Abstract:Objective To investigate the prevalence of diabetes mellitus (DM) and its risk factors among middle-aged andaged residents in urban and rural areas of Jiangxi Province so as to provide evidence for developing the nutrition plan for the residents and preventing and controlling chronic diseases. Methods Multi-stage stratified cluster random sampling method was used in this survey. China Nutrition and Health Status Questionnaire was employed to evaluate DM and health status among middle-aged and elderly residents in urban and rural areas of Jiangxi Province. DM was diagnosed based on fasting plasma glucose monitoring and oral glucose tolerance test. The relationship between DM and gender, age, food consumption, nutrient intake, physical exercise, smoking, family history of DM was analyzed.Results The prevalence rate of DM in middle-aged and elderly residents in urban and rural areas of Jiangxi Province was 11.14%. The prevalence rate of DM was higher in urban residents than in rural ones (13.45% vs. 8.83%, χ2=4.26, P<0.05). Salt (OR=3.05), intake of meat (OR=2.91), fat (OR=4.89), family history (OR=5.89), smoking (OR=2.14) and drinking (OR=3.67) were the independent risk factors for DM (P<0.05), while vitamin E (OR=0.23), vitamin B-complex family (OR=0.46), calcium (OR=0.14) and physical exercise (OR=0.41) were the protective factors for DM. The fatty food source made up a high proportion of dietary source constitution inmiddle-aged and elderly residents with DM in urban and rural areas of Jiangxi Province. Conclusions The prevalence rate of DM in middle-aged and elderly residents in urban and rural areas of Jiangxi Province is high. Unreasonable dietary pattern, excessive intake of energy and fat and age are the factors affecting the occurrence of DM; and hence, it is necessary to establish the nutrition assessment and intervention system so as to provide a scientific basis for developing the improvement strategies and DM prevention and cure measures.
颜兴伟, 杨玉金, 付俊杰, 李琦, 赵玉静. 江西省城乡中老年糖尿病居民营养状况及危险因素分析[J]. 实用预防医学, 2018, 25(7): 784-787.
YAN Xing-wei, YANG Yu-jin, FU Jun-jie, LI Qi, ZHAO Yu-jing. Nutrition status and its risk factors among middle-aged and elderly residents with diabetes mellitus in urban and rural areas of Jiangxi Province. , 2018, 25(7): 784-787.