Analysis Of The Change Of The Prevalence Of Glucose Metabolism And Related Risk Factors In A Large Enterprise In Jiayuguan City

Objective:To analyse in 2013 and 2016,some large enterprise in jiayuguan city 18 to5 years old worker is the prevalence of sugar metabolism and its associated risk factors,provide the basis for enterprise of diabetes prevention and health education.Methods:The staff physical examination data of a large enterprise in 2013 and 2016 were collected from the software system of xinglin shenzhi medical examination in jiugang hospital,and statistical analysis was carried out using SPSS 18.0 and Stata 11.0.The rate or percentage of counting data is expressed.The data were measured with plus or minus S,and the variance analysis was used for comparison between groups.The age adjustment rate was calculated by using the svy command in Stata,and the prediabetes prevalence rate in the two physical examinations was normalized by age and gender according to the data of the 2010 national population census.Risk factor analysis,select the multi-factor Logistic regression analysis and single factor disorderly classification,analysis of the sugar metabolic abnormalities crowd with age,sex,body mass index(bmi),metabolic disorders,and the correlation between risk factors such as smoking,drinking alcohol,calculate the OR and 95% CI,P < 0.05 is defined as the difference was statistically significant.Results:1)The overall prevalence of diabetes in 2013 and 2016 was 10.8%(11.5% for men and10.0% for women)and 10.6%(11.3% for men and 9.8% for women),respectively,with no statistically significant difference.(P = 0.982).2)The prediabetes prevalence rate after gender and age standardization was 22.67% in 2013(25.85% for males and 13.46% for females);In 2016,20.15% of men(24.18% of men,12.04% of women)were higher than women,and the difference was statistically significant(P < 0.05).Compared with 2013,the prediabetes prevalence rate in 2016 was reduced(P=0.558),and the difference between the ages of 50 and 59 was statistically significant(P=0.007).3)The prevalence rate of diabetes and prediabetes is highest in the age group from 50 to 59.4)Univariate analysis of abnormal glucose metabolism showed that aging,gender,body mass index,dyslipidemia,alcohol consumption,smoking,educational level and ALT abnormality had statistical significance.Multivariate calibration results found that age,sex,body mass index,drinking,smoking,cultural degree,dyslipidemia associated with sugar metabolic abnormalities(all P < 0.05),of which the influence factors of age for the first.In addition,alcohol consumption also increases the risk of abnormal glucose metabolism,but it has no significant relationship with abnormal glucose metabolism(P=0.380 in 2013,P=0.147 in 2016).Conclusion:There was no significant change in the prevalence of abnormal glucose metabolism in a large enterprise in jiayuguan between 2016 and 2013.Men,aging,overweight,dyslipidemia,smoking,alcohol consumption,and education were risk factors for the increased prevalence of abnormal glucose metabolism.