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糖化血红蛋白和血压测量:黎巴嫩学生的性别、体重指数、研究领域和生活方式的关系。

HbA1c AND BLOOD PRESSURE MEASUREMENTS: RELATION WITH GENDER, BODY MASS INDEX, STUDY FIELD, AND LIFESTYLE IN LEBANESE STUDENTS.

出版信息

Endocr Pract. 2019 Nov;25(11):1101-1108. doi: 10.4158/EP-2019-0163. Epub 2019 Jun 26.

DOI:10.4158/EP-2019-0163
PMID:31241365
Abstract

The purpose of this study is to determine the prevalence of prediabetes/diabetes in Lebanese university students and to examine the relationship between both hemoglobin A1c (HbA1c) and blood pressure (BP) and gender, body mass index (BMI), study field, and lifestyle factors. This cross-sectional study was carried out at the Saint-Joseph University of Beirut. A total of 603 students aged 18 to 25 years were recruited from both the medical science campus (MSC) and the social science campus (SSC) between January, 2016, and May, 2018. Waist circumference (WC), BMI, and BP were determined for each student and HbA1c was measured using the Siemens vintage DCA device. Participants completed a self-administered questionnaire about their eating habits and level of physical activity. The mean age of the population was 20.31 ± 1.76 years. The percentage of participants recruited from the MSC was 59.2%. The prevalence of prediabetes was 2.5%. Lower BMI, WC, and HbA1c values, and higher diastolic BP (DBP) were found in MSC students compared to SSC ones. HbA1c, systolic BP (SBP), and DBP were correlated with BMI ( = .02, <.0001, and = .017, respectively). HbA1c was not associated with eating habits or physical activity. DBP was inversely associated with physical activity ( = .002), while SBP was positively associated with fast food consumption ( = .003). The present study shows a low prevalence of prediabetes in Lebanese students. BMI and the study field are the main factors predicting HbA1c and BP. Further studies are needed to extrapolate our results to the overall young Lebanese population. = American Diabetes Association; = body mass index; = blood pressure; = diastolic blood pressure; = hemoglobin A1c; = hypertension; = medical science campus; = systolic blood pressure; = social science campus; = type 2 diabetes; = United States; = Saint-Joseph University; = waist circumference.

摘要

本研究旨在确定黎巴嫩大学生中糖尿病前期/糖尿病的患病率,并探讨血红蛋白 A1c(HbA1c)和血压(BP)与性别、体重指数(BMI)、研究领域和生活方式因素之间的关系。这项横断面研究在贝鲁特圣约瑟夫大学进行。2016 年 1 月至 2018 年 5 月,共招募了 603 名年龄在 18 至 25 岁的学生,分别来自医学科学校区(MSC)和社会科学校区(SSC)。为每位学生测量腰围(WC)、BMI 和血压,并使用西门子 vintage DCA 设备测量 HbA1c。参与者完成了一份关于饮食习惯和身体活动水平的自我管理问卷。 人群的平均年龄为 20.31 ± 1.76 岁。来自 MSC 的参与者百分比为 59.2%。糖尿病前期的患病率为 2.5%。与 SSC 学生相比,MSC 学生的 BMI、WC 和 HbA1c 值较低,舒张压(DBP)较高。HbA1c、收缩压(SBP)和 DBP 与 BMI 呈正相关(=.02,<.0001 和 =.017)。HbA1c 与饮食习惯或身体活动无关。DBP 与身体活动呈负相关(=.002),而 SBP 与快餐消费呈正相关(=.003)。 本研究显示,黎巴嫩学生的糖尿病前期患病率较低。BMI 和研究领域是预测 HbA1c 和 BP 的主要因素。需要进一步的研究将我们的结果推广到整个年轻的黎巴嫩人群。 = 美国糖尿病协会; = 体重指数; = 血压; = 舒张压; = 血红蛋白 A1c; = 高血压; = 医学科学校区; = 收缩压; = 社会科学校区; = 2 型糖尿病; = 美国; = 圣约瑟夫大学; = 腰围。

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