伊朗老年人中糖尿病的高患病率:一个紧迫的公共卫生问题。

High prevalence of diabetes in elderly of Iran: an urgent public health issue.

作者信息

Fotouhi Farid, Rezvan Farhad, Hashemi Hassan, Javaherforoushzadeh Ali, Mahbod Mirgholamreza, Yekta Abbasali, Jamshididana Zahra, Khabazkhoob Mehdi

机构信息

Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Noor Ophthalmology Research Center, Noor Eye Hospital, Tehran, Iran.

出版信息

J Diabetes Metab Disord. 2022 May 19;21(1):777-784. doi: 10.1007/s40200-022-01051-x. eCollection 2022 Jun.

Abstract

PURPOSE

To determine the distribution of blood glucose and prevalence of diabetes in people above 60 years living in Tehran and their relationship with some variables.

METHODS

In this cross-sectional population-based study, multistage cluster sampling was performed in the over 60-year-old population of Tehran. Blood samples were collected from all participants and the data of the history of diabetes and the use of blood glucose lowering agents or other drugs were collected using interviews.

RESULTS

Of 3791 selected subjects, 3310 participated in the study (response rate = 87.3%). The mean blood Sugar (BS) and hemoglobin A1c (HbA1c) of the patients was 118.11(95% CI: 115.34 -120.88) and 6.12(95% CI: 6.05-6.2) respectively. The prevalence of diabetes was 29.03%(95% CI: 27.12-30.94) in all subjects, 26.83%(95% CI: 24.58-29.07) in men, and 31.2%(95% CI: 28.24-34.16) in women. Odds of diabetes was significantly worse in women. systolic blood pressure, diasstolic blood pressure, height, weight, waist circumference, wrist circumference, hip circumference, neck circumference and body mass Index were significantly higher in diabetic after adjusting for the effect of sex and age. The odds of blindness was 2.69 (95% CI: 1.10-6.59) times higher in diabetic than in non-diabetics.

CONCLUSIONS

On average, one in every three persons above 60 years of age was diabetic. Therefore, attention should be paid to this age group, especially women, due the higher prevalence of diabetes. All anthropometric measurements except height had a strong correlation with diabetes. Blindness was significantly more in diabetics.

摘要

目的

确定德黑兰60岁以上人群的血糖分布及糖尿病患病率,并探究其与一些变量的关系。

方法

在这项基于人群的横断面研究中,对德黑兰60岁以上人群进行多阶段整群抽样。采集所有参与者的血样,并通过访谈收集糖尿病病史以及使用降糖药或其他药物的数据。

结果

在3791名选定的受试者中,3310人参与了研究(应答率 = 87.3%)。患者的平均血糖(BS)和糖化血红蛋白(HbA1c)分别为118.11(95%置信区间:115.34 - 120.88)和6.12(95%置信区间:6.05 - 6.2)。所有受试者中糖尿病患病率为29.03%(95%置信区间:27.12 - 30.94),男性为26.83%(95%置信区间:24.58 - 29.07),女性为31.2%(95%置信区间:28.24 - 34.16)。女性患糖尿病的几率明显更高。在调整性别和年龄的影响后,糖尿病患者的收缩压、舒张压、身高、体重、腰围、腕围、臀围、颈围和体重指数均显著更高。糖尿病患者失明的几率是非糖尿病患者的2.69倍(95%置信区间:1.10 - 6.59)。

结论

平均而言,每三名60岁以上的人中就有一人患有糖尿病。因此,鉴于该年龄组尤其是女性糖尿病患病率较高,应予以关注。除身高外,所有人体测量指标均与糖尿病密切相关。糖尿病患者失明的情况明显更多。

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