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东北地区成年人空腹血糖受损的患病率及相关因素:一项横断面研究。

PREVALENCE AND RISK FACTORS OF IMPAIRED FASTING GLUCOSE AMONG ADULTS IN NORTHEAST CHINA: A CROSS-SECTIONAL STUDY.

出版信息

Endocr Pract. 2018 Jul;24(7):677-683. doi: 10.4158/EP-2018-0046.

DOI:10.4158/EP-2018-0046
PMID:30048165
Abstract

OBJECTIVE

To investigate the prevalence and risk factors of impaired fasting glucose (IFG) among adults in northeast China.

METHODS

A cross-sectional study was conducted in Jilin Province in 2012. Questionnaires were used to collect information about demographic characteristics, lifestyle factors, and health status from 15,540 residents. Fasting blood glucose (FBG) was measured in the morning after at least 12 hours of fasting, and χ tests were performed to compare differences between subjects with and without IFG. Logistic regression was carried out to identify factors influencing IFG occurrence.

RESULTS

There were significant differences in demographic characteristics (age, sex, education, and marriage status), lifestyle factors (smoking, drinking, physical activity, and average sleep duration), and health status (hyperlipidemia, hypertension, and BMI category) between subjects with IFG and without IFG ( P<.05). IFG risk was significantly associated with sex, age, education (senior high school and college), marriage status (single), drinking, hyperlipidemia, hypertension, and BMI category (all P<.05).

CONCLUSION

In adults in northeast China, risk factors of IFG are sex, age, education (senior high school and college), drinking, hyperlipidemia, hypertension, and BMI category; however, the protective factor of IFG is marriage status (single).

ABBREVIATIONS

BMI = body mass index; CI = confidence interval; FBG = fasting blood glucose; IFG = impaired fasting glucose; OR = odds ratio; T2DM = type 2 diabetes.

摘要

目的

调查中国东北地区成年人空腹血糖受损(IFG)的患病率及相关危险因素。

方法

2012 年在吉林省进行了一项横断面研究。采用问卷调查的方式,收集了 15540 名居民的人口统计学特征、生活方式因素和健康状况信息。所有研究对象均禁食至少 12 小时后于次日清晨采集空腹静脉血检测空腹血糖(FBG),并采用 χ²检验比较 IFG 患者与非 IFG 患者之间的差异。采用多因素 logistic 回归分析影响 IFG 发生的因素。

结果

IFG 患者与非 IFG 患者在人口统计学特征(年龄、性别、教育程度和婚姻状况)、生活方式因素(吸烟、饮酒、体力活动和平均睡眠时间)和健康状况(高脂血症、高血压和 BMI 类别)方面存在显著差异(P<.05)。多因素 logistic 回归分析显示,性别、年龄、教育程度(高中及以上)、婚姻状况(单身)、饮酒、高脂血症、高血压和 BMI 类别与 IFG 发生风险显著相关(均 P<.05)。

结论

在中国东北地区成年人中,IFG 的危险因素为性别、年龄、教育程度(高中及以上)、饮酒、高脂血症、高血压和 BMI 类别;而 IFG 的保护因素为婚姻状况(单身)。

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