醫療從業人員代謝症候群盛行率及相關危險因子之性別差異研究

Gender Difference of the Prevalence and Associated Risk Factors of Metabolic Syndrome among Hospital Staff

趙怡荏(Yi-Jen Chao) ； 陳昭源(Jau-Yuan Chen) ； 吳昀陞(Yun-Sheng Wu) ； 陳冠蓁(Kuan-Chen Chen) ； 魏中仁(Chung-Jen Wei) ； 陳富莉(Fu-Li Chen) ； 董道興(William Tao-Hsin Tung)

《中華職業醫學雜誌》 17卷3期 (2010/07) Pp. 193-201

https://doi.org/10.30027/CJOM.201007.0005

摘要

Background. Metabolic syndrome is a cluster of cardiovascular risk factors. The complications of metabolic syndrome could consume many medical resources. From the viewpoint of preventive medicine, it is essential for early diagnosis and appropriate treatment to subjects with metabolic syndrome.
Objectives. To explore the gender difference of the prevalence and associated risk factors of metabolic syndrome among hospital staff based on the health examination.
Methods. To understand the morbidity of metabolic syndrome, we analyzed the database of the health examination of the workers in a medical center on the northern Taiwan. The definition of metabolic syndrome is according to the criteria proposed by Department of Health in 2007, Taiwan. Due to the limitation of the examination, the total cholesterol is used to replace the HDL-C value.
Result. There are 1203 subjects (male: 424(35.2%) and female: 779 (64.8%)) included in this study. The mean age is 40.20±10.59 years. The prevalence of metabolic syndrome is 16.3% and male (24.8%) is significant higher than female (11.7%) (p＜0.01). Based on the components of the abnormal criteria of metabolic syndrome, the results show that the highest proportion is higher blood pressure, higher triglyceride, and higher total cholesterol (3.5%) in male and higher waist circumference, higher blood pressure, and higher total cholesterol (2.2%) in female. From the multiple logistic regression, gender difference is found in associated factors related to metabolic syndrome after adjustment for confounding factors. The abnormal waist circumference is the most significant risk factor related to metabolic syndrome both in the male (OR=1.16, 95%CI: 1.09-1.24) and in the female (OR=1.12, 95%CI: 1.04-1.21).
Conclusion. The prevalence of metabolic syndrome showed the gender difference in this study. Higher waist circumference is the most significant risk factor related to metabolic syndrome. In order to prevent the incident metabolic syndrome, to encourage hospital staff with the exercise habit, dietary improvement, and controlled central obesity is important.

關鍵字

代謝症候群 ； 醫療從業人員 ； 性別差異

並列摘要

Background. Metabolic syndrome is a cluster of cardiovascular risk factors. The complications of metabolic syndrome could consume many medical resources. From the viewpoint of preventive medicine, it is essential for early diagnosis and appropriate treatment to subjects with metabolic syndrome.
Objectives. To explore the gender difference of the prevalence and associated risk factors of metabolic syndrome among hospital staff based on the health examination.
Methods. To understand the morbidity of metabolic syndrome, we analyzed the database of the health examination of the workers in a medical center on the northern Taiwan. The definition of metabolic syndrome is according to the criteria proposed by Department of Health in 2007, Taiwan. Due to the limitation of the examination, the total cholesterol is used to replace the HDL-C value.
Result. There are 1203 subjects (male: 424(35.2%) and female: 779 (64.8%)) included in this study. The mean age is 40.20±10.59 years. The prevalence of metabolic syndrome is 16.3% and male (24.8%) is significant higher than female (11.7%) (p＜0.01). Based on the components of the abnormal criteria of metabolic syndrome, the results show that the highest proportion is higher blood pressure, higher triglyceride, and higher total cholesterol (3.5%) in male and higher waist circumference, higher blood pressure, and higher total cholesterol (2.2%) in female. From the multiple logistic regression, gender difference is found in associated factors related to metabolic syndrome after adjustment for confounding factors. The abnormal waist circumference is the most significant risk factor related to metabolic syndrome both in the male (OR=1.16, 95%CI: 1.09-1.24) and in the female (OR=1.12, 95%CI: 1.04-1.21).
Conclusion. The prevalence of metabolic syndrome showed the gender difference in this study. Higher waist circumference is the most significant risk factor related to metabolic syndrome. In order to prevent the incident metabolic syndrome, to encourage hospital staff with the exercise habit, dietary improvement, and controlled central obesity is important.

並列關鍵字

metabolic syndrome ； hospital staff ； gender difference