[Relevant effects of pathoglycemia in Chinese children and adolescents aged 6-17 in 2016-2017].

OBJECTIVE To analyze the effects of diabetes mellitus(DM) and pathoglycemia in Chinese children and adolescents in 2016-2017. METHODS The data originated from Nutrition and Health Survey of Chinese Children and Adolescents in 2016-2017.The multi-stage stratified cluster random sampling method in proportion was used. The subjects were selected from 275 surveillance sites, which were from 31 provinces in nationwide. Dietary survey, medical physical examination and laboratory tests were carried out in 51 902 subjects. Among them, 25 946 subjects were male and 25 956 were female, 26 340 subjects were from urban and 25 596 from rural, there were 23 637, 17 884 and 10 381 subjects in aged 6-10, 11-14 and 15-17, respectively. Factor analysis method was used to obtain the dietary patterns of children and adolescents and two-level Logistic regression model was used to analyze the association of pathoglycemia with dietary patterns, overweight and obesity. RESULTS The prevalence of pathoglycemia and DM in Chinese children and adolescents were 2.40% and 0.26%, respectively. The prevalence of pathoglycemia(2.83%)and DM(0.32%)in urban areas was higher than that in rural(1.79% and 0.17%)(χ~2=6.90, P<0.01 and χ~2=6.88, P<0.01). The prevalence of pathoglycemia in male(3.00%) higher than that in female(1.71%)(χ~2=78.34, P<0.01). The prevalence of pathoglycemia in 11-14 years old group was the highest(3.35%)while that in 6-10 years old group was the lowest(1.86%)(χ~2=40.85, P<0.01). Two-level Logistic regression model result showed that overweight and obesity, hypertension and dyslipidemia were all associated with pathoglycemia in children and adolescents, with OR values of overweight and obesity were 1.42(95%CI 1.20-1.68) and 1.80(95%CI 1.53-2.13) respectively. The OR values of hypertension and dyslipidemia were 1.74(95%CI 1.53-1.97) and 1.38(95%CI 1.20-1.59), respectively. CONCLUSION The prevalence of pathoglycemia and DM in Chinese children and adolescents is different in urban and rural, gender and age. Overweight and obesity, hypertension, dyslipidemia is the effects of pathoglycemia in children and adolescents.