Lu F H, Yang Y C, Wu J S, Wu C H, Chang C J
Department of Family Medicine, Medical College, National Cheng Kung University, Tainan, Taiwan, China.
Diabet Med. 1998 Jul;15(7):564-72. doi: 10.1002/(SICI)1096-9136(199807)15:7<564::AID-DIA615>3.0.CO;2-H.
Diabetes mellitus is one of the major health care problems in Taiwan, since the mortality rate has increased from 7.91 per 100,000 in 1980 to 35.1 per 100,000 in 1996. To determine the prevalence of diabetes in southern Taiwan and to investigate possible associated factors, a stratified systematic cluster sampling of 1638 subjects (780 men and 858 women) aged > or =20 years living in Tainan city was investigated with a standard 75-g oral glucose tolerance test. The crude prevalence of diabetes in Tainan was 9.0% (10.3% men and 7.9% women) and the age-adjusted prevalence was 9.2% (10.4% men and 8.1% women). The crude prevalence of IGT was 14.0% (13.8% men and 14.1% women), and the age-adjusted prevalence was 15.5% (15.0% men and 15.9% women). The prevalence of diabetes by using the revised new diagnostic criteria was 7.5%. The prevalence of diabetes and IGT increased significantly with age for both genders, although the rises in prevalence of IGT in women was less consistent. Diabetic and IGT subjects were older and had higher levels of BMI, triglyceride, systolic and diastolic blood pressure, and higher prevalence of obesity, hypertension, and dyslipidemia but indulged in less physical activity than non-diabetic subjects. The significant factors associated with the newly diagnosed diabetes were age, family history of DM, BMI, systolic blood pressure, physical activity, and serum triglyceride levels.
糖尿病是台湾主要的医疗保健问题之一，因为死亡率已从1980年的每10万人7.91例增至1996年的每10万人35.1例。为了确定台湾南部糖尿病的患病率并调查可能的相关因素，我们采用标准的75克口服葡萄糖耐量试验，对台南市1638名年龄≥20岁的受试者（780名男性和858名女性）进行了分层系统整群抽样调查。台南糖尿病的粗患病率为9.0%（男性为10.3%，女性为7.9%），年龄调整患病率为9.2%（男性为10.4%，女性为8.1%）。IGT的粗患病率为14.0%（男性为13.8%，女性为14.1%），年龄调整患病率为15.5%（男性为15.0%，女性为15.9%）。采用修订后的新诊断标准，糖尿病患病率为7.5%。糖尿病和IGT的患病率在两性中均随年龄显著增加，尽管女性IGT患病率的上升不太一致。糖尿病和IGT患者比非糖尿病患者年龄更大，BMI、甘油三酯、收缩压和舒张压水平更高，肥胖、高血压和血脂异常的患病率更高，但身体活动较少。与新诊断糖尿病相关的显著因素包括年龄、糖尿病家族史、BMI、收缩压、身体活动和血清甘油三酯水平。
