北京大学学报(医学版)

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乌海市成人含糖饮料饮用与糖尿病的关系

何海珍1,张婷1,周景1,王东平2,王浩杰2,宋阳2,朱珠1,王培玉1△,刘爱萍1△   

  1. (1. 北京大学公共卫生学院社会医学与健康教育系, 北京100191; 2. 乌海市疾病预防控制中心, 内蒙古自治区乌海016000)
  • 出版日期:2018-06-18 发布日期:2018-06-18
  • 通讯作者: 王培玉,刘爱萍 E-mail:apingliu@163.com, wpeiyu@bjmu.edu.cn

Relationship between sugary drinks and diabetes of adults in Wuhai city

HE Hai-zhen1, ZHANG Ting1, ZHOU Jing1, WANG Dong-ping2, WANG Hao-jie2, SONG Yang2, ZHU Zhu1, WANG Pei-yu1△, LIU Ai-ping1△   

  1. (1. Department of Social Medicine and Health Education, Peking University School of Public Health, Beijing 100191, China; 2.Center for Disease Control and Prevention of Wuhai City, Wuhai 016000, Inner Mongolia, China)
  • Online:2018-06-18 Published:2018-06-18
  • Contact: WANG Pei-yu, LIU Ai-ping E-mail:apingliu@163.com, wpeiyu@bjmu.edu.cn

摘要: 目的:探讨乌海市成人含糖饮料的饮用与糖尿病的关系。方法:采用多阶段分层随机抽样,对乌海市8 131名35~79岁的常住居民进行横断面研究。通过问卷调查、身体测量和实验室检查收集研究对象的人口学信息、饮食行为、健康状况、血糖指标以及其他的协变量信息,采用卡方检验、趋势卡方检验及多因素 Logistic 回归进行分析。结果:乌海市35岁及以上成人空腹血糖受损和糖尿病的检出率分别为6.0%和18.4%,均随着年龄的增加而增高(P均<0.01), 且男性均远高于女性(P均<0.01)。含糖饮料的饮用率为30.2%,按每天不同的饮用量分为A(0~ mL/d)、B(16~ mL/d)和C(237~ mL/d)3组,A组占75.4%,B组占21.5%,C组占3.1%;以A组为对照组,B组和C组空腹血糖受损的OR值分别为1.4和2.2,糖尿病的OR值分别为1.2和2.1,两者趋势增加差异均有统计学意义(Ptrend<0.01, Ptrend<0.01), 且调整其他协变量之后,亦是如此。结论:含糖饮料饮用量增加会增加空腹血糖受损和糖尿病的危险性,建议该地区居民合理控制含糖饮料的饮用量。

关键词:  , 含糖饮料, 空腹血糖受损, 糖尿病

Abstract: Objective: To explore the relationship between sugary drinks and diabetes of adults in Wuhai city. Methods: A multiple stage stratified cluster sampling was conducted on 8 131 residents who were between 35 and 79 years by cross-sectional study in Wuhai city. Questionnaires, physical measurements and laboratory tests were used to collect information on demographic information, dietary behavior, health status, blood glucose indicators. Besides, other covariate information was also collected by these ways. The analysis was carried out by chi-square test, trend chi-square test and multifactor Logistic regression. Results: The detection rates of impaired fasting glucose and diabetes of people who were 35 years old and above in Wuhai city were 6.0% and 18.4%, respectively, and they both increased with age (P<0.01, P< 0.01). The detection rates of impaired fasting glucose and diabetes of the men were both far higher than the women (P< 0.01, P< 0.01). For the men, the detection rate of diabetes increased with age (Ptrend <0.01), but for the women, and the detection rate of impaired fasting glucose and diabetes both increased with age (Ptrend <0.01, Ptrend <0.01). The consumption rate of sugary drinks of the people who were 35 years old and above in Wuhai city was 30.2%. And after all the subjects were classified into three groups, A (0- mL/d), B (16- mL/d), and C (237- mL/d) accor-ding to the daily different drinking quantities, statistical results found that group A accounted for 75.4%, group B for 21.5%, and group C for 3.1%. In group A, for comparison, the impaired fasting glucose OR values of group B and group C were 1.4 and 2.2, respectively. And diabetes OR values of group B and group C were 1.2 and 2.1 respectively compared with group A, and the trend of OR values increased both had statistical significance (Ptrend <0.01, Ptrend < 0.01). Also, after adjusting for other covariates in multifactor Logistic regression, the OR values of impaired fasting glucose in group B and group C were 1.6 and 3.8 respectively, and the OR values of diabetes were 1.9 and 4.9 respectively, compared with group A, and besides, the trend of OR values increased both still had statistical significance (Ptrend <0.01, Ptrend < 0.01). Conclusion: Increased consumption of sugary drinks will increase the risk of impaired fasting glucose and diabetes. Residents in Wuhai city should control their consumption of sugary drinks.

Key words: Sugary drinks, Impaired fasting glucose, Diabetes

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