Objective: To investigate the relationship between type 2 diabetes and dyslipidemia in adult residents of Minhang District, Shanghai.
Methods: A multistage, stratified cluster sampling survey were conducted among 3099 adult residents aged 35 and above in Minhang District. The prevalence rate should be adjusted according to the population distribution of the Sixth National Population census data in this area. Logistic regression analysis was used for multivariate analysis.
Results: The adjusted prevalence rate of type 2 diabetes and dyslipidemia were 18.18% and 50.61%, respectively. The increased rates of total cholesterol (TC), triglyceride (TG), and low-density lipoprotein cholesterol (LDL-C) were 28.03%, 19.56% and 3.56%, respectively, and the decreased rate of high-density lipoprotein cholesterol (HDL-C) was 14.32%. TC, TG and LDL-C were positively correlated with fasting blood glucose (FBG) with linear correlation coefficients 0.068, 0.190 and 0.049, respectively. While HDL-C was negatively correlated with FBG with linear correlation coefficient -0.076. The relationship between the TC, TG, LDL-C and HDL-C and the 2-hours blood glucose (2hBG) after oral glucose tolerance test (OGTT) was the same as that between the TC, TG, LDL-C and HDL-C and the FBG and the linear correlation coefficients were 0.121, 0.166, 0.116 and -0.045, respectively. Dyslipidemia and higher TG were independent risk factors of type 2 diabetes (OR=1.69, 95% CI:1.32-2.17; OR=1.53, 95% CI:1.21-1.94), adjusting sex, age, education level, occupation, smoking, drinking, BMI and hypertension.
Conclusion: Dyslipidemia is closely associated with type 2 diabetes among adult residents in Minhang District. Comprehensive prevention and control measures for dyslipidemia and type 2 diabetes should be carried out.
T. Liang: None. D. Xu: None. B. Yao: None.