| ObjectivesTo understand the prevalence rate of diabetes of residents over45years old in Zhabei District through the health archives set by’Health Zhabei project’; to analyze the characteristic of different people and risk factors and to propose different intervention strategies for different people; to provide basic information and facts for integrating resource, establishing diabetes prevention network, and launching community diabetes managenment in Zhabei.MethodsResearch group drew the sample of18234persons, which are from the5%of the permanents residents over45years old in Zhabei selected by cluster sampling and divided them into4groups, ie normal population, diabetes high risk population, non-diabetic patients and diabetic patients.The study used information and data form the structured interview and physical examination done by the unified-trained medical staff. The contents of the structure interview mainly included information of demography, living habits and disease history. The contents of phyicial examination inculded body and medical indicators. Body indicators included height, weight, BMI, WHR, SBP, DBP and heart rate, etc. Chemical indicators included FBG, TC, TG, HDL-C, LDL-C, BUA, BUN, SCR, UCR, ALT, AST and GGT, etc.The data was analyzed by SPSS16.0.Results1. Among the whole18234sampling population, normal population accounted for26.48%, diabetes high risk population62.10%, and diabetic patients11.42%. Males’diabetic prevalence rate of sampling population was12.08%, female’s11.00%; 45～54year-old population’s prevalence rate was6.59%,55～64’s9.87%,65～74’s15.96%, over75’s7.76%; the prevalence rate of population with hukou was11.67%, without hukou10.28%; the prevelance rate of Gonghexin street was the highest among9streets, followed by the Baoshan Street and bottomed with Pengpu town street.2. The average age of the sampling population was62.06±10.63years old, of which normal population, diabetes high risk population, non-diabetic patients and diabetic patients were respectively58.86±9.75,62.72±10.65,61.57±10.54and65.90±10.57years old. Males occupied39.60%, while female was60.40%. Population with hukou accounted for82.1%, and that without hukou was17.88%. Illiterate persons accounted for6.92%among the whole sampling population. The propotion of population with education of middle school (39.97%) was highest, followed by that of high school (24.91%). The propotion of population with education history of over college was small. Among sampling population, most of them were retired people, which accounted for68.04%. As the aspect of marriage, the propotion of the married population was the biggest (85.85%), which of those who berefted one’s spouse was9.35%. The proportion of other marriage condition was small. Most of the sampling population was Han people (99.46%), and the proportion of Hui people was0.31%, with that of other ethic people only0.23%. Population from Beizhan street was17.28%of the sampling population, with proportion of Pengpu town street11.09%and Gonghexin Street8.65%.3. The average WHR of sampling population was0.87±0.07, with that of common population was0.84±0.07, diabetic high risk population0.88±0.07, non-diabetic patients0.87±0.07, and diabetic patients0.90±0.07.4. The average BMI of sampling population was24.26±4.05kg/m2, with that of common population was21.38±1.80kg/m2, diabetic high risk population25.31±1.13kg/m2, non-diabetic patients24.14±4.02, and diabetic patients25.22±4.11kg/m2.5. The average SBP of sampling population was127.60±15.79mmHg, with that of common population was117.85±10.38mmHg, diabetic high risk population130.92±15.89mmHg, non-diabetic patients127.01±15.65mmHg, and diabetic patients132.13±16.16mmHg. 6. The average DBP of sampling population was80.40±9.26mmHg, with that of common population was75.21±6.45mmHg, diabetic high risk population82.39±9.45mmHg, non-diabetic patients80.24±9.27mmHg, and diabetic patients81.59±9.10mmHg.7. The average FBG of sampling population was5.48±1.57mmol/L, with that of common population was4.94±0.73mmol/L, diabetic high risk population5.25±0.99mmol/L, non-diabetic patients5.16±0.93mmol/L, and diabetic patients8.03±2.75mmol/L.8. The interquartile rage of TC of sampling population was4.45-5.70mmol/L, with that of common population was4.38-5.56mmol/L, diabetic high risk population4.49-5.73mmol/L, non-diabetic patients4.45-5.69mmol/L, and diabetic patients4.48-5.82mmol/L.9. The interquartile rage of TG of sampling population was0.94-1.96mmol/L, with that of common population was0.76-1.44mmol/L, diabetic high risk population1.02-2.13mmol/L, non-diabetic patients0.92-1.91mmol/L, and diabetic patients1.08-2.31mmol/L.10. The interquartile rage of HDL-C of sampling population was1.22～1.70mmol/L, with that of common population was1.35-1.85mmol/L, diabetic high risk population1.20-2.51mmol/L, non-diabetic patients1.23-1.70mmol/L, and diabetic patients1.15-1.59mmol/L.11. The interquartile rage of ALT of sampling population was14-28U/L, with that of common population was13-24U/L, diabetic high risk population15-28U/L, non-diabetic patients14-27U/L, and diabetic patients15-31U/L.12. The interquartile rage of AST of sampling population was18-26U/L, with that of common population was18-25U/L, diabetic high risk population18-26U/L, non-diabetic patients18-26U/L, and diabetic patients17-26U/L.13. The interquartile rage of GGT of sampling population was14-31U/L, with that of common population was12-25U/L, diabetic high risk population15-33U/L, non-diabetic patients14-31U/L, and diabetic patients17-26U/L.14. The interquartile rage of BUA of sampling population was236-348mmol/L, with that of common population was216-310mmol/L, diabetic high risk population 249～361mmol/L, non-diabetic patients237～348mmol/L, and diabetic patients234～345mmol/L.15. The interquartile rage of BUN of sampling population was4.40-6.17μmol/L, with that of common population was4.23～6.00μmol/L, diabetic high risk population4.40～6.15μmol/L, non-diabetic patients4.37～6.10μmol/L, and diabetic patients4.60-6.60μmol/L.16. The interquartile rage of UCR of sampling population was1.12～4.25mg/g, with that of ommon population was1.12～4.25mg/g, diabetic high risk population1.13～4.33mg/g, non-diabetic patients1.09～4.07mg/g, and diabetic patients1.42-6.51mg/g.17. The average sleeping hours a day of sampling population was7.23±1.33h/d, and that of each group was among7h/d. Among the sampling population, those who never smoked accounted for76.48%, and those who smoked was23.52%. The proportion of those who never drank was83.99%, and those who drank was16.01%.58.67%of the sampling population has a mild flavor.72.84%has a balanced combination of meat and vegetables, while18.6%preferred vegetables and8.56%liked meat.18. Sex, age, WHR, SBP, DBP, TG, FBG, ALT, AST, eating flavor and preference of meat or vegetables were the risk factors of diabetic high risk population over45years old in Zhabei, and sex, age, WHR, SBP, FBG, ALT, AST and eating flavor were the the risk factors of diabetic patients of the same population. Discussion1. The inclusion criteria of grouping were fairly scientific.2. The reasons were explained for the extremely great amount of the OR of WHR and the effect on other factors.3. Why we choose the risk factors into the logistic model.4. Middle aged and elderly population was the key of the diabetic management in community.5. The prevalence rate of middle aged and elderly population was high. 6. Speicial attention should be attached to the occurrence risk of diabetes of elderly persons.7. The similarities and differences of the risk factors between of diabetic high risk and diabetic population.8. The living habits of residents of Zhabei was good.9. The proportion of high risk diabetic population was high, and the diabetic management tasks of parts of streets were heavy.10. Active actions should be taken to prevent common population from turning into diabetic high risk population. Recommendations1. Establish the thinking of twele dimensions health management circle service.2. Screen the risidents in Zhabei at regular intervals.3. Carry out health management based on community.4. Improve the standerdised community doctor traning of health screen and managent skill.5. Launch the diabetic health eduction and intervention in community.6. Carry out the health intervention based on the population for the residents.7. Ecourage the self-management of the diabetic patients. |
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