Analysis of the relationship between snoring and newly-diagnosed type 2 diabetes mellitus among elderly residents in Renqiu of Hebei province / 中国基层医药

ABSTRACT

Objective To investigate the relationship between snoring and newly-diagnosed type 2 diabetes mellitus among elderly urban and rural residents in Renqiu of Hebei province.Methods By random clustered sam-pling inspection,the residents aged 60 to 70 years old were selected in the study,the questionnaire investigation by an-thropometric measurements and laboratory tests were performed in 5 010 elderly people.Screen for 3 604 people who had no previous history of diabetes and currently not to control blood sugar by diet,exercise,medication.The average age was (64.32 ±3.06)years,including 1 608 male(44.6%) and 1 996 female cases(55.4%),snorers 994 cases (27.6%),non-snorers 2 610 cases(72.4%).The patients were followed up for one year.The correlation between snoring and newly-diagnosed type 2 diabetes mellitus was analyzed.Results There were 217 cases(6.0%) of new-ly-diagnosed type 2 diabetes mellitus,which accounted for 79 cases of snoring(36.4%),3 387 cases of non-dia-betic group,which accounted for 915 cases of snoring(27.0%),the difference between the two groups was significant (χ2 =9.003,P<0.05).Took the newly-diagnosed type 2 diabetes mellitus as the dependent variable,univariate analysis showed that gender(OR=0.479,95% CI0.639~0.852),history of hypertension(OR=1.463,95% CI1.111~1.927),family history of diabetes(OR=1.768,95% CI1.259~2.183),history of stroke or TIA(OR=1.549,95%CI1.106~2.168),central obesity(OR=1.658,95% CI1.016 ~1.448),BMI≥28kg/m2 (OR=1.063,95% CI1.025 ~1.102),fasting glucose(OR=2.065,95% CI1.854 ~2.299),fasting insulin levels (OR=1.021,95%CI1.008 ~1.035),cholesterol(OR=1.216,95% CI1.051 ~1.407),triglycerides(OR=1.188,95%CI1.089~1.296),snoring(OR=1.547,95% CI1.161 ~2.060) were related with newly-diag-nosed type 2 diabetes mellitus.Multivariate logistic regression analysis showed that gender(OR=0.595,95% CI0.368~0.963),history of stroke or TIA(OR=1.586,95%CI1.085~2.318),fasting glucose(OR=2.059,95%CI1.833~2.312),snoring(OR=1.592,95% CI1.089~2.328) were independent risk factor for newly-diag-nosed type 2 diabetes mellitus.Conclusion People aged 60 to 70 in Renqiu suffered newly-diagnosed type 2 diabe-tes mellitus population prevalence of snoring, snoring is closely related to the occurrence and development of type 2 diabetes,type 2 diabetes is increased independent risk factor.Positive and effective screening and control on snoring can effectively reduce the incidence of type 2 diabetes.