郑文娟, 顾伟, 刘星, 俞敏君, 朱美英, 倪小英, 黄丽妹, 王娜, 张铁军, 江峰, 赵琦, 赵根明, 姜永根. 上海市泖港镇社区居民空腹血糖偏高的检出率及相关因素分析[J]. 上海预防医学, 2018, 30(5): 369-374. DOI: 10.19428/j.cnki.sjpm.2018.18647
引用本文: 郑文娟, 顾伟, 刘星, 俞敏君, 朱美英, 倪小英, 黄丽妹, 王娜, 张铁军, 江峰, 赵琦, 赵根明, 姜永根. 上海市泖港镇社区居民空腹血糖偏高的检出率及相关因素分析[J]. 上海预防医学, 2018, 30(5): 369-374. DOI: 10.19428/j.cnki.sjpm.2018.18647
Wen-juan ZHENG, Wei GU, Xing LIU, Min-jun YU, Mei-ying ZHU, Xiao-ying NI, Li-mei HUANG, Na WANG, Tie-jun ZHANG, Feng JIANG, Qi ZHAO, Gen-ming ZHAO, Yong-gen JIANG. Prevalence of elevated FPG and associated factors among residents in Maogang, Songjiang District in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(5): 369-374. DOI: 10.19428/j.cnki.sjpm.2018.18647
Citation: Wen-juan ZHENG, Wei GU, Xing LIU, Min-jun YU, Mei-ying ZHU, Xiao-ying NI, Li-mei HUANG, Na WANG, Tie-jun ZHANG, Feng JIANG, Qi ZHAO, Gen-ming ZHAO, Yong-gen JIANG. Prevalence of elevated FPG and associated factors among residents in Maogang, Songjiang District in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(5): 369-374. DOI: 10.19428/j.cnki.sjpm.2018.18647

上海市泖港镇社区居民空腹血糖偏高的检出率及相关因素分析

Prevalence of elevated FPG and associated factors among residents in Maogang, Songjiang District in Shanghai

  • 摘要:
    目的 了解上海松江泖港社区居民空腹血糖异常率及其相关因素。
    方法 采取整群抽样的方法,于2016年7月至12月对泖港镇20~74岁常住居民进行问卷调查、体格检查及空腹血糖检测。问卷收集一般人口学特征及相关生活、饮食、行为习惯等信息。使用卡方检验与logistic回归分析空腹血糖异常率的相关因素。
    结果 6 217名研究对象采集了血液样本;6 165人完成了问卷调查。研究对象中57.4%为女性;集中于45~74岁年龄段(88.9%)。空腹血糖偏高者占9.2%。logistic回归分析提示社区人群空腹血糖偏高的相关因素为年龄大、体质指数(BMI)高、中心性肥胖、高血压病史和糖尿病家族史(P < 0.05)。自述为糖尿病患者的有597人,占调查人数的9.7%;自述糖尿病患者中本次检测空腹血糖偏高者占58.1%,多因素回归分析发现仅有中心性肥胖与其正相关(OR=1.72, 95%CI:1.14~2.60)。
    结论 本次泖港社区调查人群空腹血糖偏高检出率为9.2%,并与年龄、肥胖、高血压病史和糖尿病家族史有关。

     

    Abstract:
    ObjectiveTo examine the prevalence of elevated fasting plasma glucose (FPG) and correlates among residents from Maogang, Songjiang District in Shanghai.
    Methods Cluster sampling was used in Maogang and aged 20-74 years old residents were recruited from July to December, 2016.Questionnaire was used in face-to-face interviews to collect data on socio-demographic characteristics, dietary, behavioral and life-style factors.Blood sample was collected and FPG were measured.Chi-square test and logistic regression were used to examine the association between elevated FPG and associated factors.
    Results A total of 6 217 participants provided blood samples and 6 165 were interviewed.Fifty-seven percent of the participants were female, and 88.9% of them aged between 45 to 74 years old.Among all participants, 9.2% showed elevated FPG.Multiple logistic regression showed that elevated FPG was significantly associated with increased age, increased BMI, central obesity, history of high blood pressure and family history of diabetes (all P < 0.05).Among the study participants, 597(9.7%) were reported to have been diagnosed with diabetes, and 58.1% showed elevated FPG in the survey.Multiple logistic regression showed that central obesity was significantly associated with elevated FPG (OR=1.72, 95%CI:1.14-2.60) among diabetic patients.
    Conclusion The prevalence of elevated FPG is 9.2% among residents in Maogang, Shanghai and is positively associated with age, BMI, high blood pressure and family history of diabetes.

     

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