Analysis of Blood Glucose Distribution Characteristics and Its Risk Factors among a Health Examination Population in Wuhu (China)

Jiangen Song, Xiaojuan Zha, Haibo Li, Rui Guo, Yu Zhu and Yufeng Wen
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Jiangen Song: School of Public Health, Wannan Medical College, Wuhu 241002, Anhui, China
Xiaojuan Zha: Department of Physical Examination, Yijishan Hospital of Wannan Medical College, Wuhu 241002, Anhui, China
Haibo Li: School of Public Health, Wannan Medical College, Wuhu 241002, Anhui, China
Rui Guo: School of Public Health, Wannan Medical College, Wuhu 241002, Anhui, China
Yu Zhu: School of Public Health, Wannan Medical College, Wuhu 241002, Anhui, China
Yufeng Wen: School of Public Health, Wannan Medical College, Wuhu 241002, Anhui, China

IJERPH, 2016, vol. 13, issue 4, 1-9

Abstract: Background : Diabetes mellitus (DM) and Impaired Fasting Glucose (IFG) represent serious threats to human health, and as a result, this study was aimed at understanding the blood glucose distribution characteristics and the risk factors among a large health examination population in China. Methods : An investigation with physical and biochemical examinations and questionnaires was conducted in the physical examination center from 2011 to 2014 and as a result 175,122 physical examination attendees were enrolled in this study. Multivariate logistic regression was used to explore the factors influencing blood sugar levels. Results : The rates of IFG and DM were 6.0% and 3.8%. Prevalence were 7.6%/5.1% in males and 5.1%/2.8% in females for IFG and DM, respectively. The prevalence of IFG and DM were thus higher in males than in females. In the normal group, except high density lipoprotein (HDL) that was significantly higher than in the IFG and DM group, the other indexes (age, body mass index (BMI), glucose (Glu), total cholesterol (TC) and total glycerides (TG) were lower than those in the IFG and DM group. The proportion of IFG and DM also increased with the increases in proportion of abnormal blood pressure, smoking and alcohol consumption. Multivariate logistic regression analysis showed that increasing age, high BMI, high TC, high TG and low HDL increased the risk of diabetes, while in males, in addition to the above factors, the smoking and drinking factors also increased the risk of diabetes. After the age of 65, the blood glucose level reached a peak in males, while in females, the increasing trends was on the rise. The inflexion age of the fast rise was younger in males than in females. Conclusion : The study population showed a high prevalence of DM and IFG among the adults. Regular physical examination for the early detection of diabetes is recommended in the high-risk population.

Keywords: blood glucose; hyperglycaemia; impaired fasting glucose; diabetes; risk factors (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2016
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