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目的探讨社区居民糖尿病患病情况及代谢综合征组分对2型糖尿病的预测作用与调控意义。方法采用分层整群抽样方法对徐州市社区20岁以上成人糖尿病及代谢综合征的患病情况进行研究,SPSS16.0软件进行统计分析。结果社区人群糖尿病、代谢综合征患病率分别为4.4%、10.3%,代谢综合征中糖尿病患病率高于一般人群(P﹤0.05)。排除血糖后,代谢综合征单组分中体质指数(OR=1.692,95%CI 1.139～2.515),血压(OR=4.152,95%CI 2.814～6.126)是糖尿病的独立预测因子。代谢综合征多组分组合中体质指数合并高血压和高甘油三酯组(OR=3.218,95%CI 2.037～5.082,P﹤0.01)对糖尿病的预测作用最强。结论代谢综合征单组分体质指数和高血压是2型糖尿病的独立预测因素,体质指数合并高血压和高甘油三酯聚合体对2型糖尿病有较强预测作用。对代谢综合征组分的综合调控可能对糖尿病及心脑血管疾病的预防具有公共卫生意义。
Objective To investigate the prevalence of diabetes in community residents and the role of metabolic syndrome components in predicting type 2 diabetes mellitus and its regulatory significance. Methods The stratified cluster sampling method was used to study the prevalence of diabetes and metabolic syndrome in adults over the age of 20 in Xuzhou community. SPSS16.0 software was used for statistical analysis. Results The prevalence rates of diabetes mellitus and metabolic syndrome in community population were 4.4% and 10.3%, respectively. The prevalence of diabetes mellitus in the metabolic syndrome was higher than that in the general population (P <0.05). Body mass index (OR = 1.692, 95% CI 1.139-2.515) and blood pressure (OR = 4.152, 95% CI 2.814-6.126) were independent predictors of diabetes in patients with metabolic syndrome after excluding blood glucose. The body mass index combined with hypertension and hypertriglyceridemia group (OR = 3.218, 95% CI 2.037-5.082, P <0.01) in the multi-component combination of metabolic syndrome had the strongest predictive value for diabetes. Conclusion The single component body mass index and hypertension of metabolic syndrome are independent predictors of type 2 diabetes. Body mass index with high blood pressure and high triglyceride aggregates strongly predict type 2 diabetes mellitus. The integrated regulation of components of the metabolic syndrome may have public health implications for the prevention of diabetes and cardiovascular and cerebrovascular diseases.