南京市城区老年人群2000年和2017年糖尿病自我报告患病率情况及变化

doi:10.3969/j.issn.1003-9198.2023.06.019

摘要/Abstract

摘要： 目的了解南京市城区≥60岁老年人群2000年和2017年自我报告糖尿病患病率的分布特征及变化情况。方法利用南京市城区≥60岁老年人群2000年和2017年横断面调查的代表性数据进行分析,调查内容包含社会人口学信息、自我报告糖尿病等主要慢病患病情况、慢病相关的生活及行为方式和身高、体质量。采用χ²检验比较不同年份调查对象的人口学分布特征、自我报告糖尿病的患病率及流行病学分布的差异。结果 2000年和2017年南京市城区≥60岁老年人群自我报告糖尿病的总体患病率分别为6.1%(95%CI: 0.055~0.067)和20.2%(95%CI: 0.192~0.212),呈明显上升趋势(P＜0.01)。两个年份之间性别、年龄、文化程度、吸烟、饮酒、BMI及体力活动情况中各特征人群的自报患病率差异均具有统计学意义(P＜0.05)。每个年份不同年龄组间患病率差异均存在统计学意义(P＜0.05),2000年不同文化程度及饮酒情况人群间患病率差异有统计学意义(P＜0.05),2017年不同BMI及PA分组人群间患病率差异有统计学意义(P＜0.05)。结论南京市城区老年人群糖尿病自报患病率在全国处于较高水平且呈上升趋势,应重点关注60~79岁、超重肥胖及体力活动不充足老年人群的糖尿病防控。

关键词: 糖尿病, 老年人, 自报患病率

Abstract: Objective To investigate the prevalence trend and risk factors of self-reported diabetes mellitus in the elderly people living in urban areas of Nanjing. Methods Two cross-sectional surveys were undertaken in the same urban areas of Nanjing, China, in 2000 and 2017. The same multi-stage sampling approach was used to randomly select participants. Demographic features and health-related behaviors were collected using questionnaires, and the height and weight were measured. Chi-square test was used to examine the demographic features, prevalence rate and epidemiological distribution of self-reported diabetes mellitus between the subjects in 2000 and those in 2017. Results The prevalence of self-reported diabetes mellitus in the elderly population of Nanjing was 6.1%(95%CI: 0.055-0.067)in 2000 and 20.2%(95%CI: 0.192-0.212)in 2017 (P<0.05), respectively. There were statistically significant differences in the self-reported prevalence rate in the elderly with same gender, age, education level, smoking, drinking, BMI and physical activity (P<0.05)between the two groups.There was significant difference in the prevalence of self-reported diabetes mellitus between the elderly with different age in each group (P<0.05). In 2000, there were significant differences in the prevalence among the elderly with different levels of education and drinking (P<0.05).In 2017, there were significant differences in the prevalence among the elderly with different levels of BMI and physical activity(P<0.05). Conclusions The prevalence of self-reported diabetes mellitus is high in the elderly population in Nanjing, which shows a time-dependent trend of increase.

Key words: diabetes mellitus, aged, self-reported prevalence

中图分类号:

R 587.1

田思雨, 王志勇, 娄青林, 徐斐. 南京市城区老年人群2000年和2017年糖尿病自我报告患病率情况及变化[J]. 实用老年医学, 2023, 37(6): 615-619.

TIAN Si-yu, WANG Zhi-yong, LOU Qing-lin, XU Fei. Prevalence and its change of self-reported diabetes mellitus in 2000 and 2017 among elderly people in urban area of Nanjing, China[J]. Practical Geriatrics, 2023, 37(6): 615-619.

参考文献

[1] LI Y, TENG D, SHI X, et al. Prevalence of diabetes recorded in mainland China using 2018 diagnostic criteria from the American Diabetes Association: national cross sectional study[J].BMJ, 2020, 369:m997.
[2] 中国老年2型糖尿病防治临床指南编写组,中国老年医学学会老年内分泌代谢分会,中国老年保健医学研究会老年内分泌与代谢分会,等.中国老年2型糖尿病防治临床指南(2022年版)[J].中华内科杂志, 2022, 61(1):12-50.
[3] 沈洪兵,徐耀初,沈清,et al. Prevalences of diabetes and hypertension and their relationship in community population of Jiangsu province[J].J Nanjing Med Universiy, 1998,12(2):49-53.
[4] 中国肥胖问题工作组.中国成人超重和肥胖症预防与控制指南(节录)[J].营养学报, 2004, 26(1):1-4.
[5] KAKINAMI L, WISSA R, KHAN R, et al.The association between income and leisure-time physical activity is moderated by utilitarian lifestyles: a nationally representative US population (NHANES 1999-2014)[J].Prev Med, 2018, 113:147-152.
[6] 黄茂盛,洪震,曾军,等.上海市城乡老年人慢性病现况调查[J].中华老年医学杂志, 2001, 20(4):46-48.
[7] 赵艳荣,邱银伟,杨清,等.浙江省社区健康管理老年人慢性病患病现况研究[J].预防医学, 2017, 29(3):217-220,225.
[8] LI M Z, SU L, LIANG B Y, et al.Trends in prevalence, awareness, treatment, and control of diabetes mellitus in mainland china from 1979 to 2012[J]. Int J Endocrinol, 2013, 2013:753150.
[9] 赵小兰,张德坤,张翔,等.基本公共卫生服务项目对高血压、糖尿病控制的影响[J].江苏预防医学, 2016, 27(2):179-180.
[10] ELVINS E, PARRINELLO C M, SACKS D B, et al.Trends in prevalence and control of diabetes in the United States,1988-1994 and 1999-2010[J].Ann Intern Med, 2014, 160(8):517-525.
[11] AL-SOFIAN M E, GANII S S, KALYANI R R.Body composition changes in diabetes and aging[J].J Diabetes Complications, 2019, 33(6):451-459.
[12] 张雯欣,范颂,刘霞,等.不同体质指数和血脂水平老年人糖尿病患病情况的纵向数据研究[J].中国全科医学, 2022, 25(9):1093-1097.
[13] 黄毓,樊春笋,施亚男.基于CLHLS项目2018年横断面数据的高龄人群高血压、糖尿病患病率及相关因素研究[J].实用临床医药杂志, 2021, 25(2):49-53.
[14] 何婷婷,巢健茜,顾佳怡,等.南京市空巢老人慢性病患病及影响因素分析[J].中国公共卫生, 2017, 33(11):1571-1575.
[15] 朱云,史静琤,罗旋,等.BMI与糖尿病关联强度剂量-反应关系分析[J].中国卫生统计, 2017, 34(6):887-890,895.
[16] 胡文斌,张婷,吴迎春,等.肥胖指标对2型糖尿病患病关联强度剂量-反应关系分析[J].现代预防医学, 2018, 45(16):3052-3057.
[17] 张留伟,李劲,段芳芳,等.TCF7L2和KCNQ1基因多态性与2型糖尿病的关联[J].环境与健康杂志, 2014, 31(2):156-159.
[18] HAN M.The dose-response relationship between alcohol consumption and the risk of type 2 diabetes among Asian men: a systematic review and meta-analysis of prospective cohort studies[J].J Diabetes Res, 2020, 2020:1032049.
[19] POLSKY S, AKTURK H K.Alcohol consumption, diabetes risk,and cardiovascular disease within diabetes[J].Curr Diab Rep, 2017, 17(12):136.
[20] 李潮,王志勇,洪忻,等.南京市城区居民体力活动与2型糖尿病罹患风险关系的随访研究[J].现代预防医学, 2012, 39(15):3879-3881,3883.
[21] 中华人民共和国国务院.中国防治慢性病中长期规划(2017-2025年)[J].中国实用乡村医生杂志, 2017, 24(11):6-11.