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[糖尿病、糖耐量异常、高脂血症的患病率及危险因素与社会经济水平的关系]

[Prevalences of diabetes, glucose intolerance, hyperlipemia and risk factors as a function of socioeconomic level].

作者信息

Quibrera Infante R, Hernández Rodríguez H G, Aradillas García C, González Rodríguez S, Calles-Escandón J

机构信息

Facultad de Medicina, Universidad Autónoma de San Luis Potosi, México.

出版信息

Rev Invest Clin. 1994 Jan-Feb;46(1):25-36.

PMID:8079061
Abstract

We studied the prevalence of non-insulin dependent diabetes (NIDDM) and hyperlipemia in older than 15 years old population in the city of San Luis Potosi and in a rural area 50 km north of this city. They are located in the state of San Luis Potosi in the central plateau of Mexico. A total of 1136 subjects were surveyed (645 males, 491 females). Weight and height were measured and the body mass index (BMI) calculated in all subjects. After a fasting capillary sample was obtained, 75 g of glucose were given and a second sample was taken 120 minutes later. The WHO recommendations for diagnosis of DM were used. The overall prevalence of DM was 10.0%: the lowest rate was for individuals in the rural area (0.9%) which contrasts with the 11% seen in the urban population (p 0.0001). In the urban subjects, the highest rates were observed in the very low income group (27.7%) whereas the low income group had a rate of 6.2%; the prevalence was 7.0, 7.7 and 18.2% in the medium, high medium and high socioeconomic groups. The prevalence was influenced by age, BMI, sex (males = 6.8% females = 14.3%) and socioeconomic status; hypercholesterolemia (> 200 mg/dL) was found in 16%. In conclusion, we have documented high rates of NIDDM in a mexican urban population with very high levels in the very poor which contrasts with the rural population.

摘要

我们研究了墨西哥圣路易斯波托西市15岁以上人群以及该市以北50公里处农村地区非胰岛素依赖型糖尿病(NIDDM)和高脂血症的患病率。它们位于墨西哥中部高原的圣路易斯波托西州。共对1136名受试者进行了调查(645名男性,491名女性)。测量了所有受试者的体重和身高,并计算了体重指数(BMI)。在采集空腹毛细血管样本后,给予75克葡萄糖,并在120分钟后采集第二个样本。采用了世界卫生组织(WHO)的糖尿病诊断建议。糖尿病的总体患病率为10.0%:农村地区个体的患病率最低(0.9%),这与城市人口中11%的患病率形成对比(p<0.0001)。在城市受试者中,极低收入组的患病率最高(27.7%),而低收入组的患病率为6.2%;中等、中高和高社会经济组的患病率分别为7.0%、7.7%和18.2%。患病率受年龄、BMI、性别(男性=6.8%,女性=14.3%)和社会经济地位的影响;16%的人患有高胆固醇血症(>200mg/dL)。总之,我们记录了墨西哥城市人口中NIDDM的高患病率,其中非常贫困人群的患病率极高,这与农村人口形成对比。

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