[1]丁素英△,刘东伟,李飞飞.体检人群中空腹血糖受损发生水平及健康教育干预效果评价[J].郑州大学学报(医学版),2017,(06):766-769.[doi:10.13705/j.issn.1671-6825.2017.06.025]
 DING Suying,LIU Dongwei,LI Feifei.The level of impaired fasting glucose in physical examination people and the effect evaluation of health education interventions[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2017,(06):766-769.[doi:10.13705/j.issn.1671-6825.2017.06.025]
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体检人群中空腹血糖受损发生水平及健康教育干预效果评价()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2017年06期
页码:
766-769
栏目:
应用研究
出版日期:
2017-11-15

文章信息/Info

Title:
The level of impaired fasting glucose in physical examination people and the effect evaluation of health education interventions
作者:
丁素英刘东伟李飞飞
郑州大学第一附属医院体检中心 郑州 450052
Author(s):
DING SuyingLIU DongweiLI Feifei
Physical Examination Center,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
关键词:
空腹血糖受损 健康干预 体检人群 效果
Keywords:
impaired fasting glucose health education interventions physical examination people effect
分类号:
R58
DOI:
10.13705/j.issn.1671-6825.2017.06.025
摘要:
目的:分析健康体检人群中空腹血糖受损(IFG)的发生情况,评价以健康教育为主的干预措施对IFG体检人群的干预效果。方法:根据随机对照原则将2013年5月至2015年5月在郑州大学第一附属医院体检中心体检发现的1 009例IFG患者分为干预组(n=523,进行健康教育干预)和对照组(n=486,进行常规管理),分析两组研究对象干预后生活行为方式、生化检查资料变化及转归情况。结果:体检人群IFG发生率为28.12%(1 009/3 588)。干预组糖尿病发病率(3.1%)低于对照组(13.6%); 干预组维持IFG状态比例(56.94%)低于对照组(70.36%); 干预组空腹血糖恢复正常比例(39.96%)高于对照组(16.04%)。结论:健康干预可有效改善体检人群生活行为方式和相关体检指标,明显降低体检人群IFG转为糖尿病的发生率。
Abstract:
Aim: To analyze the epidemiological characteristics of physical examination people with impaired fasting glucose(IFG), and evaluate the effect of health education interventions for physical examination people with IFG.Methods: A total of 1 009 individuals with IFG found in the First Affiliated Hospital of Zhengzhou University Physical Examination Center from May 2013 to May 2015 were chosen for the study. They were allocated into intervention group(n=523)and control group(n=486)randomly. Behaviors, biochemical data and outcome of two groups before and after intervention were retrospectively analyzed.Results: Generally, the incidence of IFG in physical examination people was 28.12%(1 009/3 588).The incidence of diabetes in the intervention group was 3.1% versus 13.6% in the control group; the percentage of subjects maintaining IFG in the intervention group was 56.94% versus 70.36% in the control group; the percentage of subjects restoring normoglycemia in the intervention group was 39.96% versus 16.04% in the control group. Differences in the above outcome between the two groups were significant(P<0.05).Conclusion: Health education interventions can effectively improve behaviors and examination indexes, significantly reduce the incidence of IFG developing into diabetes in physical examination people.

参考文献/References:

[1] DANAEI G,FINUCANE MM,LU Y,et al.National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants[J].Lancet,2011,378(9785):31
[2] STEPHANIE A,KRISTIN L, TONI I.Genetic Counseling for Diabetes Mellitus[J]. Curr Genet Med Rep,2014,2(2): 56
[3] ZHANG LX,ZHAO MH,WANG HB.Trends in chronic kidney disease in China[J].N Engl J Med,2016,375(9):905
[4] 美国糖尿病学会.美国糖尿病学会2007版糖尿病诊疗标准[J].中国糖尿病杂志,2007,15(2):129
[5] CUI Y,CHEN W,CHI JF,et al.Comparison of transcriptome between type 2 diabetes mellitus and impaired fasting glucose[J].Med Sci Monit,2016,22:4699
[6] 中华医学会糖尿病学分会,中国2型糖尿病防治指南制订委员会.中国2型糖尿病防治指南[M].北京:北京大学医学出版社,2013
[7] SHPAKOV AO, DERKACH KV, BERSTEIN LM.Brain signaling systems in the type 2 diabetes and metabolic syndrome: promising target to treat and prevent these diseases[J]. Future Sci OA,2015,1(3):FSO25
[8] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中国医学前沿杂志:电子版,2011,3(5):42
[9] 中国成人血脂异常防治指南制订联合委员会.中国成人血脂异常防治指南[J].中国实用乡村医生杂志,2012,19(18):5
[10]VAIDYA A,CUI LF,SUN LX,et al.A prospective study of impaired fasting glucose and type 2 diabetes in China the Kailuan study[J].Medicine(Baltimore),2016,95(46):e5350
[11]封磊,杨昕,周永,等.唐山冀东社区成人空腹血糖受损患病情况及影响因素调查[J].中国循证心血管医学杂志,2014,6(2):195
[12]李琳琳,王鹏飞,刘卫刚,等.河南省不同肥胖类型农村居民多代谢异常分析[J].郑州大学学报(医学版),2013,48(3):338
[13]王晓艳,王亚军,蒿花,马茂,耿辉,石景森.甲状腺结节与代谢综合征相关组分的临床研究[J].西安交通大学学报(医学版),2017,38(1):151
[14]陈娇, 范芳, 徐勇.SGLT2抑制剂联合胰岛素治疗1型糖尿病疗效与安全性的Meta分析[J].解放军医学杂志,2016,41(12):1045
[15]TERUKI M,TERU K,SHINYA F,et al.Hyperuricemia is a risk factor for the onset of impaired fasting glucose in men with a high plasma glucose level:a community-based study[J].PLoS One,2014,9(9):e107882
[16]ZHANG X,DEVLIN HM,SMITH B,et al.Effect of lifestyle interventions on cardiovascular risk factors among adults without impaired glucose tolerance or diabetes:a systematic review and meta-analysis[J].PLoS One,2017,12(5):e0176436
[17]ATAMIN A,MOTT R,SOLLER M,et al.High-fat-diet induced development of increased fasting glucose levels and impaired response to intraperitoneal glucose challenge in the collaborative cross mouse genetic reference population[J].BMC Genet,2016,17(1):10
[18]TEICHERT T,ANNE H,ANNETTE P,et al.Association between advanced glycation end products and impaired fasting glucose:results from the salia study[J].PLoS One,2015,10(5):e0128293

相似文献/References:

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备注/Memo

备注/Memo:
△女,1971年5月生,硕士, 副主任护师,研究方向: 健康管理学,E-mail:623173429@qq.com
更新日期/Last Update: 2017-11-20