林瑞雄2006-07-252018-06-292006-07-252018-06-292003-07-31http://ntur.lib.ntu.edu.tw//handle/246246/4712目的 藉由社區研究估計第二型糖尿病患者 其肥胖的盛行率，並找出高血壓與其他疾 病的共病率(co-morbidity rate)。 方法 基隆社區整合式篩檢(KCIS)是以社區為 基礎的整合式篩檢。2001 年至2002 年間共有 43,158 名20 歲以上民眾參與基隆社區整合式 篩檢。除了與第二型糖尿病、肥胖及其他 疾病相關的結果外，並由問卷中收集了其 他相關因子。包括生活型態(抽煙、喝酒及飲食 習慣)、癌症及慢性病的家族疾病史、個人疾病 史、生產經歷及月經史。 結果 第二型糖尿病盛行率依BMI<25 kg/m2，25 ≦BMI<30 kg/m2 及 BMI≧30 kg/m2 三組分別 為6.6%，12.5%及18.8%。第二型糖尿病與其 他疾病的共病率，包含高尿酸血症、高血壓及 高血脂症。第二型糖尿病患者其高血壓的共病 率依BMI<25 kg/m2，25≦BMI<30 kg/m2 及 BMI≧30 kg/m2 三組分別為3.7%，8.3%及 13.5%。第二型糖尿病患者其高血脂症的共病 率依BMI<25 kg/m2，25≦BMI<30 kg/m2 及 BMI≧30 kg/m2 三組分別為4.3%，9.0%及 14.1%。第二型糖尿病患者其高尿酸血症的共 病率依BMI<25 kg/m2，25≦BMI<30 kg/m2 及 BMI≧30 kg/m2 三組分別為5.6%，11.4%及 17.8%。 討論 1. 本研究中過重及肥胖盛行率高於台灣 地區第三次全國性營養調查。 2. 本研究第二型糖尿病盛行率高於其他台 灣地區的社區研究。 3. 隨著BMI 的增加，第二型糖尿病盛行率也 增加。高血壓、高尿酸血症及高血脂症等 共病率也隨之增加。Objectives A community-based study was designed to estimate the prevalence of obesity among type 2 diabetes and to find the co-morbidity rates of hypertension and other diseases. Methods A community-based integrated screening was performed, called Keelung community-based integrated screening (KCIS). A total of 43,158 subjects aged older than 20 years old participated in the KCIS program between 2001 and 2002. In addition to outcome measurements related to type 2 diabetes, obesity, and other biochemical factors. Other relevant factors are collected from questionnaire. These include life-style variables (smoking, drinking, dietary factor), family history of cancer and chronic disease, personal disease, reproductive factors, menstrual factors. Results The prevalence of type 2 diabetes by BMI group were 6.6%,12.5%,18.8% in BMI<25 kg/m2, 25≦BMI<30 kg/m2 and BMI≧30 kg/m2 group, respectively. The co-mobility rate of type 2 diabetes and other diseases were estimated including hyperuricemia, hypertension and hyperlipidemia in our study. The co-morbidity rate of hypertension among type 2 diabetes by BMI group were 3.7% in BMI ＜ 25kg/m2, 8.3% in 25≤BMI≤30kg/m2 and 13.5% in BMI≥30 kg/m2.The co-morbidity rate of hyperlipidemia among type 2 diabetes by BMI group were 4.3% in BMI＜25kg/m2, 9.0% in 25≤BMI≤30kg/m2 and 14.1% in BMI≥30 kg/m2. The co-morbidity prevalence of hyperuricemia and type 2 diabetes among different BMI group were 5.6% in BMI＜25kg/m2, 11.4% in 25≤BMI ≤30kg/m2 and 17.8% in BMI≥30 kg/m2. Conclusions 1. The prevalence of overweight and obesity in the present study were higher than Third National Nutrition Survey in Taiwan between 1993 and 1996. 2. The prevalence of type 2 diabetes in our study was higher than other community-based studies in Taiwan. 3 3. The prevalence of type 2 diabetes increased with high level of BMI group. We also found an increased trend among these three co-morbid disease (including hypertension, hyperlipidemia and hyperuricemia) with type 2 diabetes among BMI group.application/pdf87784 bytesapplication/pdfzh-TW國立臺灣大學公共衛生學院預防醫學研究所第二型糖尿病肥胖社區性研究Type 2 diabetesobesitycommunity-based study[SDGs]SDG3reporthttp://ntur.lib.ntu.edu.tw/bitstream/246246/4712/1/912320B002171.pdf