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ABO血型的糖尿病发病风险研究

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目的 探讨ABO血型的糖尿病发病风险。方法 回顾性分析2006—2018年陆军军医大学第一附属医院健康管理科的1306397例健康体检者资料,包括性别、年龄、身高、体重、血糖、血脂和ABO血型等,将其中同时有血型和空腹血糖数据的61296例体检者作为研究人群,采用多因素logistic回归分析不同ABO血型的糖尿病发病风险。结果 总人群和研究人群中性别、年龄、BMI分布比较,差异有统计学意义(P<0。05)。研究人群中糖尿病、糖尿病前期人数分别为2649例(4。3%)和3979例(6。5%)。不同血型人群的胆固醇、低密度脂蛋白-胆固醇(LDL-C)、糖尿病、糖尿病前期人群分布比较,差异有统计学意义(P<0。05)。多因素logistic回归分析结果显示,与O型血相比,A型血糖尿病发病风险增加(OR=1。38,95%CI:1。02~1。86,P=0。04),而B型血(OR=1。28,95%CI:0。93~1。77,P=0。13)和AB型血(OR=1。33,95%CI:0。83~2。11,P=0。23)不会增加糖尿病的发病风险。结论 可对A型血人群进行早期筛查并采取预防性治疗和干预以降低糖尿病的发病率。
Study on the risk of diabetes mellitus in ABO blood type
Objective To investigate the risk of diabetes mellitus in ABO blood type.Methods The da-ta of 1306397 healthy physical subjects in the Department of Health Management of the First Affiliated Hos-pital of Army Medical University from 2006 to 2018 were retrospectively analyzed,including gender,age, height,weight,blood glucose,blood lipid and ABO blood type.A total of 61296 subjects with both blood type and fasting blood glucose data were selected as the study population.Multivariable logistic regression was used to analyze the risk of diabetes in different ABO blood types.Results There were significant differences in gender,age and BMI distribution between the total population and the study population (P<0.05).The num-ber of patients with diabetes and prediabetes in the study population was 2649 (4.3%) and 3979 (6.5%),re-spectively.There were significant differences in the distribution of cholesterol,low-density lipoprotein choles-terol (LDL-C),diabetes and pre-diabetes among people with different blood types (P<0.05).Multivariate lo-gistic regression analysis showed that compared with type O blood,type A blood had an increased risk of dia-betes (OR=1.38,95%CI:1.02-1.86,P=0.04),while type B blood (OR=1.28,95%CI:0.93-1.77,P=0.13) and type AB blood (OR=1.33,95%CI:0.83-2.11,P=0.23) did not increase the risk of diabetes. Conclusion Early screening of type A blood population and preventive treatment and intervention can be used to reduce the incidence of diabetes.

diabetes mellitusabnormal glucose metabolismABO blood typeriskhigh-risk groups

张亚兰、王新、孙丽、师嘉阳、程真、陈宗涛

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陆军军医大学第一附属医院健康管理科,重庆 400038

四川大学华西公共卫生学院,成都 610041

糖尿病 糖代谢异常 ABO血型 发病风险 高危人群

重庆市科卫联合医学科研项目

2020MSXM076

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(9)