北京市延庆区初中生糖代谢异常及其影响因素

目的  了解北京市延庆区初中生糖代谢异常现状及其影响因素。 方法  采用分层整群随机抽样的方法在延庆区抽取4所初中的2 493名在校生进行问卷调查、体格检查和空腹毛细血管血糖筛查。 结果  糖尿病、空腹血糖受损、糖代谢异常患病率分别为2.5%、11.4%、13.9%。不同年龄、不同年级、不同地区、超重、肥胖、向心性肥胖、高血压的初中生糖代谢异常患病情况差异均有统计学意义（均有P < 0.05）；多因素非条件Logistic回归模型分析显示，城区、向心性肥胖、高血压与中学生糖代谢异常的危险呈正相关；每天吃早餐与中学生患糖代谢异常的危险呈负相关。 结论  北京市延庆区初中生糖代谢异常患病率较高，城区、向心性肥胖、高血压和每天吃早饭是该地初中生糖代谢异常的影响因素。

Current situation and influencing factors of abnormal glucose metabolism in junior middle school students in Yanqing District,Beiing

  Objective  To understand the current situation and influencing factors of abnormal glucose metabolism in junior middle school students in Yanqing District, Beijing.  Methods  With the mothod of stratified cluster random sampling, the questionnaire, physical examination and fasting capillary blood glucose were conducted in 2 493 students from 4 junior high schools.  Results  The prevalence of diabetes, impaired fasting glucose, and abnormal glucose metabolism were 2.5%, 11.4%, and 13.9%, respectively. The prevalence of abnormal glucose metabolism varied significantly among different ages, grades, regions, obesity, central obesity and hypertension (all P < 0.05); Unconditional multiple Logistic regression analysis showed that urban, centripetal obesity, and hypertension were positively associated with the risk of abnormal glucose metabolism in middle school students in Yanqing District; daily breakfast was negatively associated with the risk of abnormal glucose metabolism.  Conclusion  The prevalence of abnormal glucose metabolism is high among junior middle school students, urban, central obesity, high blood pressure and daily breakfast are influencing factors of abnormal glucose metabolism in Yanqing District of Beijing.