利用多元logistic回归分析马来西亚ii型糖尿病的相关因素

A. Nawi, Z. Yudin, R. A. Rohim
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To explore the underlying association between diabetes mellitus types 2 and the selected explanatory variables, a set of logistic regression models is fitted in this section. Let define the following dichotomous variables for the diabetes mellitus types 2 diseases. Data were tabulated, cross-tabulated and analyzed statistically using PASW version 18. Result: From this study, body mass index is one most associated factor that contributes to diabetes mellitus type 2 where the mean of BMI is 25.91 (overweight) (OR = 1.186, 95% CI: 1.089-1.291, p-value <0.001). Blood glucose was positively related to total cholesterol level in the diabetic mellitus type 2 patients (OR = 0.991, 95% CI: 0.982-1.000, p-value <0.042), suggesting that the higher blood glucose level, the higher the total cholesterol level. Hypertension is highly significant with diabetes mellitus type 2 among patient (OR = 2.840, 95% CI: 1.559-5.175, p-value <0.001) where systolic blood presure more than 160 mm/hg. 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摘要

背景:糖尿病是一种代谢紊乱,主要表现为个体血糖水平升高,其原因是机体不能产生胰岛素或对胰岛素作用产生抵抗,或两者兼而有之。本研究旨在确定2型糖尿病的相关因素。本研究的相关因素定义为年龄、体重指数、总胆固醇、高血压、冠心病发生率、服用降脂药物和吸烟状况。材料与方法:采用二元logistic回归分析,报告优势比,确定马来西亚糖尿病患者中糖尿病2型病变。为了探讨2型糖尿病与所选解释变量之间的潜在关联,本节拟合了一组逻辑回归模型。让我们为糖尿病2型疾病定义以下二分类变量。使用PASW版本18对数据进行制表、交叉制表和统计分析。结果:体重指数是导致2型糖尿病最相关的因素之一,BMI平均值为25.91(超重)(OR = 1.186, 95% CI: 1.089-1.291, p值<0.001)。2型糖尿病患者血糖与总胆固醇水平呈正相关(OR = 0.991, 95% CI: 0.982 ~ 1.000, p值<0.042),说明血糖水平越高,总胆固醇水平越高。在收缩压超过160 mm/hg的患者中,高血压与2型糖尿病的相关性非常显著(OR = 2.840, 95% CI: 1.559-5.175, p值<0.001)。同时,服用降脂药物的人发生2型糖尿病的概率为4.029 (OR = 4.029, 95% CI: 1.097 ~ 14.797, p值<0.036)。总结与结论:适当控制这些相关因素有助于降低糖尿病及其相关并发症的严重度。继续努力提高对2型糖尿病相关疾病的认识,可能有助于制定预防2型糖尿病的最佳策略,以实现解决这一重大公共卫生问题的长期目标。关键词:2型糖尿病,Logistic回归,相关因素
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DETERMINING THE ASSOCIATED FACTORS RELATED TO DIABETES MELLITUS TYPES II BY USING MULTIPLE LOGISTIC REGRESSION IN MALAYSIA
Background: Diabetes Mellitus is a metabolic disorder categorized by an increase in individual’s blood glucose level causing from the body’s inability to produce insulin or opposition to insulin action, or both. Based on this study is to identify the associated factors that contribute diabetes mellitus types 2. The associated factors in this study is defined as age, body mass index, total cholesterol, hypertention, incident CHD, taking lipid lowering medication and smoking status. Materials and Methods: Binary logistic regression analysis was conducted with reporting of odds ratio to establish diabetes mellitus types 2 diseases among diabetes patients in Malaysia. To explore the underlying association between diabetes mellitus types 2 and the selected explanatory variables, a set of logistic regression models is fitted in this section. Let define the following dichotomous variables for the diabetes mellitus types 2 diseases. Data were tabulated, cross-tabulated and analyzed statistically using PASW version 18. Result: From this study, body mass index is one most associated factor that contributes to diabetes mellitus type 2 where the mean of BMI is 25.91 (overweight) (OR = 1.186, 95% CI: 1.089-1.291, p-value <0.001). Blood glucose was positively related to total cholesterol level in the diabetic mellitus type 2 patients (OR = 0.991, 95% CI: 0.982-1.000, p-value <0.042), suggesting that the higher blood glucose level, the higher the total cholesterol level. Hypertension is highly significant with diabetes mellitus type 2 among patient (OR = 2.840, 95% CI: 1.559-5.175, p-value <0.001) where systolic blood presure more than 160 mm/hg. Meanwhile, a person who taking lipid lowering medication have occurred 4.029 the probability of getting diabetes mellitus type 2 (OR = 4.029, 95% CI: 1.097-14.797, p-value <0.036). Summary and Conclusion: Suitable control of these associated factors may help to decrease the rigorousness of diabetes and its associated complications. Continue work to improve the understanding of type 2 diabetes associated may assist in the development of optimal strategies for type 2 diabetes prevention with a long-term goal of addressing this major public health concern. Keywords: Diabetes Mellitus Type 2, Logistic Regression, Associated Factors
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