The Research On The Relation Of Smoking, Drinking And Impaired Glucose Regulation Among Middle-aged And Old Residents In Nanchang City Of Jangxi

Objective：To acquire the prevalence of impaired glucose regulation, smoking and alcoholdrinking, and their relationship,so as to offer scientific support in impaired glucoseregulation intervention, constituting health care policy, establishing work emphases,atthe same time, in favor of offering some research information，Providing a theoreticalbasis for rich the nursing measures between smoking and impaired glucose regulation,we performed this study.Subject and methods：which collected8931objects, smoking and alcohol drinking history, andsocial-economical status were collected by face-to—face interview, and height,bodyweight, waist circumference, hip circumference, blood pressure by physicalexamination．SPSS19.0of statistical software was used，and χ~2-test，logisticregression，cox regression，curve estimation and life table analysis were performedfor data analysis．Results：1.IGR and smoking1.1χ~2-test，logistic regression showed：It was different statistically betweencurrent smokers and non-smokers (χ~2male=7.55,P=0.006，χ~2female=98.78，P=0.000).Compared with quit smokers,the current smokers had an increased risk of IGR (ORmale=1.15，P=0.011；ORfemale=1.55，P=0.003)．Compared with non-smokers，theIGR rate in men who had heavy smoking(＞40.5pack/year) and above had statisticalsignificance,but in women, moderate smoking(＞26.7pack/year) and above,too.But,Passive smoking is not IGR risk factors.1.2Life table analysis showed: It showed the exponential equation betweensmoking index and IGR had statistical significance(R~2male=0.963， P=0.003；R~2famale=0.959，P=0.004). Cox regression showed: After adjusting for age, BMI, WHR,and blood pressure，the analysis showed that the IGR rate increased with smoking index increasing．the analysis showed that the IGR rate were increasing withincreased smoking index2.IGR and alcohol—drinking2.1χ~2-test，logistic regression showed：The IGR rate between men currentalcohol-drinkers or not had statistical significance，but women hadn’t．Compared with non-alcohol-drinkers，the men alcohol-drinkers who had givenup had an increased risk of IGR(OR=1.26,P=0.001)，but women hadn’t．Comparedwith non-alcohol-drinkers，Regardless of the gender light drinking is protectionfactors of IGR; While heavy drinking is a risk factor for IGR.2.2Life table analysis showed：It showed the exponential equation betweenalcohol-drinking index and IGR had statistical significance(R~2male=0.85，P=0.048；R~2famale=0.92，P=0.043). Cox regression showed: After adjusting for age, BMI, WHR,and blood pressure， the analysis showed that the IGR rate increased withalcohol-drinking index increasing．2.3Different drinking types of relationships with IGR display： Mild-to-moderate drinks beer and heavy alcohol consumption have increased the dangersof IGR,With mild-to-moderate drink wine can reduced the dangers of IGR.3.The interaction of the smoking, drinking and IGRCurrent smoking and alcohol-drinking had no interaction on the male, femaleIGR.Conclusion：The results showed that the prevalence of IGR,smoking and alcohol-drinkingwas relative high.Smoking and alcohol-drinking were the risk factor of IGR, and bothhad weak interaction. Also, there was a similar straight dose-response. So,theprograms of comprehensive control and treatment measures should be enhanced inNanchang City, in order to make people give up smoking,drinking limitly, to reducethe risk of IGR,contain the increasing trend of IGR,curb the rising trend of diabetesimprove the people’s life quality, and reduce the burden of our society.