台灣地區老年人代謝症候群之盛行率調查

The Prevalence Survey of Metabolic Syndrome of the Elderly in Taiwan

李龍騰(Long-Teng Lee) ； 張玉坤(Yue-Cune Chang) ； 黃國晉(Kuo-Chin Huang) ； 潘文涵(Wen-Harn Pan) ； 陳慶餘(Ching-Yu Chen)

《台灣老年醫學雜誌》 1卷1期 (2005/07) Pp. 9-17

https://doi.org/10.29462/TGG.200507.0002

摘要

目標：代謝症候群與心血管疾病及其他多種慢性病況之危險性有極密切的關係，本研究擬調查台灣地區老年人口代謝症候群的盛行率，並比較性別與年齡層代謝症侯群盛行率的差異。
研究方法：本研究在1999-2000年以全國65-97歲的人口為母群體，採分層隨機集束取樣法，共有2,432位非機構住民之老年人（平均年齡72.8±9.4歲）接受檢查。使用卡方檢定及邏輯式迴歸分析以比較不同性別與不同年齡層代謝症候群盛行率之差異，並預測不同性別與不同年齡層老人罹患代謝症候群的危險性。
結果：本研究發現，以依美國國家膽固醇教育計畫(NCEP/ATPⅢ)的標準，台灣地區老年人口代謝症候群盛行率，男性是14.4%、女性是27.9%；若以亞洲人口的修正NCEP/ATPⅢ的標準，則男女性老年人口的代謝症候群盛行率分別是25.5%與46.8%。隨著老年人年齡的增加，其體重、身高、身體質量指數、心縮壓、血漿三酸甘油酯值和空腹血糖值，均有遞減的現象。80歲以上者罹患代謝症候群的危險性是65至69歲者的0.55倍（95%信賴區間為0.38到0.79倍）。
討論：雖然台灣地區老年人罹患代謝症候群的盛行率較美國低，但在老年人健康照顧不應有所忽視，仍應重視強調健康生活型態的諮詢，這項諮詢工作對年輕老年人尤為重要。

關鍵字

老年人 ； 代謝症侯群 ； 盛行率 ； 台灣地區

並列摘要

Objectives: Metabolic syndrome has become a significant health problem because of its association with an increased risk of cardiovascular disease and various other chronic conditions. In the current study we strove to examine the prevalence of metabolic syndrome of the elderly in Taiwan. We further compared the differences in the prevalence of metabolic syndrome in the elderly by age group and gender.
Research methods and procedures: A stratified multi -staged clustered sampling scheme was used in the Elderly Nutrition and Health Survey in Taiwan (NAHSIT) conducted during 1999-2000. A total of 2,432 non-institutionalized subjects (age range=65-97 years, mean=72.8±9.4 years ) were recruited. The chi-square tests and logistic regression analysis were adopted to examine the differences and to predict the risks of the metabolic syndrome for different age group and gender for the subjects.
Results: The prevalence rates of metabolic syndrome read respectively 14.4% in men and 27.9% in women by NCEP/ATP Ⅲ criteria, and 25.5% and 46.8% by NCEP/ATP Ⅲ adjusted with the waist circumferences in Asian men and women. The weight, height, body mass index, triglyceride level, systolic pressure, and fasting blood glucose level were shown to report a decreasing trend as the age increases. Subjects aged 80 and above suffered a 0.55-fold greater risk (95 % confidence intervals=0.38, 0.79) of developing metabolic syndrome than those aged 65 to 69. And the risk of metabolic syndrome for women was a 2.58-fold greater (95 % confidence intervals=2.08, 3.20) than that for men after the effects of age are duly adjusted. Discussion: Though the prevalence rates of metabolic syndrome of the elderly in Taiwan were lower than those of US population, we still need to invest more efforts to improve the health care for our elderly, such as offering comprehensive counseling on healthy life style that is especially important for the younger elderly.

並列關鍵字

elderly ； metabolic syndrome ； prevalence ； Taiwan