长春地区农村中老年人行为变化对血糖影响的队列研究

发布时间：2018-01-18 16:05

本文关键词：长春地区农村中老年人行为变化对血糖影响的队列研究　出处：《吉林大学》2013年硕士论文　论文类型：学位论文

【摘要】：目的：分析及探讨我国长春地区农村中老年人生活习惯和饮食习惯的变化对血糖的影响，为预防和控制血糖升高所导致的各种疾病提供有效的依据。方法：通过问卷调查、体格检查和临床血液检查获得研究对象基础调查资料，之后每年相同时间进行随访调查，并与基础调查比较，获得研究对象3-5年内生活习惯和饮食习惯变化情况的资料。数据管理与录入采用Excel2007和Epidata3.0录入软件。用SPSS13.0进行统计学分析，计数资料组间比较采用2检验，多因素分析采用COX回归分析。结果：不同年龄段、不同性别、不同民族和不同文化程度之间血糖升高密度、血糖降低密度均无统计学差异(P＞0.05)。单因素分析结果生活习惯中坚持做运动或运动量增加的人群血糖升高密度明显的低于不做运动的人群(P＜0.05)，增肥人群的血糖升高密度明显高于无变化组(P＜0.05)。体格检查结果中内脏脂肪降低组和体脂肪率降低组的血糖降低密度高于无变化组(P＜0.05)。膳食营养素摄入量分析结果维生素A摄入量减少组、维生素C摄入量减少组、维生素E摄入量减少组的血糖升高密度高于摄入量无变化组，维生素B1增加组和钠摄入量减少组的血糖升高密度低于无变化组(P＜0.05)。维生素B2摄入量增加组、维生素C摄入量增加组、钙摄入量增加组、磷摄入量增加组、钾摄入量增加组和钠摄入量减少组的血糖降低密度高于无变化组(P＜0.05)，，维生素C摄入量减少组、维生素E摄入量减少组、钙摄入量减少组、磷摄入量减少组、钾摄入量减少组和钠摄入量增加组的血糖降低密度低于无变化组(P＜0.05)。Cox逐步回归多因素分析结果，血糖升高的影响因素中进入方程的是运动和肥胖，血糖降低的影响因素中最后进入方程的是体脂肪率、维生素C和磷。（P＜0.05）。结论：吉林省农村中老年人血糖水平在观察期间内有升高的趋势。运动量增加的人群血糖升高密度低于不运动的人群。肥胖指标增高的人群血糖升高密度高于无变化的人群。体脂肪率降低的人群血糖降低密度高于无变化的人群。磷的摄入量增加的人群血糖降低密度高于无变化的人群。维生素C摄入量减少的人群血糖的降低密度低于无变化的人群。
[Abstract]:Objective: to analyze and explore the effect of the changes of life habits and dietary habits on blood sugar in rural middle and old people in Changchun area of China, so as to provide an effective basis for preventing and controlling the various diseases caused by the increase of blood sugar. Methods: the basic investigation data were obtained by questionnaire, physical examination and clinical blood examination, followed by follow-up investigation at the same time each year, and compared with the basic investigation. To obtain the data of the change of living habits and eating habits of the subjects in 3-5 years. Data management and input using Excel2007 and Epidata3.0 input software. SPSS 13. 0. Two tests were used to compare the counting data and COX regression analysis was used for multivariate analysis. Results: blood glucose density increased among different age groups, different genders, different nationalities and different education levels. There was no significant difference in blood glucose density between two groups (P > 0.05). Univariate analysis showed that the density of blood glucose increased in people who persisted in exercise or increased in exercise volume was significantly lower than that in those without exercise (P > 0.05). P < 0.05). The density of hyperglycemia in the obese group was significantly higher than that in the no change group (P < 0.05), and the blood glucose density in the visceral fat reduction group and the body fat rate decreased group was higher than that in the no change group (P < 0.05). P < 0.05. The results of dietary nutrient intake analysis showed that vitamin A intake decreased. Vitamin C intake decreased group, vitamin E intake decreased group increased the density of blood sugar than the intake of no change in the group. The increased density of blood glucose in the vitamin B1 increased group and the sodium intake decreased group was lower than that in the no change group (P < 0.05). The vitamin B2 intake increased group, the vitamin C intake increased group, and the calcium intake increased group. The decrease of blood glucose density in the increased phosphorus intake group, potassium intake increase group and sodium intake decreased group was higher than that in the no change group (P < 0.05), vitamin C intake decreased group, vitamin E intake decreased group. The decreased blood glucose density in the calcium intake group, phosphorus intake group, potassium intake reduction group and sodium intake increasing group was lower than that in the no change group (P < 0.05 路Cox stepwise multivariate analysis). Among the factors influencing blood glucose increase, exercise and obesity are the most important factors, and body fat rate is the last of the influencing factors of blood sugar decrease. Vitamin C and P < 0.05). ... conclusion:. The blood glucose level of middle aged and old people in Jilin Province increased during the observation period. The increased density of blood sugar in the population with increased exercise was lower than that in the group without exercise. The blood glucose density of the population with higher obesity index was higher than that of the group without change. The density of blood sugar in the population with lower body fat rate was higher than that in the group without change. The decrease in blood glucose density was higher in the group with increased phosphorus intake than in the group without change. The decrease in blood glucose in the group with reduced vitamin C intake was higher than that in the group without change. The degree is lower than that of the unaltered population.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R181.3

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