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目的了解辽宁省大连市社区居民2型糖尿病的发病影响因素,为该地区制定2型糖尿病的防治策略和措施提供参考依据。方法于2011年8—12月在大连市6个社区整群抽取2 396名过去未确诊患2型糖尿病的≥40岁社区居民进行问卷调查、体格检查和实验室检测,根据实验室检测结果将其中1 177例新发2型糖尿病患者和1 219名未患2型糖尿病人群分别作为病例组和对照组,分析大连市社区居民2型糖尿病发病的影响因素。结果病例组患者饮酒、肉类摄入频率≥3次/d、超重、肥胖、中心性肥胖、有糖尿病家族史、高血压、总胆固醇边缘升高、总胆固醇升高、甘油三酯边缘升高、甘油三酯升高、低密度脂蛋白胆固醇边缘升高、低密度脂蛋白胆固醇升高的比例分别为31.78%、25.32%、44.27%、42.23%、73.41%、22.60%、69.67%、38.40%、27.78%、16.65%、26.51%、31.01%、19.12%,均高于对照组人群的24.36%、21.82%、43.40%、21.00%、48.97%、18.79%、42.82%、37.57%、18.95%,10.83%、10.67%、26.17%、12.80%,病例组患者体力活动高度活跃的比例(14.87%)低于对照组人群(18.70%),差异均有统计学意义(均P<0.05);多因素非条件logistic回归分析结果显示,饮酒、超重或肥胖、中心性肥胖、有糖尿病家族史、高血压、甘油三酯升高(包括边缘升高和升高)和低密度脂蛋白胆固醇升高(包括边缘升高和升高)是大连市社区居民2型糖尿病发病的危险因素,体力活动高度活跃是大连市社区居民2型糖尿病发病的保护因素。结论大连市社区居民2型糖尿病发病的主要影响因素为饮酒、体力活动、体质指数、腰臀比、糖尿病家族史、血压以及甘油三酯和低密度脂蛋白胆固醇水平。
Objective To understand the influencing factors of type 2 diabetes in community residents in Dalian, Liaoning Province, and to provide reference for prevention and control strategies and measures of type 2 diabetes in this area. Methods From December to December 2011, 2 396 community residents aged ≥ 40 who had not been diagnosed with type 2 diabetes in the 6 communities of Dalian were enrolled in the questionnaire, physical examination and laboratory tests. According to the laboratory test results, Among them, 1 177 newly diagnosed type 2 diabetic patients and 1 219 non-type 2 diabetic patients were used as case group and control group respectively to analyze the influential factors of type 2 diabetes in community residents in Dalian. Results Patients in the case group had alcohol consumption, the frequency of meat intake was ≥3 times per day, overweight, obesity, central obesity, family history of diabetes, hypertension, elevated total cholesterol, elevated total cholesterol and elevated triglycerides , Triglyceride increased, the edge of low density lipoprotein cholesterol increased, the proportion of low density lipoprotein cholesterol increased by 31.78%, 25.32%, 44.27%, 42.23%, 73.41%, 22.60%, 69.67%, 38.40% , 27.78%, 16.65%, 26.51%, 31.01% and 19.12% respectively, which were all higher than that of the control group, which were 24.36%, 21.82%, 43.40%, 21.00%, 48.97%, 18.79%, 42.82%, 37.57% and 18.95% 10.83%, 10.67%, 26.17% and 12.80% respectively. The proportion of highly active physical activity in case group was significantly lower than that in control group (14.87% vs 18.70%, all P <0.05) Non-conditional logistic regression analysis showed that alcoholism, overweight or obesity, central obesity, a family history of diabetes, hypertension, elevated triglycerides (including margin elevation and elevation) and elevated LDL cholesterol (including Rising and rising edge) is a risk factor for type 2 diabetes in community residents in Dalian Vegetarian activity is highly active in Dalian community residents type 2 diabetes protective factors. Conclusion The main influencing factors of type 2 diabetes in community residents in Dalian are alcohol consumption, physical activity, body mass index, waist - hip ratio, family history of diabetes, blood pressure, triglyceride and low density lipoprotein cholesterol.