職場中代謝症候群之現況－北台灣一家醫學中心勞工體檢經驗

Metabolic Syndrome in the Factories-Northern Taiwan Survey

周昱劭(Yu-Shao Chou) ； 楊奇儒(Chi-Ju Yang) ； 黃名男(Ming-Nan Huang) ； 陳大偉(Ta-Wei Chen) ； 蔡篤杰(Tu-Chieh, Tsai) ； 王豐林(Feng-Lin Wang) ； 錢凱平(Ki-Pin Chien) ； 陳進明(Chin-Ming Chen)

《中華職業醫學雜誌》 15卷1期 (2008/01) Pp. 67-78

https://doi.org/10.30027/CJOM.200801.0006

摘要

背景：代謝症候群，不是一個新的疾病。他是一個許多心血管危險因子的集合。甚至是心血管疾病的前期。在以預防與保健的現代醫學而言，代謝症候群的診斷與處置，無疑的是預防醫學的最佳典範。 方法與對象：我們回顧過去三年，由本院承接員工體格檢查的公司行號。三年的員工體檢資料中，我們加以分析，以了解目前職場代謝症候群的現況。我們所使用的代謝症候群的標準是九十三年衛生署所公布的標準以及96年的新修正。 結果：總數有14540位受檢者，男性有10880位受檢者(74.8%)。93年度有7053位受檢者(48.5%)，94年度有2636受檢者(18.1%)，95年度有4851受檢者(33.4%)。年齡層則30歲以下有2278(15.7%)，31歲到40歲有6420人(42.2%)，41歲到50歲有3580人(24.6%)，超過51歲有2262人(15.6%)。不同的產業別，新與產業有6375位(43.8%)，成熟產業有8167位(56.2%)。 以代謝症候群來看，全部的盛行率有18.6%，男性為22.5%，女性為7.0%，p值＜0.01。年齡層中小於30歲是5.3%，31歲到40歲14.1%，41歲到50歲是23.8%，以及51歲以上36.6%，隨著年齡的增長而上升，p值＜0.01。產業別，則新興產業是20.5%，較成熟產業11.2%為高，p值＜0.01。以身體質量數來分組，＜24組為6.5%，在24到27之間組為22.3%，高於27組為52.1%。 以多變數邏輯性迴歸分析卻發現性別與年齡層、產業別、身體質量數組有差異。 結論：我們認為台灣的代謝症候群的盛行率，與年齡、性別、身體質量數以及產業別有關。其中性別與年齡是不可變的因素，所以我們認為肥胖是代謝症候群重要的因子，也是決定性的因子。我們應該要推展以及加強體重的控制來做為代謝症候群控制的入門。

關鍵字

代謝症候群 ； 肥胖 ； 膽固醇 ； 血壓 ； 心血管疾病 ； 年齡 ； 性別

並列摘要

Background: Metabolic syndrome is not a new emerging disease. It is a cluster of many risk factors of cardiovascular disease. In another word, it is the early stage of cardiovascular disease. In era of the preventive medicine and health promotion, early detection and management metabolic syndrome is undoubtedly is paradigm.
Materials and Methods: We retrospectively reviewed the records of routine health examination from those companies received examination in the past consecutive 3 years. We used the criteria, which were provided by the Department of Health of Taiwan in 2004 and revised in 2007.
Results: Altogether we have 14540 workers. There were 10880 men(74.8%). We had 7053 workers (48.5%) in 2004, 2636 workers (18.1%) in 2005, and 4851 workers (33.4%) in 2006. The stratification of age, there were 2278(15.7%) younger than 30 year of age, 6420 (42.2%) workers between 31 and 40，3580 workers (24.6%) between 41 and 50. and 2262人(15.6%) over 51. New developed enterprise has 6375 workers (42.8%) and well established has 8167 workers (56.2%).
As for metabolic syndrome, the overall prevalence is 18.6%, whereas 22.5% in men and 7.0% in women (p value ＜0.01). While analyzed the differences between age groups, we found 5.3% in those younger than 30 year of age, 14.1 % between 30 and 40 ,23.8% between 41 and 50, and 36.6% is the highest of those older than 51 (p value ＜ 0.01). In view of different group of BMI, those BMI less than 24 , the prevalence is 6.5%, between 24 and 27 is 22.3% and more than 27 is 52.1%. Where the p vale is ＜0.01)
By using the logical regression, we found that there is difference between gender age groups, different enterprise and BMI group..
Conclusion: We think the prevalence of metabolic syndrome is associated with age and sex, which is not changeable. Beside age and sex, obesity is the main risk factor. So it is our responsibility to promote the body weight control in order to prevent metabolic syndrome and the sequences.

並列關鍵字

metabolic syndrome ； obesity ； hypertension ； cholesterol ； cardiovascular disease ； age ； sex