Faktor Risiko Perilaku Pra-Diabetes di Kota Padang Panjang

Fajrinayanti, Dian Ayubi
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引用次数: 2

Abstract

Pre-diabetes is a condition leading to the risk of Diabetes Mellitus (DM) type 2, that can be caused by genetic factor and behavior risk factors, such as fat consumption, insufficient fiber consumption, low carbohydrate consumption, sedentary life, and smoking. Prevalence of pre-diabetic has been estimated as higher than prevalence of DM. This research purposed to assess association of behavior risk factors with pre-diabetes incident among population of 40-59 years old in Padang Panjang City in 2008 after controlled by genetic factor. Survey was conducted to the respondents selected using multistage random sampling (n = 174). Data were analyzed with design complex by partial regression, simple logistic regression and multivariate (multiple logistic regression). The study found that the prevalence of pre-diabetes is 57,5% with Plasma Glucose Test (RPG) 115,4 mg/dl in average. There is a significant association between fat consumption, fiber consumption and physical activity with pre-diabetes incident after adjusted by genetic. Dominant factors were fat consumption (OR = 18,0); fiber consumption (OR = 9,5); and physical activity (OR = 13,7 times). District Health Office should develop primary prevention through communication, information and education about pre-diabetes condition and related behavior risk factors. Pre-diabetes peer group should be established to increase community awareness to pre-diabetes condition in order to prevent the DM type 2. Key words: Pre-diabetes, behavior risk factors, genetic factors
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巴东长期市糖尿病前行为的风险因素
糖尿病前期是一种导致2型糖尿病(DM)风险的疾病,可由遗传因素和行为风险因素引起,如脂肪消耗、纤维消耗不足、低碳水化合物消耗、久坐不动和吸烟。据估计,前驱糖尿病的患病率高于糖尿病的患病率。本研究旨在评估2008年巴东盼江市40-59岁人群在遗传因素控制后,行为危险因素与前驱糖尿病发病率的关系。采用多阶段随机抽样的方法对被调查者进行调查(n = 174)。采用部分回归、简单逻辑回归和多元逻辑回归对数据进行设计复合体分析。研究发现,糖尿病前期患病率为57.5%,血糖测试(RPG)平均为1154mg /dl。经基因调整后,脂肪消耗、纤维消耗和体力活动与糖尿病前期的发生有显著的相关性。主导因素为脂肪消耗(OR = 18,0);纤维消耗量(OR = 9,5);和体力活动(OR = 13,7倍)。各区卫生办事处应就糖尿病前期状况及相关行为危险因素进行沟通、信息和教育,开展初级预防工作。建立糖尿病前期同伴组,提高社区对糖尿病前期的认识,预防2型糖尿病的发生。关键词:糖尿病前期,行为危险因素,遗传因素
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