广西城乡居民膳食摄入水平与糖代谢异常的关系.doc

广西城乡居民膳食摄入水平与糖代谢异常的关系 中国慢性病预防与控制20o8年l2月第l6卷第6期chinJPrevc0ntrc}lrDnN0n—co唧岫Dis,Decelber20o8,V01.16,No.6?571? 文章编号:10o4.6l94(2oo8)06_o571103 【论着】 广西城乡居民膳食摄入水平与糖代谢异常的关系 唐振柱,陈兴乐,黄兆勇,韩彦彬,方志峰,阮青,陈莉,杨娟,秦秋兰,刘玄华,张洁宏,陈钦艳 摘要:目的探讨广西城乡居民膳食摄入水平与糖代谢异常的关系.方法按照多阶段随机抽样法,分别抽取广西 4个城市和4个农村共2281名18岁及以上城乡居民进行调查,内容包括膳食调查,体格检查和血糖检测.结果共检出 糖尿病37例,空腹血糖受损(IFG)26例,糖代谢异常患病率为2.8%.其中城市1O20人,糖尿病26例,IFG15例,糖代谢异 常患病率为4.O%;农村1261人,糖尿病1l例,IFGl1例,糖代谢异常患病率1.7%,城市居民糖代谢异常率高于农村,差别 有统计学意义(Plt;O.01).单因素分析显示,城市居民糖代谢异常者畜肉,畜禽肉,腌菜,油脂摄入量高于血糖正常人群,差别 有统计学意义(Plt;0.05);农村糖代谢异常者酒摄入量高于血糖正常人群,差别有统计学意义(Plt;O.01).经gistic多因素分 析显示,腌菜(0R=1.36),油脂(0=1.33)是广西城乡居民糖代谢异常的膳食危险因素,而薯类食物是保护因素(DR=o.80). 结论膳食因素与广西城乡居民糖代谢异常发生关系密切. 关键词:膳食;糖尿病;空腹血糖受损 中图分类号:R589.1文献标识码:A TheStudy0ntheRdatio璐h.pbetw咖DietInke锄dImpairedGIucoseMeb0li锄inAdultItesidentsinG咖g ?GZz地C日E,,日?G.一y0et以ce眦e咖r腑e∞ec0肋.02蕊d口enGng530o28, China AbsIn:objectiveT0exploretherelati0nshipbetweendietimaJ【eand出abetesmeitus(DM)andimpaiedftinggIucose (IFG)inadllltresidentsinGuaJ1g】【i,soast0pr0videscien曲cbasisf0rdietaryprevention.MetlIo凼2281people(1020fmmurban areasand126lflmmmralareas)aged18yearsandab0vewereselectedflmm4citiesand4c0untIysidesinCluangxitllrougha multistagestratifiedrandomsampling.TheinvestigationincludedtIlemealinvestigation,medicalex锄inati0nandbloodassay. msultsr0tal37pe0ple(26fmmurbanand1lfrommI)suredfmmDMaJld26pe0p1e(15fr0murbaIlaIldl1mmra1)had IFG,tllegeneralprevalencerate0fImpairedGlucoseMetab0lism(IGM)was2.8%(4.o%forurbanand1.7%f0rmr;Itsh0wedtllat theprevalence0fIGMincitywasobviouslyhighertIlaIltllatintllec0untryside(Plt;0.O1).I1lle8inglef_act0ranalysisindicatedtIl砒tlle intakesofdomesticmal8,d0mesticanimalsandp0llltry,picl【1eandflatinIGMwerehigherthantll0seinn0珊alpe0pkincity(P O.05);andtheintakeofalc0h0linIGMwerel1igl1ertllantIlatinno瑚alpe0pleincountry,(Plt;0.O1).-I1lemultifactoTIJ0sicregressi0n aJ1alysisindicatedtllattheexcessiveintake0fpickle(=1.36)andfat(=1.33)wast}Ierisk‰t0rinIGM,whtIlesweetpoo (=O.80)waspmbablypmtectivefact0r.C0ndllsions-I1hedietaryfact0rsar