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目的探讨糖尿病家族史与腰臀比异常在2型糖尿病中的交互作用。方法采用病例-对照研究,以604例2型糖尿病新发病例为病例组,以同社区与病例组无血缘关系的3985例血糖正常者为对照组。用相加模型分析糖尿病家族史与腰臀比异常对2型糖尿病的交互作用。结果用多因素logistic回归调整混杂因素后,协同效应指数为5.63,归因交互效应为1.49,归因交互效应百分比为52.9%。结论糖尿病家族史与腰臀比异常对2型糖尿病的发病有协同作用。
Abstract:Objective To explore the synergistic effect between diabetes family history and abnormal waist-to-hip ratio(WHR) on the incidence of type 2 diabetes.Methods Population-based case-control study was conducted.The interaction between diabetes family history and abnormal WHR was analysed by an additive model.Results After adjusting confounding factors by multiple logistic regression analysis,the synergy index was 5.63,the attributable risk was 1.49,and the attributable interaction percent was 52.9%.Conclusion There was a synergistic effect between diabetes family history and abnormal WHR on the incidence of type 2 diabetes.
1 TAN J T,TAN L S M,KEE S C,et al.A family historyof type 2 diabetes Ns associated with glucose intoleranceand obesity-related traces with evidence of excessmaternal transmission for obesity-related traits in a SouthEast Asian population[J].Diabetes Res Clin Res,2008,82:268-275.
2 LAAKSONEN M A,KNEKT P,RISSANEN H,et al.The relative importance of modifiable potential riskfactors of type 2 diabetes:a meta-analysis of two cohorts[J].Eur J Epidemiol,2010,25(2):115-124.
3 BRAY G A,JABLLONSKI K A,FUJIMOTO W Y,et al.Relation of central adiposity and body mass index to thedevelopment of diabetes in the Diabetes PreventionProgram[J].Am J Clin Nutr,2008,87:1212-1218.
4 KISSEBAH A H,KRAKOWER G R.Regional adiposityand morbidity[J].Physical Rev,1994,74:761-811.
5 SARGEANT L A,WAREHAM N J,KHAW K T.Family history of diabetes identifies a group at increasedrisk for the metabolic consequences of obesity andphysical inactivity in EPICNorfolk:a population-basedstudy[J].Int J Obes,2000,24:1333-1339.
6赵仲堂.流行病研究方法与应用[M].北京:科学出版社,2000:3-542.
7 HOSMER D W,LEMESHOW S.Confidence intervalestimation of interaction[J].Epidemiology,1992,3(5):452-456.
8 ANDERSSON T,ALFREDSSON L,KALLBERG H,etal.Calculating meassures of biological interaction[J].Eur J Epidemiol,2007,36:1111-1118.
基本信息:
DOI:10.19813/j.cnki.weishengyanjiu.2012.02.034
中图分类号:R587.1
引用信息:
[1]刘丽,逄增昌,汪韶洁,等.糖尿病家族史与腰臀比异常对2型糖尿病的协同作用[J].卫生研究,2012,41(02):308-310.DOI:10.19813/j.cnki.weishengyanjiu.2012.02.034.
基金信息:
世界糖尿病基金会项目(No.WDF07-308)
2012-03-30
2012-03-30