目的调查唐山冀东社区人群空腹血糖受损的患病率及其影响因素。方法纳入河北省唐山市冀东社区健康居民7950例,男性4152例,女性3798例,检测身高、体重,计算体重指数(BMI=体重/身高2)以及腰围,水银血压计测量血压,己糖激酶法检测血糖,酶法检测血脂[包括:甘油三脂(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)];用Logistic回归分析糖尿病的危险因素。结果共发现空腹血糖受损(IFG)2264例(28.5%),调查人群总体IFG患病率随年龄的增长而增加,但男性较女性IFG出现得更早;年龄、体重指数、血压、TC与TG增高是IFG的危险因素。结论社区居民的体重、血压、血糖、血脂指标应早期、规律、规范、连续地监测,并及时干预;男性应该更早得到检测和干预。
Objective To survey the prevalence and influence factors of impaired fasting glucose (IFG) in adults from the Jidong Community of Tangshan City. Methods Health persons (n=7950 including male 4152 and female 3798) were chosen from the Jidong Community of Tangshan City, and their height, weight, BMI (BMI=weight/height2), waistline and blood pressure (BP) were detected. The level of plasma glucose was detected by using hexokinase method and blood fat (TG, TC, HDL-C and LDL-C) were detected by using enzymatic method. The risk factors of diabetes were analyzed by using Logistic regression analysis. Results There were totally 2264 cases (28.5%) of IFG. The prevalence of IFG increased as age increased, and IFG occurred earlier in the male than in the female. The increased age, BMI, BP, TC and TG were risk factors of IFG. Conclusion The indexes of weight, BP, plasma glucose and blood fat should be monitored early, periodically, normatively and continuously. If the abnormal is detected, intervention should be given the patients timely. When giving intervention, different sexes should be treated differently, especially for the male, who should be given earlier detections and interventions.