首都医科大学学报 ›› 2016, Vol. 37 ›› Issue (6): 812-816.doi: 10.3969/j.issn.1006-7795.2016.06.018

• 临床研究 • 上一篇    下一篇

宁夏固原地区回族老年人群糖代谢状况及影响因素研究

刘薇1, 华琳2, 张雪莲1, 宋惠玲3, 刘万福4   

  1. 1. 首都医科大学附属北京同仁医院内分泌科, 北京 100730;
    2. 首都医科大学生物医学工程学院, 北京 100069;
    3. 宁夏固原市原州区疾病预防控制中心, 宁夏固原 756000;
    4. 宁夏师范学院医学院, 宁夏固原 756000
  • 收稿日期:2016-08-01 出版日期:2016-12-21 发布日期:2016-12-16
  • 通讯作者: 刘薇, 华琳 E-mail:liuwei_endocrine@126.com;hualin7750@139.com
  • 基金资助:
    国家自然科学基金(81300726);吴阶平医学基金会临床科研专项资助基金(320.6750.15193);2015北京同仁医院院内基金(2015-YJJ-GGL-004)

Prevalence of diabetes and pre-diabetes in elderly Hui population in Guyuan

Liu Wei1, Hua Lin2, Zhang Xuelian1, Song Huiling3, Liu Wanfu4   

  1. 1. Department of Endocrinal, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China;
    2. School of Biomedical Engineering, Capital Medical University, Beijing 100069, China;
    3. Centers for Disease Control and Prevention(CDC), Yuanzhou Region, Guyuan 756000, Ningxia Hui Autonomous Region, China;
    4. Department of Medical, Ningxia Teachers'University, Guyuan 756000, Ningxia Hui Autonomous Region, China
  • Received:2016-08-01 Online:2016-12-21 Published:2016-12-16
  • Supported by:
    This study was supported by National Natural Science Foundation of China(81300726);Clinical Research and Special Financing Fund of WuJiePing Medical Fundation(320.6750.15193);Hospital Fund of Beijing Tongren Hospital, Affiliated to Capital Medical University(2015-YJJ-GGL-004).

摘要: 目的 了解宁夏固原地区回族老年人群糖代谢状况并分析影响因素。方法 通过整群随机抽样确定调查人群,在指血糖初筛后的高危人群(空腹血糖>5.6 mmol/L,餐后2 h血糖≥7.8 mmol/L)行口服葡萄糖耐量试验(oral glucose tolerance test,OGTT),筛选糖尿病及其前期患者。采用“糖尿病流行病学调查表”调查了解基本人口学资料。对其中60岁以上被调查人群进行统计分析。结果 老年人群糖尿病及其前期患病率:全部老年人群,回汉民族间及不同性别间差异无统计学意义(P=0.184,0.767),60~65岁组高于65岁以上组(P=0.023);回族糖代谢异常患病率女性高于男性(P<0.001),60~65岁组显著高于65岁以上组(P=0.009),糖尿病标准化患病率低于汉族;吸烟为回族老年人群患病的主要危险因素(P=0.020)。结论 与汉族老年人比较,回族老年人糖尿病及其前期患病情况存在年龄、性别的差异,吸烟为患病的主要危险因素。

关键词: 回族, 老年人, 糖尿病, 研究

Abstract: Objective To investigate the prevalence of diabetes and pre-diabetes in elderly Hui population in the countryside of Guyuan,and the possible risk factors. Methods After stratified sampling, we performed our study in all the subjects. Level of fasting and 2 h postprandial blood glucose(PBG2h) were measured in all the participants. In the subjects with fasting plasma glucose (FBG) higher than 5.60 mmol/L and PBG2 h higher than 7.8 mmol/L, a 83-g oral glucose tolerance test were performed. Questionnaire for diabetes epidemiological study was used to record the characteristics of all the subjects. Results The prevalence of diabetes and pre-diabetes was significantly higher in the 60-65 group (P=0.023). In elderly Hui population, the prevalence was significantly lower both in ≥ 65 group (P=0.009) and in men (P<0.001). The standardized prevalence of diabetes was lower in Hui (6.4%) than in Han (9.9%). Smoking was an important risk factor of diabetes in elderly Hui population(P=0.020). Conclusion Compared the elderly Hui population with Han,there was significant difference in the prevalence of diabetes and pre-diabetes in different gender and age groups. Smoking cigarette was a possible risk factor.

Key words: Hui population, elderly, diabetes, research

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