發(fā)布時(shí)間：2019-03-07 11:16

【摘要】：目的:分析農(nóng)村中老年人群高甘油三酯腰圍(HTGW)、2型糖尿病(T2DM)的流行現(xiàn)狀及兩者間的關(guān)聯(lián)。方法:采用整群抽樣的方法于2013年和2014年的7~8月對(duì)河南某農(nóng)村地區(qū)45~75歲的中老年人群進(jìn)行橫斷面調(diào)查,收集其人口統(tǒng)計(jì)學(xué)特征、行為危險(xiǎn)因素、人體測(cè)量指標(biāo)和空腹血標(biāo)本,并進(jìn)行血糖和脂質(zhì)譜的檢測(cè)。結(jié)果:共納入10 218名研究對(duì)象,其中男性3 836人(37.54%),中位年齡56.62歲。HTGW共2 845人(27.84%),男性646人(16.84%),女性2 199人(34.46%)。T2DM共1 406人(13.76%),男性469人(12.23%),女性937人(14.68%)。在調(diào)整了年齡、血壓、吸煙、飲酒、家族史、體力活動(dòng)、體重指數(shù)(BMI)、高密度脂蛋白后,logistic回歸分析結(jié)果顯示與腰圍和甘油三酯水平均正常的人群相比,HTGW可增加T2DM的發(fā)病風(fēng)險(xiǎn),其OR(95%CI)為3.810(3.050~4.760)。以性別和BMI為分層變量分析發(fā)現(xiàn),HTGW與T2DM的關(guān)聯(lián)女性高于男性、18.5≤BMI24.0kg/m~2人群高于24.0≤BMI28.0 kg/m~2人群。結(jié)論:該農(nóng)村地區(qū)中老年人群HTGW和T2DM的患病率較高,HTGW是T2DM穩(wěn)定的危險(xiǎn)因素。
[Abstract]:Aim: to analyze the prevalence of high triglyceride waist circumference (HTGW), type 2 diabetes mellitus (T2DM) in rural middle-aged and elderly population and the relationship between them. Methods: a cross-sectional survey of 45-75-year-old population in a rural area of Henan Province was conducted by cluster sampling from July to August in 2013 and 2014. The demographic characteristics, behavioral risk factors, anthropometric indexes and fasting blood samples were collected. Blood glucose and lipid mass spectrometry were detected. Results: a total of 10 218 subjects were enrolled, including 3 836 males (37.54%), with a median age of 56.62. HTGW consisted of 2 845 subjects (27.84%) and 646 males (16.84%). 2199 women (34.46%), 1,406 (13.76%) with T2 DM, 469 (12.23%) males and 937 (14.68%) females. After adjusting for age, blood pressure, smoking, drinking, family history, physical activity, body mass index (BMI),) high density lipoprotein (HDL), logistic regression analysis showed that compared with normal waist circumference and triglyceride levels, HTGW increased the risk of T2DM, and its OR (95%CI) was 3.810 (3.050? 4.760). Taking gender and BMI as stratified variables, it was found that the association between HTGW and T2DM was higher in females than in males, and that in 18.5 鈮，

本文編號(hào)：2436068