Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Factors Affecting Metabolic Syndrome in a Rural Community

한 농촌지역 주민들의 대사증후군 관련요인

  • Kim, Jong-Im (Department of Nursing, Daejeon Health Sciences College)
  • Published : 2009.03.30
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Abstract

Objectives: This study set out to investigate the relationship among the factors of metabolic syndrome diagnosis criteria, their risk factors including general characteristics, and the distribution of the diagnosis criteria and risk among the adult residents of a rural community. Methods: Among 1,968 residents, those who had three or more of the risk factors of metabolic syndrome, which include blood pressure, blood glucose, triglyceride, abdominal obesity, and HDL-C, were categorized as the metabolic syndrome group. And their correlations were analyzed. Results: As for the risk ratio with five factors of the metabolic syndrome diagnosis criteria, it was high according to age and smoking. In addition, the results show that body fat percentage, hs-CRP, insulin, BMI, PP2, total cholesterol, and W/Ht also had much impact on increasing the risk ratio of the metabolic syndrome diagnosis criteria. It turned out that metabolic syndrome was affected by the body mass index(BMI), insulin, waist to height ratio(W/Ht), and hs-CRP. It was 2.51 times crude odds ratio that BMI over the 25kg/m2 in the ratio of the fact of metabolic syndrome and adjusted for sex odds ratio 2.50times and W/Ht was 3.31times, adjusted for sex odds ratio 3.25 times. Conclusion: BMI, W/Ht and smoking of the general characteristics seem to have close relationships with high correlations between the metabolic syndrome diagnosis criteria and the risk factors. Thus there is an urgent need to evaluate them and take interventions and monitoring measures for the clustering of risk factors.

Keywords

References

  1. 국민건강영양조사. 2005
  2. 김종호, 이근미, 김희영, 송춘화, 정승필, 흡연이 복부비만에 미치는 영향. 가정희학회지, 2002; 21:1172-9
  3. 윤건호, 대사증후군을 하나의 질환으로 치료하는 것이 이상적인가? 대한의사협회지, 2005; 48(12):1179-1180
  4. 박혜순, 일차의료에 내원한 성인에서 대사증후군의 유병률 및 관련 요인에 대한 연구. 보건복지부, 2003
  5. 박혜순, 한국인의 복부비만의 기준. 대한의사협회지, 2005; 8(12):1165-1171
  6. 최영호, 정진영, 곽경섭, 강성현 외. 춘천지역 중년 및 노인에서 의 대사증후군의 유병률과 관련 위험요인. 가정의학회지, 2006;27:190-200
  7. 통계청. 사망원인 통계연보. 2002, 2005
  8. 황진숙, 김연포, 박훈기, 황환식. 복부내장지방의 신체계측치, 대사증후군 위험요인과의 연관성. 가정의학회지, 2006; 7:190-200
  9. Anderson LB, Wedderkopp N, Hanson HS, Cooper AR, Foberg K.Biological cardiovascular risk factors cluster in danish children and adolescents: The European Youth Heart Study. Prev Med 2003;37:363-369 https://doi.org/10.1016/S0091-7435(03)00145-2
  10. Beaglehole R, Magnus P. The search for new factors for coronary heart disease: occupational therapy for epidemiologists? Int J Epidemiol 2002;31:1117-1122 https://doi.org/10.1093/ije/31.6.1117
  11. Berenson GS, Srinivasan SR, Bogalusa Heart Study Group. Cardiovascular risk factors in youth with implications for aging: The Bogalusa Heart Study. Neurobiol Aging 2005;26(3):303-307 https://doi.org/10.1016/j.neurobiolaging.2004.05.009
  12. Decode Study Group. Glucose tolerance and cardiovascular mortality: comparison of fasting and 2 hour diagnostic criteria. Arch Intern Med 2001;161:397-405 https://doi.org/10.1001/archinte.161.3.397
  13. Ford ES, Giles WH, Aietz WH. Prevalence of the metabolic syndrome among US adults-findings from the third National Health and Nutrition Examination Survey. JAMA 2002;287(3):356-359 https://doi.org/10.1001/jama.287.3.356
  14. Girmsn CJ, Rhodes T, Mercuri M, Pyorala K, Kjekshus J, Perdersen TR, et al. The metabolic syndrome and risk of major coronary events in the Scandinavian Simvastatin Survival Study(4S) and the Air Force/Texas Coronary Athersclerosis Prevention Study. Am J Cardiol 2004;93;136-41
  15. Grundy SM, Cleeman JL, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al; American Heart Association; National Heart, Lung, and Blood Institute, Diagnosis and management of the metabolic syndrome: an American Heart Association/ ational Heart, Lung, and Blood Institude Scientific Statement. Circulation 2005;112:2735-52 https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  16. Haffner SM. The insulin resistance syndrome revisited. Diabetes Care 1996;19:275-7
  17. Hsieh SD, Takashi Muto. Metabolic syndrome in Japanese men andspecial reference to the anthropometric criteria for the assessment of obesity: Proposal to use the waist to height ratio, Preventive Medicine 2006;42:135-139 https://doi.org/10.1016/j.ypmed.2005.08.007
  18. Isomaa B, Almgren P, Torsen B, Laht K, Nissen M, Taskinen MR, Groop L, Cardiovascular morbidity and mortality assiciated with the metabolic syndrom. Diabetes Care 2001;24:683-689 https://doi.org/10.2337/diacare.24.4.683
  19. Lee WY, Park JS, Noh SY, Rhee EJ, Kim SW, Zimmet PZ: Prevalence of the metabolic syndrome among 40,698 Korean metropolitan subjects. Diabetes Res Clin Pract 2004;65:143-9 https://doi.org/10.1016/j.diabres.2003.12.007
  20. McNeill AM, Rosamond WD, Girman CK, Golden SH, Schmidt ML, East HE, et al. The metabolic syndrome and 11-year risk of incident cardiovascular disease in the Atherosclerosis Risk in Communities Study. Diabetes Care 2005;28:385-90 https://doi.org/10.2337/diacare.28.2.385
  21. Ninomiya JK, LItalien G, Criqui MH, Whyte JL, Gamst A, Chen RS. Association of the metabolic and stroke in the Third National Health and Nutrition Examination Survey. Circulation 2004;109:42-6 https://doi.org/10.1161/01.CIR.0000116602.10533.2E
  22. Nakanishi N, shirishi T, Wada M. Association between fasting glucose and C-reactive protein in a Japanese population: the Minoh Study. Diabetes Res Clin Pract 2005;69:88-98 https://doi.org/10.1016/j.diabres.2004.11.009
  23. Simons LA, Friedlander Y, Mccallum J, Simons J, Fasting plasma glucose in non-diabetic elderly women predicts increased all-causes mortality and coronary heart disease risk. Aust N Z J Med 2000;30(1):41-7
  24. Sower JR. Obesity as a cardiovascular risk factors. Am J Med 2003;115(8A):37-14
  25. Tomas A. Pearson. Markers of Inflammation and Cardiovascular Disease Application to Clinical and Public Health Practice. Astatment for Health Care Professinals from the Center for Disease Control and Prevention and The American Heart Association. Circulation 2003;107: 499-511 https://doi.org/10.1161/01.CIR.0000052939.59093.45
  26. Vannamethee SG, Shaper AG, Lennon L, Morris RW, Metabolic Syndrome vs Framinham Risk Score for predication of coronary heart disease, stroke, and type 2 diabetes mellitus. Arch Intern Med 2005;165:2644-50 https://doi.org/10.1001/archinte.165.22.2644
  27. Vos LE. Oren A, Uiterwaal C, Gorrssen WHM, Grobbee DE, Bots ML. Adolescent blood pressure and blood pressure tracking into young adulthood are related to subclinical atherosclerosis; The Atherosclerosis Risk in Young Adult(ARYA) Study. Am J Hypretens 2003;16:549-555 https://doi.org/10.1016/S0895-7061(03)00857-4
  28. World Health Organization Western Pacific Region, International Association for the Study of Obesity, and International Obesity Task Force. The Asian-Pracific perspective: redefining obesity and its treatment. Sydney, Australia, Health Communications Australia, 2000;15-21