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研究生:游欣儀
研究生(外文):YU SHIN YI
論文名稱:台灣中老年人糖尿病前期相關因素分析
論文名稱(外文):Analysis of pre-diabetes-related factors in the elderly in Taiwan
指導教授:董和銳董和銳引用關係
指導教授(外文):Tung, Hojui
口試委員:林富宮徐尚為董和銳
口試委員(外文):Lin, FugongHsu, ShangweiTung, Hojui
口試日期:2012-06-12
學位類別:碩士
校院名稱:亞洲大學
系所名稱:健康產業管理學系長期照護組
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:61
中文關鍵詞:糖尿病生活型態糖尿病前期中老年台灣
外文關鍵詞:Diabetes MellitusLifestyleElderlyPre-DiabetesTaiwan
相關次數:
  • 被引用被引用:3
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  • 下載下載:23
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目的:糖尿病不僅威脅著個人健康,在醫療成本和公共衛生的議題上也造成沉重的負擔。因此,如何在糖尿病的發病前期就對其進行相關預防以達到扭轉糖尿病的結局。藉由分析代表台灣中老年人的血液樣本血糖檢查結果,於糖尿病前期對於生活型態是否影響糖尿病的發生之相關因素之探討。
方法:資料來源為西元2000年台灣的Social Environment and Bimoarkers of Aging Study (SEBAS)的資料庫。根據人口學資料、生活型態和生理測量數據,以邏輯式迴歸分析與糖尿病前期有關的相關因素。
結果:本研究樣本人數共1023人,在糖尿病前期的盛行率中,糖化血色素值為5.7-6.4 mg/dl人口之盛行率為21.7%;而飯前空腹血糖值為100-125mg/dl人口之盛行率為33.2%;前述兩組人口加總之盛行率則為45.1%。在糖尿病前期之邏輯式迴歸分析中, 若以血糖值100mg/dl 和醣化血色素值5.7mg/dl為依變項或兩者數值同時為依變項時,性別為女性、籍貫為閩南、教育程度大學以上、身體質量指數過重、三酸甘油脂較高與收縮壓較高者,其血糖值相對較高。
結論:糖尿病前期者罹患糖尿病的機率可能高出正常者,多數糖尿病前期者不知自己空腹血糖異常,屬於糖尿病的高危險群,對於這個族群尚未達到糖尿病的診斷標準,常是被忽略的一群,導致忽略糖尿病的威脅性和嚴重性,若能及早給予預防,將可以減少健保醫療費用的支出。

Prevalence of Diabetes mellitus (DM) has increased dramatically worldwide over the past decades. Here in Taiwan, the standardized mortality of diabetes has jumped from 23.6/100,000 in 1985 to 43.2/100,000 in 2010, one of the steepest increases among top leading causes of death in Taiwan. Studies point out that, for prevention purposes, more attention should be directed at the pre-diabetics, individuals who are in higher risk of becoming diabetic.
In this study, we examined the prevalence of pre-diabetes and its associated risk factors among a national sub-sample of older adults in Taiwan. Data were derived from the Social Environment and Biomarkers of Aging Study (SEBAS) in Taiwan. Both lifestyle and behavior-related information and physical examination data were collected from 1023 elders aged 54 and over in 2000. Two criteria, fasting glucose greater than 100 mg/dl but less than 125 mg/dl or glycosylated hemoglobin (HbA1c) between 5.7% to 6.4%, were used to determine the participant’s pre-diabetic status.
Results showed that the prevalence of pre-diabetes was 45.1%, when participants met either of the two criteria. Pre-diabetic status was associated with higher Body Mass Index, abnormal triglyceride levels, and hypertensive, but it was not associated consumption of fruit and vegetable and regular exercise. More important, a significant proportion of the participants did not know that they were either diabetic or in pre-diabetic status.
In Taiwan, most of the existing programs in combating diabetes have focused on how to improve the quality of care for diabetic patients. Therefore, primary prevention programs for the pre-diabetics are urgently needed.
中文摘要
英文摘要
目錄i
表圖目錄ii
第一章 緒論
第一節 研究背景及動機 1
第二節 研究目的 4
第二章 文獻探討 5
第一節 糖尿病的定義 5
第二節 糖尿病之類型 6
第三節 糖尿病的盛行率 10
第四節 糖尿病的診斷 16
第五節 糖尿病的併發症 19
第六節 糖尿病的預防與治療 28
第三章 研究設計 31
第一節 資料庫來源與研究樣本 31
第二節 研究架構 33
第三節 變項測量 34
第四節 分析方法 35
第四章 研究結果 36
第一節 研究樣本基本資料、健康行為、血液檢查與測量數據之描述性分佈 36
第二節 中老年人糖尿病盛行率與糖尿病前期預測分析結果 37
第三節 血糖異常的相關因子之邏輯式迴歸分析結果 38
第五章 討論 40
第一節 研究結果之討論 40
第二節 研究限制 43
第六章 結論與建議 44
第一節 結論 44
第二節 建議 44
中文參考文獻 46
英文參考文獻 48
圖表 54
表1 人口學變項分佈 54
表2 糖尿病盛行率 55
表3 血糖檢查結果與人口學變項分佈 57
表4 以血糖值100mg/dl為依變項之邏輯式迴歸分析 59
表5 以HbA1c值5.7%為依變項之邏輯式迴歸分析 60
表6 以血糖值為100mg/dl與HbA1c值為5.7%依變項之邏輯式迴歸分析 61
圖一 糖尿病前期預測之圓餅圖 56
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