or obese was 68.4%, with central obesity 41.7%, with hypertension 41.4% and with dyslipidemia more than 50%. The prevalence of undiagnosed diabetes respondents with overweight or obese was 68,7%, with central obesity 43.8%, with hypertension 49.4% and with dyslipidemia more than 50%.

CONCLUSIONS

These results show that comprehensive strategies for the prevention and control of the problem of diabetes are urgently required.

摘要

目的/引言:基于2007年全国基础卫生研究,评估印度尼西亚城市劳动年龄人群中糖尿病的患病率及临床特征。

材料与方法

一项横断面调查的统计分析纳入了15332名年龄在18 - 55岁、居住在城市地区的成年人的数据。空腹过夜后,通过自动临床化学分析仪测量2小时、75克葡萄糖负荷后的血糖。测量并记录体重、身高、腰围和血压数据,同时通过访谈参与者收集社会人口统计学和既往疾病数据。

结果

印度尼西亚城市劳动年龄人群中糖尿病的患病率为4.6%,其中1.1%为既往诊断的糖尿病,3.5%为未诊断的糖尿病。糖尿病在女性中的影响大于男性,随年龄增长而增加,在高社会经济群体中更高,且随体重指数增加而增加。中心性肥胖人群中糖尿病的患病率更高。高血压与糖尿病的发生高度相关。既往诊断的糖尿病患者中,超重或肥胖者的患病率为68.4%,中心性肥胖者为41.7%,高血压患者为41.4%,血脂异常患者超过50%。未诊断的糖尿病受访者中,超重或肥胖者的患病率为68.7%,中心性肥胖者为43.8%,高血压患者为49.4%,血脂异常患者超过50%。

结论

这些结果表明,迫切需要制定全面的糖尿病预防和控制问题策略。

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