目的了解乌鲁木齐市汉族居民空腹血糖水平及其影响因素。方法从乌鲁木齐市区中整群抽取兴安社区居委会,随机抽取居委会中年龄≥18岁的汉族社区居民600名,进行问卷式调查,发放问卷600份,回收有效问卷588份。测量居民的身高、体质量、腰围、臀围、血压;检测空腹血糖,三酰甘油(TG)、总胆固醇(TC),高密度脂蛋白胆固醇(HDL-C)。按空腹血糖水平将居民分为3组:空腹血糖正常、空腹血糖受损(IFG)、糖尿病(DM)组。结果居民的IFG检出率为56.63%,居民DM患病率为10.37%。3组居民的年龄、文化程度、体质指数(BMI)、有无高血压、腹部肥胖以及TG、TC有无异常比较,差异均有统计学意义(P〈0.05);多因素逐步回归分析显示年龄、血压和TG为危险因素,OR值分别为1.229、1.528、1.235。结论乌鲁木齐市居民的IFG、DM的检出率分别为56.63%、10.37%,处于较高水平。年龄、血压、TG是空腹血糖水平增高的主要影响因素。
Objective To study the detection rates and effect factors of fasting glucose in Han residents in Urumqi.Methods A questionnaire-type survey was conducted on data of 600 Han residents (≥18 years old).Their height,body mass (BM),waist circumference (WC),hip circumference (HC),blood pressure (BP),and the levels fasting blood glucose (FBG),triglyceride (TG),total cholesterol (TC),high-density lipoprotein cholesterol (HDL-C) were determined.The subjects were divided according to FBG level into groups FG (with normal fasting glucose),IFG (with impaired FG),DM (with diabetes mellitus).Results The IFG detection rate was 56.63%,DM prevalence rate was 10.37%.There was significant difference in age,educational level,BMI,BP,WC,high TG,high TC between 3 groups (P〈0.05).Multi-factor Stepwise Regression Analysis showed that age,BP,TC were the risk factors,OR were 1.229,1.528,1.235,respectively.Conclusion The detection rates of IFG,DM are high in Urumqi (56.63%,10.37%).Age,BP,TG are the main influencing factors of elevated FG levels.