摘要
目的 了解在职人群糖尿病的流行情况并进行相关危险因素分析,为糖尿病预防和治疗提供参考依据.方法 选取2022年3-12月西南医科大学附属中医医院的4 342名在职体检人群为研究对象,通过问卷调查和生化检测收集体检者的一般情况(血压、身高、体重等)、病史(高血压、糖尿病)、生活特点、血脂、血糖等指标,对在职体检人群糖尿病发生的相关因素进行Logistic回归分析.结果 纳入研究对象4 342人中糖尿病患病人数为284人,糖尿病检出率为6.54%.单因素分析显示年龄、运动缺乏、睡眠时间、膳食情况、高血压、血脂异常、体重指数及中心性肥胖与糖尿病相关(P均<0.05).Logistic回归分析显示,高血压(OR=2.328,95%CI:1.773～3.056)、血脂异常(OR=3.235,95%CI:2.315～4.521)、年龄≥40 岁(OR=5.153,95%CI:3.265～8.131)、超重/肥胖(OR=2.915,95%CI:2.053～4.140)、中心性肥胖(OR=1.797,95%CI:1.317～2.453)、运动缺乏(OR=1.952,95%CI:1.481～2.572),膳食情况较差(OR=4.901,95%CI:1.187～20.232)为糖尿病发生的危险因素.结论 高血压、血脂异常、年龄≥40岁、超重/肥胖、中心性肥胖、运动缺乏、膳食情况差为糖尿病发生的危险因素,可以通过改善以上因素加强对糖尿病的防控与管理.
Abstract
Objective To understand the prevalence of diabetes in the working population and analyze the related risk factors,so as to provide reference for the prevention and treatment of diabetes.Methods From March to December 2022,4 342 in-service physical examination people in the Affiliated Traditional Chinese Medicine Hospital of South-west Medical University were selected as the research objects.The general conditions(blood pressure,height,weight,etc.),medical history(hypertension,diabetes),life characteristics,blood lipids,blood glucose and other indicators of the physical examination people were collected through questionnaires and biochemical tests.Logistic regression analysis was performed on the related factors of diabetes in the in-service physical examination people.Results Among the 4 342 subjects included in the study,284 had diabetes,and the detection rate of diabetes was 6.54%.Uni-variate analysis showed that age,lack of exercise,sleep time,diet,hypertension,dyslipidemia,body mass index and central obesity were associated with diabetes(all P<0.05).Logistic regression analysis showed that hypertension(OR=2.328,95%CI:1.773-3.056),dyslipidemia(OR=3.235,95%CI:2.315-4.521),age≥40 years old(OR=5.153,95%CI:3.265-8.131),overweight/obesity(OR=2.915,95%CI:2.053-4.140)Central obesity(OR=1.797,95%CI:1.317-2.453),physical inactivity(OR=1.952,95%CI:1.481-2.572)and poor diet(OR=4.901,95%CI:1.187-20.232)were risk factors for diabetes.Conclusion Hypertension,dyslipidemia,age≥40 years old,overweight/obesity,central obesity,lack of exercise and poor diet are risk factors for diabetes,and the prevention and management of diabetes can be strength-ened by improving the above factors.
基金项目
西南医科大学-西南医科大学附属中医医院联合项目(西南医大[2020]6号)
西南医科大学-西南医科大学附属中医医院联合项目(2020XYLH-071)
维普
万方数据