醫院員工代謝異常症候群流行病學研究

The Epidemiologic Study of the Prevalence and Associated Factors of Metabolic Syndrome among Hospital Staff

趙怡荏(Yi-Jen Chao) ； 羅錦泉(Jiin-Chyuan Luo) ； 郭洺偉(Ming-Wei Kuo) ； 陳富莉(Fu-Li Chen) ； 魏中仁(Chung-Jen Wei) ； 陳冠蓁(Kuan-Chen Chen) ； 董道興(William Tao-Hsin Tung)

《中華職業醫學雜誌》 19卷1期 (2012/01) Pp. 29-38

https://doi.org/10.30027/CJOM.201201.0004

摘要

目的：代謝症候群為心血管危險因子的集合，以預防醫學的角度應對代謝症候群進行早期診斷及治療。本研究即針對某醫學中心員工進行代謝異常症候盛行率及其相關因子分析。方法：以橫斷性研究設計，利用台北某醫學中心2007年員工健康檢查資料，進行代謝症候群流行病學分析。代謝症候群判定是依照2007年衛生署所修改的新標準，因體檢結果的限制，以總膽固醇取代高密度脂蛋白膽固醇。結果：在1203名受檢者中，代謝症候群盛行率為16.3%（男性為24.8%，女性為11.7%）；代謝症候群異常指標組成，以中央型肥胖合併血壓過高及膽固醇總量過高比例最高；以多項式邏輯斯迴歸分析發現，與代謝症候群指標1-2項有關因子包括性別（男vs女，勝算比（odds ratio, OR）：1.85、95%信賴區間（confidenceinterval, CI）：1.28-2.70）、年齡（OR： 1.04, 95%CI： 1.02-1.06）、及肥胖（有 vs. 無，OR： 1.39,95%CI： 1.31-1.47）；與符合代謝症候群指標3-5項有關的因子亦包括性別（男 vs. 女，OR： 2.08,95%CI： 1.28-3.45）、年齡（OR： 1.12、95%CI： 1.09-1.14）、及肥胖（有 vs. 無，OR： 1.73, 95%CI：1.60-1.87）。結論：健康促進醫院的推廣建議優先控制腰圍與體重以預防代謝症候群。

關鍵字

代謝症候群 ； 醫院員工 ； 流行病學 ； 健康促進

並列摘要

Objectives: Metabolic syndrome is a cluster of cardiovascular risk factors. From the viewpoint of preventive medicine, it is essential for early diagnosis and appropriate treatment to subjects with metabolic syndrome. The objective in this study is to explore the prevalence and associated risk factors of metabolic syndrome among hospital staff based on the health examination. Methods: Based on the cross-sectional study design, the database of the health examination of the workers in a medical center on the northern Taiwan is analyzed. 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. Results: The prevalence of metabolic syndrome is 16.3%(24.8% in male and 11.7% in female) among 1203 screened subjects. The highest proportion of abnormal index of metabolic syndrome is central obesity combined with higher blood pressure and total cholesterol. Based on the multinomial logistic regression, the significant factors related to 1-2 abnormal index of metabolic syndrome include gender (male vs. female, OR=1.85, 95%CI: 1.31-1.47), age (OR=1.04, 95%CI: 1.02-1.06) and obesity (OR=1.39, 95%CI: 1.31-1.47). In addition, the significant factors related to 3-5 abnormal index of metabolic syndrome also include gender (male vs. female, OR=2.08, 95%CI: 1.28-3.45), age (OR=1.12, 95%CI: 1.09-1.14) and obesity (OR=1.73, 95%CI: 1.60-1.87). Conclusion: To promote the health promoting hospital, the priority of metabolic syndrome prevention is controlled waist circumference and body weight.

並列關鍵字

metabolic syndrome ； hospital staff ； epidemiology ； health promotion