【摘要】 目的 :了解重庆地区老年人 2型糖尿病 (DM )和糖耐量低减 (IGT)的患病情况及相关疾病。方法 :采用整群抽样的方法对重庆地区 1791例 6 0岁以上老年人群进行横断面研究。结果 :(1) 2型DM患病率为 15 .6 % ,IGT患病率为 2 0 .5 %。餐后血糖是诊断老年人 2型DM的一个敏感指标。 (2 ) 70岁以上组与 6 0～ 6 9岁组比较 2型DM和IGT的患病率有显著性差异 ,其中IGT患病率的差异尤为显著。 (3)Logistic回归分析结果表明 ,高血压、高TG血症、肥胖和中心性肥胖均为 2型DM和IGT患病的危险因素。结论 :老年人 2型DM和IGT患病率随年龄的增长而增加 ,餐后血糖是早期诊断老年人 2型DM的敏感指标 ;高血压、高TG血症、肥胖和中心性肥胖是影响老年人 2型叫患病率的主要相关疾病。更多还原

【Abstract】 Objective:To investigate the prevalence and the related diseases of type 2 diabetes mellitus and impaired glucose tolerance among the old population in Chongqing region.Methods:A cross-section suvery with multiple-stage and random sampling was performed among 1791 elder people over 60 years in Chongqing region.Results:(1)The prevalence of type 2 diabetes mellitus and impaired glucose tolerance were 15.6% and 20.5%,respectively.Postprandial plasma glucose was a sensitive diagnostic standard for type 2 diabetes mellitus of the elder population.(2)The prevalence of type 2 diabetes mellitus and impaired glucose tolerance were significantly different between the over-70-years-old group and the 60～69-years-old group,especially the prevalence of impaired glucose tolerance.(3)Logistic regression analysis showed that hypertension,hypertriglyceridemia,obesity and centric obesity were the risk factors for the prevalence of type 2 diabetes mellitus and impaired glucose tolerance.Conclusion:The prevalence of type 2 diabetes mellitus and impaired glucose tolerance grow with aging,and the postprandial plasma glucose is a sensitive diagnostic standard for type 2 diabetes mellitus of the elder population.Hypertension,hypertriglyceridemia,obesity and centric obesity are the main diseases leading to the prevalence of type 2 diabetes mellitus of the elder population.更多还原