臺灣南部中老年人代謝症候群盛行率及其相關因子

Prevalence and Factors Associated with Metabolic Syndrome in Middle-AgedAdults and Elderly in Southern Taiwan

黃志芳(Chih-Fang Huang) ； 王聖棻(Sheng-Fen Wang) ； 葉月嬌(Yueh-Chiao Yeh) ； 李明和(Ming-Ho Lee) ； 陳尚志(Shang-Chi Chen) ； 辜美安(Malcolm Koo)

《志為護理-慈濟護理雜誌》 11卷1期 (2012/02) Pp. 72-84

https://doi.org/10.6974/TCNJ.201202.0072

摘要

臺灣地區人口老化日益嚴重，而代謝症候群盛行率與年齡成正比，因此本研究目的為探討影響老化指數高的南部地區中老年人代謝症候群之盛行率及其相關因子。採用次級資料分析法，以參加嘉義縣某鎮衛生所於2003年7月至2006年10月辦理的三場複合式健康篩檢活動之健康檢查與問卷調查為資料來源，篩選40歲及以上參加者為研究對象。有效樣本共2,596人，平均年齡為60.2歲，代謝症候群盛行率為35.0%，其中男性與女性的盛行率分別為33.6%及36.0%。多變項羅吉斯迴歸結果顯示年齡較高者及有嚼檳榔習慣者，其罹患代謝症候群的風險顯著較高；女性和已婚者其風險顯著較低。本研究結果可提供醫療與衛教單位進行防治檳榔危害宣導活動之依據，尤其是針對南部地區非已婚中老年男性的族群更顯重要。（志為護理，2012；11：1，72－84）

關鍵字

代謝症候群 ； 生活型態 ； 整合性篩檢 ； 中老年人

並列摘要

Taiwanese population has aged rapidly in the recent years, and as the prevalence of metabolic syndrome is positively associated with age, the study aimed to investigate the prevalence and factors associated with metabolic syndrome in southern Taiwan, where a high aging index was observed. We used secondary data analysis to retrospectively assess the three cycles of the Community Integrated Screening (CIS) data from the Health Center of a town in Chiayi County from July 2003 to October 2006. Participants who were aged 40 or above were selected and 2,596 individuals were included in the study. The mean age of the subjects was 60.2 years and the prevalence of metabolic syndrome was 35.0% with 33.6% in men and 36.0% in women. Results from multiple logistic regression analysis indicated that the risk of metabolic syndrome was higher in individuals in older age groups and in those who were habitual betel quid chewers. Females and those who were married had lower risk of metabolic syndrome. Results from this study can be used as a basis for medical and public health units in designing materials for cessation of the betel quid chewing habit in particularly unmarried middle-aged and elderly men living in southern Taiwan. (Tzu Chi Nursing Journal, 2012; 11:1, 72-84)

並列關鍵字

lifestyle ； integrated screening ； metabolic syndrome ； middle-aged and elderly population