辽宁省居民空腹血糖偏高检出率及影响因素分析

潘磊磊; 游弋; 郭洁; 马英顺; 田疆

doi:10.19428/j.cnki.sjpm.2021.20426

辽宁省居民空腹血糖偏高检出率及影响因素分析

Analysis of the prevalence and influencing factors of elevated FPG in Liaoning Province

摘要

摘要:
目的了解和掌握辽宁省居民非糖尿病者空腹血糖偏高情况，探讨相关危险因素，以期有效预防及缓解糖尿病的发生和发展，切实减轻社会经济负担。
方法采用流行病学分层整群随机抽样方法选取3个城市和3个农村点的35 ~ 75岁居民进行调查，共计53 497人，包括问卷调查及相关指标检测，应用logistic回归分析空腹血糖偏高的危险因素和保护因素。
结果辽宁省空腹血糖偏高检出率为24.7%。男性检出率为23.2%，女性检出率为26.0%。多因素分析结果显示，女性、高年龄、高学历、职业（除农民）、饮酒、肥胖、高血压、血脂异常均为空腹血糖偏高的独立危险因素（P < 0.05或P < 0.001）。
结论辽宁省35 ~ 75岁居民空腹血糖偏高检出率较高，应加强重点人群的健康干预，以有效降低辽宁省糖尿病的发病率。

Abstract:
ObjectiveTo determine the prevalence rate of elevated fasting plasma glucose(FPG)in residents of Liaoning Province and to identify the risk factors, which will help to effectively prevent/alleviate the occurrence and development of diabetes for reduction of socioeconomic burden.
MethodsA multi-stage stratified random cluster sampling method was used to investigate the residents of 3 towns and 3 rural areas in Liaoning Province. A total of 53 497 adults(aged 35-75 years)were surveyed by questionnaires and the risk or protective factors were analyzed by logistic regression method.
ResultsThe prevalence rate of elevated FPG was 24.7% with 23.2% in males and 26.0% in females, respectively. The results of multivariate logistic regression showed that age increase, female, high education, occupation(except farmers), alcohol drinking, obesity, hypertension, and dyslipidemia were risk factors of FPG(P < 0.05 or P < 0.001).
ConclusionThe prevalence of elevated FPG is high in the study population aged 35-75 years in Liaoning. It is necessary to strengthen the intervention in this part of the population in order to reduce the incidence of diabetes mellitus.

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