Analysis Of Annual Changes Of Blood Glucose And Lipids And Related Factors In A Health Check-Up Population In Shihezi City

Objective:To investigate the annual changes of blood glucose and lipid levels and related risk factors in the health management Center of the First Affiliated Hospital of Medical College of Shihezi University,and to provide scientific basis and guidance for the health management of the local population.Method:A total of 13367 local residents who underwent physical examination in the health management center of our hospital from May 1,2019 to April 30,2022 were selected as the research objects.The detection rates of diabetes and dyslipidemia and the distribution characteristics of gender,age,body mass index,blood pressure,and uric acid in each group were analyzed,and the annual variation trend and related risk factors were analyzed.Results:1.The detection rates of diabetes were 4.6%,6.0%and 8.0%,respectively.The detection rates of dyslipidemia were 23.8%,29.1%and 37.2%,respectively.2.Analysis of normal blood glucose group and diabetic group:(1)thec(17)test:the proportion of males in diabetic group was higher than that in females(P<0.01).(2)Non-parametric test:age,body mass index(BMI),systolic blood pressure(SBP),diastolic blood pressure(DBP),triglyceride(TG),total cholesterol(TC)and low density lipoprotein cholesterol(LDL-C)were significantly higher in diabetes group than in normal group,while high density lipoprotein cholesterol(HDL-C)was significantly lower in diabetes group than in normal group(P<0.01).(3)Binary logistic regression analysis showed that male,age,overweight,obesity,hypertension,hypertriglyceridemia,hypercholesterolemia,and low HDL-C were the risk factors for diabetes.(4)ROC curve:age,BMI,SBP,DBP,TG,TC can be used as conditions to predict diabetes.(5)the risk factors with quartile grouping linec(17)test:age>52 years,BMI>26.83kg/m~2,SBP>134mm Hg,DBP>83mm Hg,TG>1.96mmol/L,TC>5.43mmol/L had the highest rate of diabetes risk.3.Analysis of normal and abnormal blood lipids:(1)thec(17)test:the proportion of men than women in abnormal group(P<0.01).(2)Non-parametric test:Age,BMI,SBP,DBP,fasting plasma glucose(FPG)and uric acid(UA)in the abnormal group were higher than those in the normal group(P<0.01).(3)Binary logistic regression analysis showed that Male,age,overweight,obesity,hypertension,diabetes and hyperuricemia were risk factors for dyslipidemia.(4)ROC curve:Age,BMI,SBP,DBP,FPG and UA can be used to predict dyslipidemia.(5)the risk factors with quartile grouping linec X~2 test:age>52years old,BMI>26.83 kg/m~2,SBP>134mm Hg,DBP>83mm Hg,FPG>5.31mmol/L,UA>391μmol/L of the risk of dyslipidemia in patients with the highest rate(P<0.05).Conclusion:1.The prevalence of diabetes and dyslipidemia increased year by year in the past three years.The prevalence of diabetes and dyslipidemia in men was significantly higher than that in women.2.It is suggested that early screening for diabetes should be strengthened in men,elderly,overweight or obesity,hypertension and dyslipidemia.3.It is recommended to strengthen the early screening of dyslipidemia in men,the elderly,overweight and obesity,hypertension,diabetes and hyperuricemia.