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目的分析吉林省监测点人群糖调节受损的患病情况及相应影响因素,为预防发病、制定干预措施提供依据。方法以2010年中国慢病监测吉林省调查数据为依据,按照WHO1999年糖代谢的分类标准,采用单因素和多因素非条件Logistic回归分析,探讨糖尿病前期的患病情况及影响因素。结果调查2 993人中有139人糖调节受损,患病率为4.64%。其中空腹血糖受损率为2.47%,糖耐量减低者为1.10%。糖尿病前期的主要危险因素为年龄(OR=1.30,95%CI=1.11～1.52)、BMI(OR=1.33,95%CI=1.05～1.69)、饮食中肉类摄入量(OR=1.59,95%CI=1.09～2.30)、城乡(OR=0.36,95%CI=0.24～0.53),此外还有以静态工作方式和静态生活方式为主的人群等。结论老年人、静态活动为主的职业人群、超重肥胖者和有糖尿病家族史者为吉林省监测点防控糖尿病前期重点干预和监测的目标人群。
Objective To analyze the prevalence of impaired glucose regulation and its influencing factors in people at monitoring points in Jilin Province, and to provide evidence for the prevention of morbidity and the development of intervention measures. Methods Based on the survey data of chronic disease surveillance in Jilin Province in China in 2010 and univariate and multivariate non-conditional logistic regression analysis in accordance with WHO’s classification criteria of raw materials in1999, the prevalence and influencing factors of pre-diabetes were explored. Results A total of 139 out of 2,993 people were investigated for impaired glucose regulation, with a prevalence of 4.64%. Incidence of impaired fasting glucose was 2.47%, impaired glucose tolerance was 1.10%. The main risk factors for pre-diabetes were age (OR = 1.30, 95% CI = 1.11-1.52), BMI (OR = 1.33, 95% CI = 1.05-1.69), dietary intake of meat (OR = 1.59, 95 % CI = 1.09-2.30), urban and rural areas (OR = 0.36,95% CI = 0.24-0.53), in addition to the static working methods and static lifestyle. Conclusion The elderly, the mainly static occupational occupational groups, the overweight and obese individuals and the family history of diabetes are the target population for prevention and control of key pre-diabetes intervention and monitoring points in Jilin Province.