杨春, 顾伟, 刘星, 沈亚红, 郑文娟, 黄丽妹, 姜永根, 朱美英, 赵琦, 江峰, 赵根明. 上海市泖港社区居民糖尿病合并脂肪肝的患病率及其相关因素[J]. 上海预防医学, 2018, 30(5): 346-352. DOI: 10.19428/j.cnki.sjpm.2018.18651
引用本文: 杨春, 顾伟, 刘星, 沈亚红, 郑文娟, 黄丽妹, 姜永根, 朱美英, 赵琦, 江峰, 赵根明. 上海市泖港社区居民糖尿病合并脂肪肝的患病率及其相关因素[J]. 上海预防医学, 2018, 30(5): 346-352. DOI: 10.19428/j.cnki.sjpm.2018.18651
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Chun YANG, Wei GU, Xing LIU, Ya-hong SHEN, Wen-juan ZHENG, Li-mei HUANG, Yong-gen JIANG, Mei-ying ZHU, Qi ZHAO, Feng JIANG, Gen-ming ZHAO. Prevalence of co-morbidity of diabetes with FLD and its associated factors among residents in Maogang, Songjiang, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(5): 346-352. DOI: 10.19428/j.cnki.sjpm.2018.18651
Citation: Chun YANG, Wei GU, Xing LIU, Ya-hong SHEN, Wen-juan ZHENG, Li-mei HUANG, Yong-gen JIANG, Mei-ying ZHU, Qi ZHAO, Feng JIANG, Gen-ming ZHAO. Prevalence of co-morbidity of diabetes with FLD and its associated factors among residents in Maogang, Songjiang, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(5): 346-352. DOI: 10.19428/j.cnki.sjpm.2018.18651
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上海市泖港社区居民糖尿病合并脂肪肝的患病率及其相关因素

Prevalence of co-morbidity of diabetes with FLD and its associated factors among residents in Maogang, Songjiang, Shanghai

    摘要
  • 摘要:
    目的了解上海市松江泖港社区居民糖尿病患者合并脂肪肝等其他主要慢性疾病的患病率及相关因素。
    方法于2016年7月至12月采用整群抽样方法对泖港镇20~74岁常住居民进行问卷调查和体格检查。问卷收集基本信息及相关疾病诊断、生活、饮食、行为习惯、疾病家族史等。使用SPSS 19.0对相关资料进行统计描述与分析。
    结果6 165人完成了问卷调查。研究对象中57.4%为女性；45岁以上者占89.2%。人群中报告患病率最高的慢性疾病为高血压(34.4%)和脂肪肝(29.2%)，自报糖尿病患病率为9.7%。在597位糖尿病患者中，脂肪肝的患病率为44.9%。多因素logistic回归发现糖尿病与脂肪肝共患的主要相关因素为体质指数(BMI)升高、年龄增长、中心性肥胖(OR=2.13, 95%CI:1.46~3.08)和糖尿病家族史(OR=4.01, 95%CI:3.04~5.30)。
    结论社区人群糖尿病合并脂肪肝的患病率与年龄增长、超重肥胖、中心性肥胖及有糖尿病家族史呈正相关。

     

    Abstract:
    ObjectiveTo investigate the prevalence of major chronic diseases among residents of diabetic patients, and to explore risk factors for co-morbidity of diabetes and fatty liver disease(FLD) in Maogang, Songjiang District in Shanghai.
    Methods Cluster sampling was used in Maogang to recruit residents aged 20-74 years old from July to December, 2016.Questionnaire was used in face to face interviews to collect data on personal history of disease diagnosis.Socio-demographic characteristics, dietary, behavioral and life-style factors were also collected.Statistical analyses were performed using SPSS 19.0.
    Results A total of 6 165 participants were interviewed.Fifty-seven percent of the participants was female, and 89% was aged over 45 years old.Among all participants, the prevalence of high blood pressure ranked first (34.4%), followed by FLD (29.2%), and the prevalence of diabetes was 9.7%.Among 597 diabetic patients, the prevalence of FLD was 44.9%.Multiple logistic regression showed that co-morbidity of diabetes and FLD was significantly associated with increased age, increased BMI, central obesity (OR=2.13, 95%CI:1.46-3.08) and having family history of diabetes (OR=4.01, 95%CI:3.04-5.30).
    Conclusion The co-morbidity of diabetes and fatty liver disease is associated with increased age, increased BMI, central obesity and family history of diabetes.

     

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