·糖尿病流行病学调查·

　　内江市20～60岁机关从业人员空腹血糖受损及相关因素横断面的调查研究

　　甘华葵 丁燕 袁平宗 孙毅 周亚莉 陈军 吴建荣 童南伟 邹勇波 谢路生

　　【摘要】 目的 探讨内江市20～60岁企事业机关单位从业人员的IFG情况及相关因素。 方法 用整体分层随机抽样法抽取内江市企事业机关单位从业人员9 905人，进行问卷调查、体格检查及生化检测等，用Logistic多元回归分析IFG及相关因素。将IFG分组与正常组比较相关疾病。 结果 IFG共1095例，患病率为11.05%，其中女216例，患病率5.64%，男879例，患病率14.48%，差异有统计学意义(²=152.57，P<0.01)。IFG者不同FPG组高血压、血脂异常、脂肪肝等患病率较FPG正常组高，差异有统计学意义(P<0.01)。经Logistic多元回归分析，提示IFG与肥胖、性别、运动、文化程度、高脂饮食、家族史有关。 结论 20～60岁内江市企事业机关从业人员的IFG患病率为11.05%，随FPG升高，IFG者高血压、血脂异常、脂肪肝、高尿酸血症、肥胖的患病率明显高于正常组。

　　【关键词】 空腹血糖受损;相关因素;危险因子

　　A transected study on the prevalence and its related factors of impaired fasting glucose in the staffs of enterprises and government institutions in Neijiang

　　GAN Hua-Kui, DING Yan, YUAN Ping-zong, et al. The First Hospital of Neijiang, Sichuan 641000, China

　　【Abstract】 Objective To investigate the prevalence and its related factors of impaired fasting glucose (IFG) in the staffs of enterprises and government institutions in Neijiang aged 20～60 years. Methods In total 9905 people were investigated. Questionnaire, physical examinations, and lab tests were adopted. Unconditional multivariate logistic regression model was used to analyze the related factors. Comparing the related diseases among various groups based on FPG with controls. Results In this study, the prevalence of IFG was 11.05% including 216 women (5.64%) and 879 man (14.48%), and the difference was significant (²=152.57, P<0.01). The incidence of hypertension, non-normal serum lipid, and fatty liver in the IFG group with abnormal FPG was significantly higher than those in the normal FPG group, and the difference was significant (P<0.01). The result of multivariate logistic regression analysis showed that the related factors for IFG were obesity, sex, the educational level, physical exercise, high-fat food, and family history. Conclusion The prevalence of IFG was 11.05% in the staffs of enterprises and government institutions in Neijiang aged 20～60 years. With a FPG rising, the incidence of hypertension, non-normal serum lipid, adiposis hepatica, hyperuricemia, and obesity was significantly rising.

　　【Key words】Impaired fasting glucose (IFG); Related factors; Risk factors