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目的:了解重庆某社区人群10年来糖尿病及糖尿病前期患病率的变化趋势。方法:调查分别于2003年、2008年及2013年在重庆市沙坪坝某社区进行,包括人体学测量、空腹血糖检验和口服75 g无水葡萄糖耐量试验(oral glucose tolerance test,OGTT)。糖尿病及糖尿病前期根据WHO 1999年诊断标准诊断。被调查人群按年度、性别分组,按年龄分层,统计各组糖尿病及糖尿病前期患病率。结果:2003年、2008年及2013年分别纳入3 140人、3 867人和5 429人。各年份间男女性别比例、平均年龄、体质指数及腰围均无明显差异。标化后糖尿病的患病率分别为9.79%、14.25%和18.82%;糖尿病前期的患病率分别为16.5%、16.0%和28.7%。各年份空腹血糖及餐后血糖均呈明显增高趋势(P<0.01)。结论:该社区人群糖尿病及糖尿病前期患病率在近10年内呈显著增高趋势。糖尿病日趋流行应引起更多的重视。
Objective: To understand the trend of the prevalence of diabetes and pre-diabetes in a population of a certain community in Chongqing over the past 10 years. Methods: The survey was conducted in a community of Shapingba in Chongqing in 2003, 2008 and 2013 respectively, including anthropometric measurement, fasting blood glucose test and oral glucose tolerance test (OGTT) of 75 g. Diabetes and diabetes pre-diagnosis according to WHO 1999 diagnostic criteria. The surveyed population was grouped by age and sex, stratified by age, and the prevalence of diabetes and pre-diabetes in each group was calculated. Results: 3 140, 3 867 and 5 429 were included in 2003, 2008 and 2013 respectively. There was no significant difference in sex ratio, average age, body mass index and waist circumference between men and women in all years. The prevalence rates of standardized diabetes were 9.79%, 14.25% and 18.82% respectively. Pre-diabetes prevalence rates were 16.5%, 16.0% and 28.7% respectively. Fasting blood glucose and postprandial blood glucose in all years showed a significant increase trend (P <0.01). Conclusion: The prevalence of diabetes mellitus and pre-diabetes in this community is increasing significantly in recent 10 years. Increasing prevalence of diabetes should cause more attention.