空腹血糖受损；_糖尿病；_血压；_血脂_

温州市老年及老年前期空腹血糖增高人群的临床特征分析

http://www.100md.com 《实用老年医学》 2007年第1期

空腹血糖受损；,糖尿病；,血压；,血脂,,空腹血糖受损；,糖尿病；,血压；,血脂,1对象和方法,2结果,3讨论,[参考文献]

     【摘要】目的探讨老年及老年前期人群空腹血糖(FBG)和相关指标的关系。方法以温州市15个居委会≥50岁人群为对象，作随机整群抽样调查，测定FBG、血脂、血压、腰围、臀围、体质量指数(BMI)等，按2003年美国糖尿病协会推荐的诊断空腹血糖受损(IFG)及糖尿病(DM)的标准，将1187例分为正常组、IFG组、DM组，统计分析FBG与各相关指标的关系。结果温州市≥50岁人群IFG患病率为19.8%，DM患病率为138%，FBG升高总计检出率高达33.6%，腰围、臀围、年龄、三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDLC)等指标与血糖直线相关(P<001)。逐步回归法多元线性回归分析显示TG及TC是影响FBG水平的主要因素。IFG组腰围、年龄、TG水平均高于正常组， DM组TG、TC、HDLC水平高于正常组，年龄、TG、TC、HDLC水平IFG+DM组高于正常组， DM组TG水平高于IFG组(P<005)。结论在FBG超出正常范围的初期,已出现中心性肥胖、血脂代谢紊乱和可能的血压升高的趋势。对 ≥50岁的老年前期及老年人,尤其是中心性肥胖的高危人群定期普查FBG并加以干预非常重要。

    【关键词】空腹血糖受损；糖尿病；血压；血脂

    Clinical characteristics of the elderly and preelderly people with high fasting plasma glucose level in Wenzhou city，China

    ZHANG Suqin, WU Lianpin, CHEN Peng, YANG Penglin, HE Moli, LIANG Chengying.

    Department of Cardiology,the Second Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000，China

    【Abstract】 Objective To study the relationship between higher fasting blood glucose(FBG) and other related indexes in the elderly and preelderly people. Methods The survey was carried out in the people aged over 50 in 15 residential districts of Wenzhou city. The people were selected by cluster sampling. FBG, fasting serum lipid, blood pressure, waist and buttock circumferences and body mass index(BMI) were detected.According to 2003 criterion of the expert committee on the diagnosis and classification of DM in American Diabetes Association(ADA), 1187 cases were divided into normal FBG group ......

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