Chen Xiaoying, Wu Zhaofan, Wang Xuecai, Chen Yue, Dong Xiaolian, Zhu Jianfu, Xiao Tian, Jiang Qingwu, Fu Chaowei
Department of Epidemiology, School of Public Health, and Key Laboratory of Public Health Safety, Fudan University, Shanghai 200032, China.
Wei Sheng Yan Jiu. 2017 Nov;46(6):868-887.
To describe the prevalence of type 2 diabetes mellitus( T2 DM) in rural Deqing County, Zhejiang Province, and explore its risk factors.
Random cluster sampling was used to select 8 rural communities in Deqing County, Zhejiang Province, and a cross-sectional survey was conducted in 2006-2008, 2011-2012 and 2013-2014, respectively. Totally, 6562 eligible subjects were investigated in 2006-2008, 11 763 eligible subjects in 2011-2012, and 10 904 eligible subjects in 2013-2014. Data on demography, life style and disease history, and physical examination such as height, weight and blood pressure were collected. Also, fasting plasma glucose was tested. T2 DM was defined as who having fasting plasma glucose ≥7. 0 mmol/L or was diagnosed by doctors or receiving diabetic treatment.
In 2006-2008, 2011-2012 and 2013-2014, the standardized prevalences of T2 DM were 1. 2%, 1. 6% and 2. 1% and those of impaired fasting glucose( IFG) were 7. 2%, 18. 7% and22. 8%, respectively. There were increasing trends over years for both. After adjustment for other covariates in logistic regression, age( compared with age between 18 to 39. 9 years old: aOR_(40-59. 9)= 5. 20, 95% CI 2. 74-9. 89; aOR_(60-)= 8. 02, 95% CI 4. 19-15. 35), female( aOR = 1. 23, 95% CI 1. 02-1. 49), family history of T2 DM( aOR =4. 86, 95% CI 3. 49-6. 77), overweight/obesity( overweight: aOR = 1. 88, 95% CI1. 61-2. 20; obesity: aOR = 5. 10, 95% CI 4. 06-6. 41), hypertension( aOR = 2. 84, 95% CI 2. 44-3. 31), having meat mainly( aOR = 2. 25, 95% CI 1. 89-2. 69) and tea drinking( aOR = 0. 81, 95% CI 0. 68-0. 95) were significantly correlated with T2 DM.
The prevalence of T2 DM increased over time in rural Deqing County, China. Age, gender, family history of T2 DM, overweight or obesity, hypertension, diet and drinking tea were significantly related to T2 DM.
描述浙江省德清县农村地区2型糖尿病（T2DM）的患病率，并探讨其危险因素。
采用随机整群抽样法选取浙江省德清县8个农村社区，分别于2006 - 2008年、2011 - 2012年和2013 - 2014年进行横断面调查。2006 - 2008年共调查6562名符合条件的对象，2011 - 2012年为11763名，2013 - 2014年为10904名。收集人口统计学、生活方式和疾病史数据，以及身高、体重和血压等体格检查数据。同时，检测空腹血糖。T2DM定义为空腹血糖≥7.0 mmol/L或经医生诊断或正在接受糖尿病治疗者。
2006 - 2008年、2011 - 2012年和2013 - 2014年，T2DM的标准化患病率分别为1.2%、1.6%和2.1%，空腹血糖受损（IFG）的标准化患病率分别为7.2%、18.7%和22.8%。两者均呈逐年上升趋势。经逻辑回归调整其他协变量后，年龄（与18至39.9岁年龄组相比：aOR_(40 - 59.9)=5.20，95%CI 2.74 - 9.89；aOR_(60 - )=8.02，95%CI 4.19 - 15.35）、女性（aOR = 1.23，95%CI 1.02 - 1.49）、T2DM家族史（aOR = 4.86，95%CI 3.49 - 6.77）、超重/肥胖（超重：aOR = 1.88，95%CI 1.61 - 2.20；肥胖：aOR = 5.10，95%CI 4.06 - 6.41）、高血压（aOR = 2.84，95%CI 2.44 - 3.31）主要食用肉类（aOR = 2.25，95%CI 1.89 - 2.69）和饮茶（aOR = 0.81，95%CI 0.68 - 0.95）与T2DM显著相关。
中国德清县农村地区T2DM患病率随时间增加。年龄、性别、T2DM家族史、超重或肥胖、高血压、饮食和饮茶与T2DM显著相关。
