Analysis Of Abnormal Glucose Metabolism And Its Influencing Factors Among Teachers Of Different Nationalities In Yanbian Area

Purpose:To investigate the prevalence and prevention and control of abnormal glucose metabolism in Han and Korean populations in Yanbian area,compare the characteristics of different ethnic groups,and explore the related influencing factors,so as to provide guidance for the prevention and treatment of diabetes in Han and Korean ethnic groups in Yanbian area.method:From 2013 to 2014,the Department of Endocrinology of the First Hospital of Jilin University conducted a randomized random sample survey of abnormal glucose metabolism in Han and Korean residents over 18 years old in Yanbian,Jilin Province.The survey included 894 people(There are 317 Han people and 577 Koreans).The examination items are divided into questionnaires,physical examinations,and biochemical data.result:(1)The prevalence of diabetes in the Yanbian area was 6.3%(6.0% for Han and 6.4% for Korean).There was no significant difference in prevalence among different ethnic groups.The proportion of new-onset diabetes in total diabetes was 41.1%(31.6% for Han and 46% for Korean).The prevalence rate of pre-diabetes was 17.0%(14.5% for Han and 18.4% for Korean),and the prevalence of Koreans is significantly higher than that of Han.(2)In the Han population,the prevalence of diabetes in men was significantly higher than that in women(P<0.001).In the Korean population,the prevalence of diabetes and the prediabetes rate were higher in women than in women,the difference was statistically significant(P<0.05).(3)In the Han and Korean populations,the prevalence of diabetes and pre-diabetes increased with age(18-39 years old,40-49 years old,>50 years old),the difference in the prevalence of diabetes in different age groups(3%,2%,16%)was statistically significant among Han nationality(P<0.001).The prevalence of diabetes and pre-diabetes in Korea(2%,4%,13%;10%,23%,19%)was statistically significant(P<0.05),and the pre-diabetes prevalence rate was mainly increased in the 40-49 year old population.(4)With the increase of body mass index,the prevalence of diabetes and pre-diabetes in Han and Korean populations are increasing(Han: 4%,8%,11%;11%,16%,26%,Korea: 5%,8%,10%;16%,20%,25%),among which the pre-diabetes prevalence and body mass index of Han nationality were statistically significant(P<0.05).(5)Among the Han and Korean populations,the prevalence of diabetes and the prediabetes prevalence of abdominal obesity were higher than those of the normal population.Among them,the prevalence of abdominal obesity and normal people in Han people with diabetes was 13% and 3%,respectively,and the difference was statistically significant(P<0.05).(6)Among the Han and Korean populations,the prevalence of diabetes in family history was higher than that in non-family history(Han: 14%,4%;Korean: 11%,5%),and the difference was statistically significant(P< 0.05).(7)The prevalence of diabetes and pre-diabetes in the hypertension group of the Han and Korean populations was higher than that in the normal group,among which the prevalence of diabetes in Han(19%,4%),Korean diabetes and pre-diabetes(18%,4%;29%,16%)were statistically significant(P<0.05).(8)The diabetes and pre-diabetes prevalence of the hyperlipidemia group in the Han and Korean populations were higher than those in the normal blood lipid group.Among them,the pre-diabetes prevalence rate of the Han nationality(28%,10%),the prevalence of diabetes(12%,3%)and the pre-diabetes prevalence rate(23%,15%)in the Korean population were all associated with hyperlipidemia.The difference was statistically significant(P<0.05).(9)Among the Han and Korean populations,the prevalence of diabetes and pre-diabetes in the smoking group was higher than that in the non-smoking group.Among them,the prevalence of diabetes in Han nationality(24%,4%)and the prevalence of diabetes in Korean(17%,5%)were statistically significant(P< 0.001).(10)The prevalence of diabetes in the drinking group of the Han and Korean populations was higher than that of the non-drinking group(Han: 15%,3%;Korean: 10%,5%),and the difference was statistically significant(P<0.05).(11)The awareness rate,treatment rate and control rate of diabetes in Han people are higher than those of Koreans(Han: 68.4%,52.6%,31.6%;Korean: 54.1%,16.2%,5.4%),among which the treatment rate and control rate of different ethnic groups were statistically different(P<0.05).(12)The risk factors for the prevalence of diabetes in Han patients included gender,DM family history,and hypertension(P<0.05,OR=11.866;P<0.05,OR=4.883).The risk factors for pre-diabetes were obesity in the BMI group and hyperlipidemia(P<0.05,OR=2.755;P<0.05,OR=1.987).(13)The prevalence factors of diabetes in Korean patients included smoking,DM family history,and hypertension(P<0.05,OR=2.496;P<0.05,OR=2.705;P<0.05,OR=3.647).The risk factors for prediabetes were 40-49 years old,hypertension,and hyperlipidemia(P<0.05,OR=5.625;P<0.05,OR=2.226;P<0.05,OR=1.751).conclusion:(1)Among the teachers in Yanbian area,the prevalence of diabetes and pre-diabetes in Koreans was higher than that in Han,but there was no significant difference in the prevalence between the two groups(P>0.05).(2)The prevalence of diabetes in both Han and Korean is higher in men than in women;the prevalence of diabetes increases with age,BMI,and waist circumference;and the prevalence of diabetes has a significant correlation between family history,hypertension,hyperlipidemia,smoking and drinking.(3)Independent risk factors for the prevalence of diabetes in the Han nationality include a family history of DM,hypertension,and independent risk factors for pre-diabetes are obesity in the BMI group and hyperlipidemia.(4)Independent risk factors for diabetes prevalence in Koreans include smoking,family history of DM,hypertension,and independent risk factors for pre-diabetes are 40-49 years old,hypertension,and hyperlipidemia.