·儿童、青少年糖尿病·　

         赵蕾 李淑波 徐建鑫 杨金奎

　　作者单位：100017 北京，解放军第305医院内分泌科(赵蕾);北京市昌平区疾病预防与控制中心慢病科(李淑波、徐建鑫);首都医科大学附属北京同仁医院内分泌科(杨金奎)

　　 【摘要】 目的 调查北京市昌平区10~18岁超重/肥胖人群空腹血糖受损(IFG)的患病率。 方法 随机抽样获得样本3409名。体检并记录身高、体重、血压，计算BMI。BMI高于同年龄性别第85百分点者测定空腹血糖。 FPG≥5.6 mmol/L者做口服葡萄糖耐量试验(OGTT)。 结果 空腹血糖筛查发现81例IFG和1例2型糖尿病。超重/肥胖儿童青少年IFG患病率6.12%。OGTT结果显示，除1例2型糖尿病外未发现餐后血糖>7.8 mmol/L者。 结论 本地区10～18岁超重/肥胖人群IFG患病率较低。

　　【关键词】糖尿病，2型;儿童;青少年;高血压;肥胖

　　doi:10.3969/j.issn.1006-6187.2011.11.008

　　The prevalence survey of impaired fasting glucose in Chinese children and adolescents with over weight/obesity in Changping district of Beijing

　　ZHAO Lei, LI Shu-bo, XU Jian-xin, et al. The 305 Hospital of PLA, Beijing 100017, China

　　【Abstract】 Objective  To survey the prevalence of impaired fasting glucose (IFG) in Chinese children and adolescents aged 10 to 18 years in Changping district.   Methods   In 2007, 9 schools were randomly selected from a total of 84 schools in the Changping district of Beijing. Students of the 9 schools were stratified according to their age and then randomly selected. We get a sample of 3,409 subjects (1850 boys and 1559 girls). Body weight, the height and blood pressure were measured. The BMI was then calculated. Fasting plasma glucose was measured in the children with a body mass index≥85th percentile. The oral glucose tolerance test (OGTT) was performed in all the subjects with fasting glucose≥5.6 mmol/L.   Results   Eighty-one impaired fasting glucose subjects and one girl with type 2 diabetes (T2DM) were identified. The prevalence of IFG in the children and adolescents with overweight/obesity group was 6.12%. Based on OGTT, 31 of the 81 IFG subjects were proved to have IFG and no postprandial hyperglycemia or IGT was found except for one girl with T2DM.   Conclusion   Prevalence of IFG in children and adolescents of Changping district is low.

　　【Key words】 Diabetes mellitus, type 2; Children; Adolescents; Hypertension; Obesity