DOI QR코드

DOI QR Code

Factors Affecting on Impaired Blood Glucose and Diabetes in Residents of a Rural Area

한 농촌지역 주민에서 혈당장애와 당뇨병에 영향을 주는 요인연구

  • 이태용 (충남대학교 의과대학 예방의학교실) ;
  • 고락현 (충남대학교 의과대학 예방의학교실) ;
  • 김광환 (건양대학교 병원관리학과)
  • Published : 2008.10.31

Abstract

This study aims at finding blood glucose levels in rural residents and factors influencing their glucose levels. For these purposes, the researcher surveyed 1,857 residents in a rural area, Geumsan-gun, Chungcheongnam-do between January and February 2006. Consequently, as major factors influencing fasting glucose and 2-h plasma glucose, it was indicated that insulin, C-reative protein, gamma-glutamy transferase, blood pressure levels, and age were important variables, and thus in light of this result, in order to prevent diabetes, it is very important to control obesity and blood pressure and also it is needed to establish national health management plans fur preventing and controling diabetes and its complications fur the aging society

건강관리를 위한 지역사업으로 충남 금산군에서 실시된 조사에서 주민들의 혈당수준과 이에 영향을 미치는 요인을 파악하고자 주민 1,857명을 대상으로 2006년 1월과 7월에 조사하여 분석한 결과, 공복시 혈당검사에서 전체적으로 정상군은 75.4%, 공복혈당장애군은 21.5%, 당뇨병군이 3.1%의 순이었고, 성별로는 남자에서 정상군 69.3%, 공복혈당장애군은 26.1%, 당뇨병군은 4.6%이었고, 여자는 각각 80.2%, 17.9%, 1.9%로 남자가 여자보다 공복혈당장애와 내당능장애가 높게 나타났다.

Keywords

References

  1. 김동현, 안윤옥, 박성우, 최문기, 김대성, 이무송, 신명희, 배종면. 우리나라 성인 남성 당뇨병의 발생양상과 위험요인에 관한 전향적 코호트 연구. 예방의학회지 1999; 32(4): 526-537
  2. 보건복지부, 한국보건사회연구원. 국민건강영양조사-제3기. 2005
  3. 대한당뇨병학회. 당뇨병식사요법 지침서 제2판. 1995
  4. 서울임상병리검사센터. SCL검사안내서, 2004
  5. 이진희, 이원철, 윤건호, 김미경, 이정민, 손호영. 일부 한국인 중에서 공복혈당장애와 내당능장애 및 당뇨병의 위험요인 분석. 한국역학회 추계학회 발표. 2003
  6. 정인경, 문민경, 김상완, 박영주, 김선옥 외. 연천지역 주민에서 내당능장애와 공복혈당장애의 임상적 특성 비교. 당뇨병 2000; 24(1): 71-77
  7. American Academy of Family Physicians. Type 2 Diabetes and impaired fasting glucose. 2004, Available from http://familydoctor.org /821.xml
  8. Blake DR, Meigs JB, Muller DC, Najjar SS, Andres R, Nathan DM. Impaired glucose tolerance, but not impaired fasting glucose, is associated with increased levels of coronary heart disease risks factors: results from the Baltimore Longitudinal Study on Aging. Diabetes Care 2004; 53: 2095-2100 https://doi.org/10.2337/diabetes.53.8.2095
  9. Elasy T. Diabetes and C-reactive protein. Clin diabetes 2007; 25(1): 1-2 https://doi.org/10.2337/diaclin.25.1.1
  10. Factor Intervention Trial. Diabetes Care 1993; 16: 434-444 https://doi.org/10.2337/diacare.16.2.434
  11. Gopalan C. Obesity in the indian urban 'Middle class'. Bull Nutr Found India 1998; 19(1): 1-5
  12. Hanson RL, Imperatore G, Narayan KM, Roumain J, Fagot-Campagna A, Pettitt DJ, Bennett PH, Knowler
  13. Kannel WB & McGee DL. Diabetes and cardiovascular risk factors: The Framingham Study. J Am Med Ass 1979; 59: 8-13
  14. Macdiarmid J. The global challenge of obesity and the international obesity task force. 1998, Available from http://www.iuns.org/features/ obesity/obesity_copy(1).htm
  15. Nakagami T, DECODA Study Group. Hyperglycaemia and mortality from all causes and from cardiovascular disease in live populations of Asian origin. Diabetologia 2004; 47: 385-394 https://doi.org/10.1007/s00125-004-1334-6
  16. Stamler J, Vaccaro O, Neaton JD, Wentworth D. Diabetes, other risk factors and 12-year cardiovascular mortality for men screened in the Multiple Risk 1993
  17. Thomas GN, Schooling CM, McGhee SM, Ho S-Y, Cheung BMY, Wat NM, Janus ED, Lam TH. Identification of factors differentially associated with isolated impaired fasting glucose and isolatedpost-load impaired glucose tolerance: the Hong Kong Cardiovascular Risk Factor Study. Eur J Endocrinol 2006; 155: 623-632 https://doi.org/10.1530/eje.1.02250
  18. Unwin N. Shaw J, Zimmet, Alberti KG. Impaired glucose tolerance and impaired fasting glycaemia: the current status on definition and intervention. Diabet Med 2002; 19: 708-723 https://doi.org/10.1046/j.1464-5491.2002.00835.x
  19. Uusitupa M, Loutheranta A, Lindstrom J, Valle T, Sundvall J, Eriksson J, Tuomilehto J. The Finnish Diabetes Prevention Study. Br J Nutr 2000; (Suppl.1): S137-S142
  20. WC. Family and genetic studies of indices of insulin sensitivity and insulin secretion in Pima Indians. Diabetes Metab Res Rev 2001;17(4):296-303
  21. Yoon KH, Lee JH, Kim JW, Cho JH, Choi YH, Ko SH, Zimmet P, Son HY. Epidemic obesity and type 2 diabetes in Asia. Lancet 2007; 369(9558): 273-4