Department of Thoracic Surgery, The First Hospital of Jilin University, Changchun, 130021, China.
Department of Neurology, Stroke Center, the First Hospital of Jilin University, Chang Chun, 130021, China.
Sci Rep. 2019 Feb 21;9(1):2513. doi: 10.1038/s41598-019-39221-2.
This study investigates the prevalence of pre-diabetes and diabetes and their associated risk factors among adults in Northeast China. A multistage stratified cluster sampling method was used to select adults from Jilin Province. Out of an initial recruitment of 23,050 individuals, 21,435 participants completed an interview and medical examination. The estimated prevalence of diabetes and pre-diabetes were 9.1% and 19.8%, respectively. The prevalence of hypertension, dyslipidemia, and obesity were the highest in participants with previously diagnosed diabetes. Participants who were previously diagnosed with diabetes were more likely to be aware of their hypertension and dyslipidemia status. Participants who were older, male, more educated, or who were widows or widowers were at greater risk for pre-diabetes. Similarly, those who were current drinkers or smokers, had higher BMI or waist circumference, had a family history of diabetes, or who reported they lived in urban areas or had low physical activity levels had increased pre-diabetes risk. The observed levels of diabetes and pre-diabetes in this study indicate that the medical authority needs to focus more attention in this area, and that health monitoring is essential to improving the health awareness of its residents.
本研究调查了中国东北地区成年人中糖尿病前期和糖尿病的流行情况及其相关危险因素。采用多阶段分层聚类抽样方法从吉林省选取成年人。在最初招募的 23050 人中,有 21435 名参与者完成了访谈和体检。糖尿病和糖尿病前期的估计患病率分别为 9.1%和 19.8%。在以前被诊断患有糖尿病的参与者中,高血压、血脂异常和肥胖的患病率最高。以前被诊断患有糖尿病的参与者更有可能了解自己的高血压和血脂异常状况。年龄较大、男性、受教育程度较高或丧偶的参与者患糖尿病前期的风险更高。同样,那些目前饮酒或吸烟、BMI 或腰围较高、有糖尿病家族史或报告居住在城市地区或体力活动水平较低的参与者患糖尿病前期的风险也增加了。本研究中观察到的糖尿病和糖尿病前期水平表明,医疗当局需要更加关注这一领域,健康监测对于提高居民的健康意识至关重要。