Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Prevalence of Metabolic Syndrome and its Related Factors of Elderly People in Korea

우리나라 70세 이상 고령자의 연령대별 대사증후군의 분포 및 관련요인

  • Song, Young-Soo (National Health Insurance Corporation) ;
  • Bae, Nam-Kyu (National Health Insurance Corporation) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 송영수 (국민건강보험공단) ;
  • 배남규 (국민건강보험공단) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실)
  • Received : 2016.01.28
  • Accepted : 2016.04.07
  • Published : 2016.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study examined the distribution of metabolic syndrome according to the age groups among the elderly people to reveal the sociodemographic and health related factors. The survey in 2011~2014 from the National Health Insurance Corporation under regular medical check-ups, which received a recognition survey targeted 1,756 people aged over 70. Multiple logistic regression was performed on the relation metabolic syndrome and its related factors. As a result, the risk ratio for metabolic syndrome increased significantly in females than in males, living with a family than living alone, high economic status than in the low group, obese than in the normal weight group, have a history of stroke group than the no history group, smoking group than the non-smoking group, and drinking group than the non-drinking group. The distribution of metabolic syndrome differed significantly according to the sociodemographic characteristics and health-related variables.

본 연구는 70세 이상 고령자들의 연령대에 따른 인구사회학적 및 건강관련행위 특성별 대사증후군의 분포를 비교해 보고자 2011~2014년도에 국민건강보험공단의 건강검진을 받았던 70세 이상 고령자 1,756명(남성 872명, 여성 884명)을 대상으로 대사증후군과 관련요인들 간의 관련성을 로지스틱 회귀분석을 통해 분석하였다. 연구결과, 대사증후군이 나타날 위험비는 남성보다 여성에서, 혼자 사는 군보다 가족과 함께 사는 군에서, 가정의 경제상태가 낮은 군보다 높은 군에서, 정상체중군보다 비만군에서, 뇌졸중 과거력이 없다는 군보다 있다는 군에서, 비흡연군보다 흡연군에서, 비음주군보다 음주군에서 유의하게 증가하였다. 따라서 조사대상자들의 대사증후군은 여러 인구사회학적 및 건강관련행위특성 변수에 따라 유의한 차이를 보이고 있음을 시사하고 있다.

Keywords

References

  1. Lee JS, Kawakubo K. A useful index highly correlated with coronary risk factors for community based obesity screening. Japanese Journal of Public Health, 46(2):89-102. 1999.
  2. Alberti K, Zimmet P. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus, provisional report of a WHO consultation. Diabetes Med, 15:539-53. 1998. https://doi.org/10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S
  3. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP). Expert Panel on Detection. Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA, 285:2486-2497, 2001. https://doi.org/10.1001/jama.285.19.2486
  4. WHO West Pacific Region. The Asia-Pacific perspective: redefineding obesity and its treatment. IOTF Feb. 2000.
  5. Kesteloot H, Van Houte O. An epidemiologic survey of arterial blood pressure in a large male population group. Am J Epidemiol, 99(1):14-29, 1974. https://doi.org/10.1093/oxfordjournals.aje.a121580
  6. Sallis JM, Haskell WL, Wood PD, Fortmann SP, Vranizan KM. Vigorous physical activity and cardiovascular risk factors in young adults. J Chron Dis 39:115-120, 1986. https://doi.org/10.1016/0021-9681(86)90067-6
  7. Manson JE, Stampfer MJ, Hemmekens CH. Body weight and longevity. A reassessment. JAMA, 257:353-358, 1987. https://doi.org/10.1001/jama.1987.03390030083026
  8. Powell KE. Thomson PD, Caspersen CJ, Kendrick JS. Physical activity and the incidence of coronary heart disease. Annu Rev Publ Health, 8:253-287, 1987. https://doi.org/10.1146/annurev.pu.08.050187.001345
  9. Ockene JK, Kuller LH, Svendsen KH, Meilahn E. The relationship of smoking cessation to coronary heart disease and lung cancer in the multiple risk factor intervention trial(MRFIT). Am J Public Health, 80:954-958, 1990. https://doi.org/10.2105/AJPH.80.8.954
  10. Anderson LB, Wedderkopp N, Hansen HS, Cooper AR, Froberg K. Biological cardiovascular risk factors cluster in Danish children and adolescents: The European youth heart study. Prev Med, 37:363-369, 2003. https://doi.org/10.1016/S0091-7435(03)00145-2
  11. WHO West Pacific Region. The Asia-Pacific perspective: Redefineding obesity and its treatment. IOTF Feb. 2000.
  12. Cho YC, Kwon IS, Park JY, Shin MW. Prevalence of metabolic syndrome and its associated factors among health checkup examinees in a university hospital. Journal of the Korea Academia-Industrial cooperation Society, 13(11):5317-5325, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.11.5317
  13. Lym YL, Hwang SW, Shim HJ, et al. Prevalence and risk factors of the metabolic syndrome as defined by NCEP-ATP III. Korea Acad of Fam Med, 24:135-143, 2003.
  14. Choi ES. The metabolic syndrome and associated risk factors among male workers in an electronic manufacturing company. Korean J Occup Environ Med, 18(1):35-45, 2006.
  15. Bae JM. Prevalence and associated factors of metabolic syndrome among health examined local residents in an university hospital. Graduate School of Chungnam National University, Doctor's thesis, 2007.
  16. Park HS, Shin SC, Kim BS, et al. Prevalence and associated factors of metabolic syndrome among adults in primary care. Korean J Obes, 12(3):108-123, 2003.
  17. Choi YH, Jeong JY, Kwak KS, et al. The prevalence and risk factors of the metabolic syndrome among local residents aged 45 or over in chuncheon: hallym aging study. Korea Acad of Fam Med, 27:190-200, 2006.
  18. Kim SM, Lee DJ, Cho NH. The study of cross sectional associations between alcohol intake, cigarette smoking and obesity index in men. Korean Society For The Study of Obesity, 7(4):332-41. 1998.
  19. Kim JH, Lee KM, Kim HY, Song CH, Jung SP. The effects of cigarette smoking on abdominal fatness. J Korean Acad Fam Med, 21:1172-9. 2000.
  20. Godsland IF, Leyva F, Walton C, Worthington M, Stevenson JC. Associations of smoking, alcohol and physical activity with risk factors for coronary heart disease and physical activity with risk factors for coronary heart disease and diabetes in the first follow up cohort of the Heart Disease and Diabetes Risk Indicators in a Screened Cohort study (HDDRISC-1). J Int Med, 244(1):33-41, 1998. https://doi.org/10.1046/j.1365-2796.1998.00312.x