世界中医药
文章摘要
引用本文:邢新军 杨金奎.109例2型糖尿病一级亲属血糖与年龄、肥胖的关系分析[J].世界中医药,2012,7(5):.  
109例2型糖尿病一级亲属血糖与年龄、肥胖的关系分析
Correlation between Blood Glucose and Age, Obesity in 109 Cases of First-degree Relatives of Type 2 Diabetes
投稿时间:2012-05-28  
DOI:
中文关键词:  2型糖尿病  一级亲属  风险预测
English Keywords:Type 2 Diabetes  First-degree Relatives  Risk Prediction
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作者单位
邢新军1 杨金奎2 1 北京市垂杨柳医院急诊科100022 2 北京同仁医院内分泌科 
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中文摘要:
      目的:利用在家中即容易获得的一些数据,对糖尿病一级亲属进行简单可行的糖尿病风险预测,从而督促高危人群尽早就医,以尽可能早而多的发现无症状的糖尿病患者。方法:选择2型糖尿病一级亲属共109名,统计其年龄,测定其空腹血糖(FBG)及口服葡萄糖耐量试验(OGTT)2小时血糖(PBG)、腰围(WC)、臀围(HR)、颈围(NC)、身高、体重并计算腰臀比(WHR)及体重指数(BMI)。统计方法使用相关系数计算、卡方检验以及Logistic回归。结果:年龄≥55岁者糖尿病患病率33.3%,年龄﹤55岁者糖尿病患病率12.5%;肥胖者糖尿病患病率27.9%,非肥胖者糖尿病患病率3.6%;空腹血糖正常而OGTT2小时血糖异常者共26人,占所有受试者的23.9%;NC与BMI及WC的相关系数r均>0.7。结论:年龄大于55岁后糖尿病患病率明显升高;肥胖者糖尿病发病率明显升高;单纯测量空腹血糖会漏诊较多IGT人群及糖尿病患者;颈围与BMI及WHR均具有较好相关性,是容易测量且能较好反映肥胖程度的指标。
English Summary:
      Establishing a simple method to predict the possibility of suffering diabetes by using some data that easy to acquire at home.By this way,we can detect the undiagnosed patients as earlier as possible.Methods:A total of 109 first-relationship relatives of type 2 diabetes participated in the test. We measured their blood sugar,age,neck circumference(NC),waist circumference,hip circumference(WC),height,weight, and calculated their waist-hip ratio(WHR)and body mass index (BMI).Correlation,Chi-squared test and Logistic regression were used in the analysis of the relations between these data.Results:The prevalence rate of diabetes is 12.5% and 33.3% respectively before and after 55 years of age.The prevalence rate of diabetes is 27.9% and 3.6% respectively in the participants of obesity and non-obesity.The percentage of individual with normal FBG and abnormal PBG is 23.9%.Both correlation coefficient of NC / WC and NC/BMI are >0.7.Conclusion:The prevalence rate of diabetes increased significantly after 55 years of age.The prevalence rate of diabetes increased significantly in the obese people.Only measuring FBG would miss more IGT population and diabetic patients.NC has close correlations with BMI, WC,and is an appropriate indicator to reflect the degree of obesity.
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