Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Relationship between Metabolic Syndrome and the Triglyceride/High-density Lipoprotein- Cholesterol ratio in Male Office Workers

남성 사무직 근로자의 중성지방/고밀도 지단백 콜레스테롤 비와 대사증후군 간의 관계

  • Received : 2017.05.15
  • Accepted : 2017.08.18
  • Published : 2017.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The triglyceride-to-high-density lipoprotein-cholesterol (TG/HDL-C) ratio is one of the main predictive indices for cardiovascular disease. This study was examined the relationship between TG/HDL-C ratio and metabolic syndrome (MetS) in male office workers. Methods: Secondary analysis was conducted to determine the risk between the TG/HDL-C ratio and MetS in male office workers. A total of 765 people underwent the 'regular workplace health checkups in 2014'. Among the subjects who were male and responded to the questionnaire and health lifestyle survey, 470 (61.4%) excluding those with missing and/or abnormal values were analyzed. The association between MetS, MetS components, and the TG/HDL-C ratio was examined by a Chi-square test, One-way ANOVA, Turkey post-hoc test and Logistic regression analysis. Results: The number of males with MetS was 70 (14.9%) and the number of MetS components increased with increasing TG/HDL-C ratio (p<.001). Logistic regression analysis with an adjustment for potential confounders revealed a 31.8 times higher odds ratio of the Quartile4 group for MetS than that of the Quartile1 group (p<.001). Conclusion: These results show that the likelihood of MetS, particularly the risk of MetS in the Quartile4, increases with increasing TG/HDL-C ratio.

Keywords

References

  1. Burchfiel, C. M., Laws, A., Benfante, R., Goldberg, R. J., Hwang, L. J., Chiu, D., et al. (1995). Combined effects of HDL cholesterol triglyceride, and total cholesterol concentrations on 18-year risk of atherosclerotic disease. Circulation, 92(6), 1430-1436. http://dx.doi.org/10.1161/01.CIR.92.6.1430
  2. Choi, S. K., Jo, J. A., & Hwang, S. Y. (2014). Prevalence of metabolic syndrome and its predicting factors among small-sized company workers. Korean Journal of Adult Nursing, 26(2), 244-252. http://dx.doi.org/10.7475/kjan.2014.26.2.244
  3. Cordero, A., Laclaustra, M., Leon, M., Grima, A., Casasnovas, J. A., Luengo, E., et al. (2006). Prehypertension is associated with insulin resistance state and not with an initial renal function impairment: a Metabolic Syndrome in Active Subjects in Spain (MESYAS) Registry substudy. American Journal of Hypertension, 19(2), 189-196. http://dx.doi.org/10.1016/j.amjhyper.2005.08.018
  4. Di Bonito, P., Valerio, G., Grugni, G., Licenziati, M. R., Maffeis, C., Manco, M., et al. (2015). Comparison of non-HDL-cholesterol versus triglycerides-to-HDL-cholesterol ratio in relation to cardiometabolic risk factors and preclinical organ damage in overweight/obese children: the CARITALY study. Nutrition, Metabolism and Cardiovascular Diseases, 25(5), 489-494. http://dx.doi.org/10.1016/j.numecd.2015.01.012
  5. Dobiasova, M. (2004). Atherogenic index of plasma [log (triglycerides/HDL-cholesterol)]: theoretical and practical implications. Clinical Chemistry, 50(7), 1113-1115. http://dx.doi.org/10.1373/clinchem.2004.033175
  6. Gasevic, D., Frohlich, J., Mancini, G. J., & Lear, S. A. (2012). The association between triglyceride to high-density-lipoprotein cholesterol ratio and insulin resistance in a multiethnic primary prevention cohort. Metabolism, 61(4), 583-589. http://dx.doi.org/10.1016/j.metabol.2011.09.009
  7. Grundy, S. M., Brewer, H. B., Cleeman, J. I., Smith, S. C., & Lenfant, C. (2004). Definition of metabolic syndrome. Circulation, 109(3), 433-438. http://dx.doi.org/10.1161/01.cir.0000111245.7575 2.c6
  8. Ha, C. H., Ha, S., & So, W. Y. (2012). Effects of a 12-week combined exercise training program on the body composition, physical fitness levels, and metabolic syndrome profiles of obese women. Journal of Korean Public Health Nursing, 26(3), 417-427. http://dx.doi.org/10.5932/JKPHN.2012.26.3.417
  9. Hadaegh, F., Khalili, D., Ghasemi, A., Tohidi, M., Sheikholeslami, F., & Azizi, F. (2009). Triglyceride/HDL-cholesterol ratio is an independent predictor for coronary heart disease in a population of Iranian men. Nutrition, Metabolism and Cardiovascular Diseases, 19(6), 401-408. http://dx.doi.org/10.1016/j.numecd.2008.09.003
  10. Health Insurance Review Assessment service. (2015, May). The old age health depends on lifestyle(Issue Brief No. 2362). Retrieved May 18, 2015, from http://www.hira.or.kr/dummy.dpgmid=HIRAA020041000000&cmsurl=/cms/inform/02/1333695_27116.html&subject=%eb%85%b8%eb%85%84%ea%b1%b4%ea%b0%75%2c+%ec%83%9d%ed%99%9c%ec%8a%b5%ea%b4%80%ec%97%90+%eb%8b%ac%eb%a0%b8%eb%8b%a4
  11. Ho, C. I., Chen, J. Y., Chen, S. Y., Tsai, Y. W., Weng, Y. M., Tsao, Y. C., & Li, W. C. (2015). Relationship between TG/HDL-C ratio and metabolic syndrome risk factors with chronic kidney disease in healthy adult population. Clinical Nutrition, 34(5), 874-880. http://dx.doi.org/10.1016/j.clnu.2014.09.007
  12. Im, M. Y., Lee, Y. R., Han, S. J., & Cho, C. M. (2012). The effects of lifestyle factors on metabolic syndrome among Korean adults. Journal of Korean Academy of Community Health Nursing, 23(1), 13-21. http://dx.doi.org/10.12799/jkachn.2012.23.1.13
  13. Jin, M. H., Kim, H. J., & Lee, J. Y. (2014). Modeling of Metabolic Syndrome Using Bayesian Network. Korean Journal of Applied Statistics, 27(5), 705-715. http://dx.doi.org/10.5351/kjas.2014.27.5.705
  14. Kawada, T., Otsuka, T., Inagaki, H., Wakayama, Y., Li, Q., & Katsumata, M. (2009). Relationship between two indicators of coronary risk estimated by the framingham risk score and the number of metabolic syndrome components in Japanese male manufacturing workers. Metabolic Syndrome and Related Disorders, 7(5), 435-440. http://dx.doi.org/10.1089/met.2008.0087
  15. Kim, Y. H., Park, R. J., Park, W. J., Kim, M. B., & Moon, J. D. (2009). Predictors of metabolic syndrome among shipyard workers and its prevalence. Korean Journal of Occupational and Environmental Medicine, 21(3), 209-217
  16. Korean Society for The Study of Obesity. (2012). Obesity guidelines for Korean 2012. Retrieved June 12, 2014, from http://www.kosso.or.kr/general/board/download.php?code=general_03&num=72
  17. Lee, J. M., Kwon, Y. S., & Paek, K. S. (2014). The relationship between lifestyle and health status among white collar workers in a community. Journal of Digital Convergence, 12(8), 411-421. http://dx.doi.org/10.14400/jdc.2014.12.8.411
  18. Lohsoonthorn, V., Jiamjarasrungsi, W., & Williams, M. A. (2007). Association of hematological parameters with clustered components of metabolic syndrome among professional and office workers in Bangkok, Thailand. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 1(3), 143-149. http://dx.doi.org/10.1016/j.dsx.2007.05.002
  19. Marotta, T., Russo, B. F., & Ferrara, L. A. (2010). Triglyceride-to-HDL-cholesterol Ratio and Metabolic Syndrome as Contributors to Cardiovascular Risk in Overweight Patients. Obesity, 18(8), 1608-1613. http://dx.doi.org/10.1038/oby.2009.446
  20. McCrady, S. K., & Levine, J. A. (2009). Sedentariness at work: how much do we really sit?. Obesity, 17(11), 2103-2105. http://dx.doi.org/10.1038/oby.2009.117
  21. Oh, S. Y., Kim, S. H., & Hwang, I. C. (2014). Relationship between Metabolic Syndrome and Triglyceride/High-density Lipoprotein Cholesterol Ratio. Korean Journal of Clinical Geriatrics, 15(2), 69-74. http://dx.doi.org/10.15656/kjcg.2014.15.2.69
  22. Park, K. R., & Cho, Y. C. (2016). Prevalence Rates of Risk Factors of Metabolic Syndrome, and Its Related with Obesity Indices Among the Health Checkup Examinees. Journal of the Korea Academia-Industrial cooperation Society, 17(3), 153-162. http://dx.doi.org/10.5762/kais.2016.17.3.153
  23. Park, N. H. (2013). Effects of lifestyle modification program on body composition, metabolic syndrome markers, and depression in obese postmenopausal women. Journal of Korean Public Health Nursing, 27(2), 313-326. http://dx.doi.org/10.5932/JKPHN.2013.27.2.313
  24. Ra, J. S., & Kim, H. S. (2015). Combined Influence of Obesity and Metabolic Syndrome on Ischemic Heart Disease in Korean middle aged and older adults. Journal of Korean Public Health Nursing, 29(3), 540-550. http://dx.doi.org/10.5932/JKPHN.2015.29.3.540
  25. Ryu, H., Kim, Y., Lee, J., Yoon, S. J., Cho, J. H., Wong, E., & Jung, J. (2016). Office Workers' Risk of Metabolic Syndrome-Related Indicators: A 10-Year Cohort Study. Western Journal of Nursing Research, 38(11), 1433-1447. http://dx.doi.org/10.1177/0193945916654134
  26. Ryu, H. (2015). Development and Test on Health Management Program to Preventive the Metabolic Syndrome among Korean Workers. Seoul: National Research Foundation of Korea.
  27. Sarti, C., & Gallagher, J. (2006). The metabolic syndrome: prevalence, CHD risk, and treatment. Journal of Diabetes and its Complications, 20(2), 121-132. http://dx.doi.org/10.1016/j.jdiacomp.2005.06.014
  28. Statistics Korea. (2016). Korea statistical information services. Retrieved January 7, 2016, from http://kosis.kr/statHtml/statHtml.do?orgId=380&tblId=DT_Q11&conn_path=I2
  29. Sung, K. C., Reaven, G., & Kim, S. (2014). Ability of the plasma concentration ratio of triglyceride/high-density lipoprotein cholesterol to identify increased cardio-metabolic risk in an east Asian population. Diabetes Research and Clinical Practice, 105(1), 96-101. http://dx.doi.org/10.1016/j.diabres.2014.04.021