高屏地區中老年人口學特性、生活型態與代謝症候群相關性探討

An Investigation of the Relationship between Metabolic-Syndrome and Demographics and Life Style among the Middle Aged and Elderly Population in Kao-Ping Area

陳郁梅(Yu-Mei Chen) ； 龔如媛(Ju-Yuan Kung) ； 吳思賢(Szu-Hsien Wu) ； 張梅芳(Mei-Fang Chang) ； 鍾蝶起(Tieh-Chi Chung) ； 楊燦(Tsan Yang)

《台灣健康照顧研究學刊》 8期 (2010/01) Pp. 71+73-88

https://doi.org/10.29750/TJTHCA.201001.0005

摘要

目標：世界衛生組織（WHO）於西元1999年，針對數種引起心血管疾病的危險因子，統籌命名為「代謝症候群」（Metabolic Syndrome）。代謝症候群和中老年人的健康問題有很密切的相關性，常伴隨高血壓、第二型糖尿病、高血脂、腦中風或心血管疾病等。本研究目的在了解高屏地區中老年人人口學特性、生活型態與代謝症候群相關性探討。方法：研究採橫斷性研究設計，取樣方式以立意取樣為主；配合高、屏兩地的整合性篩檢服務計畫，執行巡迴醫療健康檢查，以「整合性篩檢服務資料表」進行資料收集，扣除資料不齊全者，有效樣本數共計1030 名。以SPSS 14.0版統計套裝軟體進行統計分析。結果：本研究結果發現高屏地區整體代謝症候群盛行率為31.4％。在地區別方面，高雄地區代謝症候群盛行率顯著高於屏東地區。年齡≧70歲者，罹患代謝症候群的危險性為40-49歲者的1.8倍（95% CI=1.14-2.79，p =.012），教育程度方面，隨著教育程度愈高，罹患代謝症候群的相對危險性愈小。而生活型態變項中，僅有吃檳榔者罹患代謝症候群的危險性為沒有吃檳榔者1.80倍（95% CI=1.01-3.29，p=.047）。結論：代謝症候群盛行率以高雄地區較屏東地區為高。同時；年齡、教育程度與吃檳榔者可能是罹患代謝症候群危險因子。

關鍵字

中老年人 ； 代謝症候群 ； 整合性篩檢

並列摘要

Objectives: According to the definition of World Health Organization (WHO), metabolic syndrome had become an important risk factor of cardiovascular diseases in 1999. Metabolic Syndrome is closely related to health problems among elderly populations, and is often accompanied by hypertension, type II diabetes, hyperlipidemia, stroke, cardiovascular diseases, etc. The purpose of this study was to understand the relationship between metabolic syndrome and demographics and life style among the middle aged and elderly population in Kao-Ping area. Methods: This study employed a cross-sectional design and non-random purposive sampling technique. It collaborated with the integrated screening service plan of different regional teaching hospitals in Kaohsiung and Pingtung areas to implement a physical examination test. Data were collected using an ”integrated screening service questionnaire”. After removal of the questionnaires with uncompleted data, there were 1030 valid cases. Statistical analyses were performed by using SPSS for Windows release 14.0. Results: The overall metabolic syndrome prevalence was 31.4% in Kaohsiung and Pingtung areas. The prevalence of metabolic syndrome was significantly higher in Kaohsiung than that in Pingtung areas. The odds ratio(OR) of metabolic syndrome for the persons over the age of 70 was 1.8 times more than that for the persons between 40 and 49 years of age(95% CI=1.14-2.79, p=.012). Participants with lower educational levels had higher prevalence of metabolic syndrome. The results also showed that the persons chewing betel nuts had an OR of suffering from metabolic syndrome about 1.8 times greater than those not chewing (95% CI=1.01-3.29, p=.047). Conclusions: Our study indicated that the metabolic syndrome prevalence in Kaohsiung was higher than that in Pingtung. Meanwhile, age, education and chewing betel nuts were the possible factors related to the suffering from metabolic syndrome.

並列關鍵字

Middle-aged and elderly population ； Metabolic syndrome ； Integrated screening service