Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Prevalence and Related Factors of Metabolic Syndrome among Korean Older Adults

건강검진 수진 노인의 대사증후군 유병상태 및 관련 요인

  • Lee, Eun-Hee (Health Promotion Headquarters, Korea Association of Health Promotion) ;
  • Cho, Seon (Health Promotion Research Institute, Korea Association of Health Promotion) ;
  • Kwon, Eun-Joo (Health Promotion Research Institute, Korea Association of Health Promotion) ;
  • Hyun, Sung-Min (Health Promotion Research Institute, Korea Association of Health Promotion) ;
  • Park, Ji-Youn (Health Promotion Research Institute, Korea Association of Health Promotion) ;
  • Kim, Myung (Dept of Health Management, Ewha Womans University)
  • 이은희 (한국건강관리협회 건강사업본부) ;
  • 조선 (한국건강관리협회 건강증진연구소) ;
  • 권은주 (한국건강관리협회 건강증진연구소) ;
  • 현성민 (한국건강관리협회 건강증진연구소) ;
  • 박지연 (한국건강관리협회 건강증진연구소) ;
  • 김명 (이화여자대학교 보건관리학과)
  • Received : 2009.11.02
  • Accepted : 2009.12.12
  • Published : 2009.12.30
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Abstract

Objectives: The purpose of this study is to identify prevalence and related factors of the elderly, who took health examination, with metabolic syndrome. Methods: The health examination and lifestyle survey were performed for 21,512 adults at 60 years of age or older who took health examination in H health promotion center during January-March 2009. Results: The prevalence of metabolic syndrome for the subject was 24.0%. Of the subject with metabolic syndrome, the prevalence of the diseases was obesity 60%, abdominal obesity 78.5%, hypertension 82.6%, dyslipidemia 89.7% and diabetes 51.9%. In comparison of the relationship between metabolic syndrome and other diseases, the male subject with metabolic syndrome were significantly higher in BMI, waist circumference, systolic/diastolic blood pressure, hemoglobin, AST, ALT, $\gamma$-GTP, TG, AC glucose, creatinine than normal male(p<0.001). In comparison of the relationship between metabolic syndrome and lifestyle, more drinking frequency and amount in male and more drinking frequency in female were associated with increased risk of metabolic syndrome(p<0.01). Regardless of exercise intensity, practice of exercise contributed to reduce the risk of metabolic syndrome(p<0.01). Conclusion: In conclusion, TLC program, focused on lifestyle behaviors which is strongly associated with the prevalence of metabolic syndrome, should be developed for the improvement of life quality in the elderly with metabolic syndrome.

Keywords

References

  1. 강창균, 김혁출, 이민균. 12주간의 복합운동 트레이닝이 농촌 노인의 심폐기능과 대사증후군 위험요인에 미치는 영향, 한국체육학회지 2008;47(4):377-387
  2. 김명, 고승덕. 노인의 일반적 특성과 신체적, 정신적, 사회적 건강 간의 관련성. 한국보건교육학회지 1996;13(2):115-129
  3. 김명, 서미경, 서혜경, 김영복. 보건교육 이론과 적용. 계축문화, 2004
  4. 김병성. 한국인에서의 대사증후군의 유병률, 대한임상건강증진학회 2001;2(1):17-25
  5. 김상국. 신체활동과 생활습관병, 대한임상건강증진학회 추계학술대회지 2003:S133-146
  6. 김상욱. 김진엽. 정읍지역주민에서의 인슐린저항성증후군의 유병률. 당뇨병 1999;23:68-76
  7. 김상훈. 12주간의 순환운동이 노인비만여성의 비만, 체력 및 대사증후군 지표에 미치는 영향. 한국노년학회 2009;29(3):823-835
  8. 김성래. 복부비만과 대사증후군. 대한비만학회 제 4회 연수강, 2002
  9. 김영일, 김남익, 원은경. 고혈압자의 비만동반 시 혈청지질 및 심폐기능의 변화. 대한스포츠의학회지 2000;18(1):92-100
  10. 김철훈, 유병철, 이영환. 건강검진 수진자에서의 대사증후군 관련 생활습관. 고신대학교 의과대학 학술 2006;21(1):227-234
  11. 김현. 복부비만과 건강과 운동. 한국생활환경학회지 1999;6(2):1-10
  12. 박정현, 조문숙. 고콜레스테롤혈증을 가진 성인에서 진단, 평가 및 치료를 위한 NCEP -ATPⅢ 지침. 한국지질동맥경화학회지 2001;11(4)
  13. 보건복지가족부. 노인보건복지사업안내서(1-2장), 2009
  14. 보건복지부. 2005 국민건강․영양조사 총괄편, 2006
  15. 보건복지부. 노인건강증진을 위한 운동사업의 활성화, 2007
  16. 서일, 이강희. 한국인 관상동맥질환의 위험요인. 한국지질동맥경화학회지 1997;7(2):125-132
  17. 윤규태, 최기수, 강현주. 노인의 대사성 증후군의 위험 요인에 체구성, 심폐기능 및 근력과의 상관 관계. 순천향자연과학 연구논문집 2004;10(2):447-452
  18. 윤만수, 최창식, 강진홍. 비영리 사회체육시설 이용 여성고령자의 운동지속에 관한 연구, 한국노년학 2007;27(2):487-502
  19. 이강숙, 조상덕, 홍현숙, 일부 종합검진 수진자에서의 혈압, 혈당 및 혈중지질과 관련된 위험요인. 예방의학회지 2000;33(1):69-75
  20. 이혜양. 계절에 따른 혈청 콜레스테롤 및 혈청 지질수준의 변동에 관한 조사연구. 한국지질학회지 1992;2:41-51
  21. 정찬희, 박정식, 이원영, 김선우. 한국 성인에서의 흡연, 음주, 운동, 교육정도 및 가족력이 대사증후군에 미치는 영향. 대한내과학회지 2002;63(6):649-659
  22. 지선하 외 6명. 한국인의 생활습관과 대사증후군과의 관련성 규명 및 맞춤형 중재 프로그램 개발․지원효과 분석 보고서. 2006
  23. 통계청. 2005년 사망원인통계연보, 2006
  24. 한국보건산업진흥원, 2002; http://www.khidi.or.kr
  25. 허갑범. 인슐린저항성과 만성퇴행성 질환. 당뇨병 1992;16:93-98
  26. Belmin J, Konart C. Normal aging: Biological, functional and relational aspects. Epidemiological and Sociological date. Prevention of the pathological ageing. LA Revue du praticien 2006;56(19):2187-95
  27. Bonora E, Kiechi S., et. al. Metabolic syndrome; Epidemiology andmore extensive Phenotypic description; cross-sectional data from the Bruneck study. International Journal of Obesity 2003;27:1283-1289 https://doi.org/10.1038/sj.ijo.0802381
  28. Boraita Perez, A. Exercise asthe cornerstone of cardiovascular prevention, Revista Espanola de Cardiologia 2008;1(5):514-28
  29. DeFonzo RA, Ferrannini E. Insulin resistance:a multifaceted syndrome responsiblefor NIDDM, obesity, hypertension, dyslipidemia and atherosclerotic cardiovascular disease. Diabetes Care 1991;14:173-194 https://doi.org/10.2337/diacare.14.3.173
  30. Dyer Ar, Stamler J. Paul O et al. Alcohol, Cardiovascular risk factors and motality. the Chicago experience. Circulation 1981;64:20-27
  31. Eliahou HE. Body weight reduction necessary to attain normotensive in the overweight hypertensive patient. Int J Obes 1982;5:157-163
  32. Facchini F, Chen YD, Reaven GM. Light-to-moderate alcohol in take is associated with enhanced insulin sensitivity. Diabetes Care 1994;17:115-119 https://doi.org/10.2337/diacare.17.2.115
  33. Ford ES, Mokdad AH, Giles WH, et al. The metablic syndrome and Antioxidant Concentrations. Diabetes 2003;52(9):2346-2352 https://doi.org/10.2337/diabetes.52.9.2346
  34. Ganziano JM, Buring JE, Breslow JL. et al. Moderate alcohol intake, increased levels of high density lipoprotein and its subfractions, and decreased risk of myocardial infrctio., New England Journal of Medicine 1993;329(25):1829-1834 https://doi.org/10.1056/NEJM199312163292501
  35. Hunt KJ, Heiss G, Sholinsky PD et al. Familial history of metabolic disorders and the multiple metabolic syndrome: the NHLBI family heart study. Genet Epidemiol 2000;19:395-409 https://doi.org/10.1002/1098-2272(200012)19:4<395::AID-GEPI10>3.0.CO;2-3
  36. Imai Y, Munakata M, Tsuji I, et al. Seasonal variation in blood pressure in normotensive women studied by home measurements. Clin Csi 1996;90(1):55-60
  37. Isomaa B, Almgren P, Tuomi T, et al. Cardiovular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2001;24:683-689 https://doi.org/10.2337/diacare.24.4.683
  38. Knowler WC 외 6. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine 2002;346:393-403 https://doi.org/10.1056/NEJMoa012512
  39. Kopelman PG, Finer N. Is obesity and a disease. Int J Obes 2001;25:1405 https://doi.org/10.1038/sj.ijo.0801791
  40. Liese AD, Mayer EJ, Tyroler HA, et al. Familial components of the multiple metabolic syndrome. Diabetologia 1997;40:963-970 https://doi.org/10.1007/s001250050775
  41. O'donnel, M., Health Promotion; An Emerging Strategy for Health Enhancement and Business Cost Savings in Korea (Unpublished), 1988
  42. Petersen KF, Befory D, et al. Mitochondrial dysfunction in the eldery:possible role in insuline resistance. Science 2003;300(5622):1140-1142 https://doi.org/10.1126/science.1082889
  43. Reaven GM. Banting lecture 1988. Role of insuline resistance in human disease. diabetes 1988;37:1595-607 https://doi.org/10.2337/diabetes.37.12.1595
  44. Shimokata H, Muller DC, Andres R. Studies in the distribution of body fat. JAMA 1989;261:1169-1173 https://doi.org/10.1001/jama.261.8.1169
  45. Stone NJ and Saxon D. Approaches to treatment of the patient with metabolic syndrome; lifestyle therapy. The American Journal of Cardiology 2005;9694(a):15e-21e
  46. Trevisan M, Liu J, Bahsas FB, et al. Syndrome X and mortality: a population-based study. AM J Epidemiol 1998;148:958-996 https://doi.org/10.1093/oxfordjournals.aje.a009572
  47. Tuomilehto J 외 11. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. New England Journal of Medicine 2001;344:1343-1350 https://doi.org/10.1056/NEJM200105033441801
  48. Wamala SP, Lynch J, Horsten M, et al. Education and the metabolic syndrome in women. Diabetes Care 1999;22:1999-2003 https://doi.org/10.2337/diacare.22.12.1999