台中市社區老年人代謝症候群盛行率之調查

Metabolic Syndrome and Its Related Factors among the Elderly in a Taichung Community

廖俊正(Chun-Chung Liao) ； 廖妙淯(Miao-Yu Liao) ； 李孟智(Meng-Chih Lee) ； 李祥煒(Hsiang-Wei Li) ； 陳順天(Shun-Tien Chen) ； 陳立民(Li-Mien Chen) ； 陳宣志(Shiuan-Chih Chen) ； 鍾國屏(Gwo-Ping Jong)

《台灣老年醫學暨老年學雜誌》 6卷4期 (2011/11) Pp. 221-231

https://doi.org/10.29461/TGG.201111.0001

摘要

Introduction: Previous studies have identified metabolic syndrome (MetS), which represents a combination of risk determinants, as a risk factor for cardiovascular disease, type 2 diabetes mellitus, and hypertension; it is also associated with increased mortality. Accounting for more than 10% of the total population in Taiwan, older people (aged above 65 years old) are at higher risk of developing MetS. Although the government has been placing greater emphasis on the studies of MetS among the elderly population, no representative studies have yet been conducted with a focus on community-dwelling elderly people in Taichung City.Method: In this cross-sectional study on a total of 1,051 subjects (589 males and 462 females) from a Taichung community that incorporates 39 neighborhoods, data was expressed as the mean with standard deviation and median with inter-quarter range for continuous variables. Student's t test and Mann-Whitney U test for unpaired data were used for the comparison of mean and median values between MetS group and non-MetS group. Logistic regression was used to examine the related risk factors associated with MetS, the goodness of fit in model was also examined.Results: The prevalence of MetS in our study was 48.1%, obviously higher than the results reported in previous studies conducted both overseas and domestically in Taiwan. The number of the female patients who had MetS was higher than that of their male counterparts. C-reactive protein (CRP) was significantly different between the MetS group and non-MetS group. Logistic regression identified sex and body mass index as major risk factors associated with MetS.Conclusion: The prevalence of MetS was relatively higher among the elderly in the Taichung community, a situation deserving more attention and assistance from the government.

關鍵字

代謝症候群 ； 盛行率 ； 身體質量指數 ； 急性發炎蛋白 ； 總膽固醇與高密度脂蛋白膽固醇比值

並列摘要

Introduction: Previous studies have identified metabolic syndrome (MetS), which represents a combination of risk determinants, as a risk factor for cardiovascular disease, type 2 diabetes mellitus, and hypertension; it is also associated with increased mortality. Accounting for more than 10% of the total population in Taiwan, older people (aged above 65 years old) are at higher risk of developing MetS. Although the government has been placing greater emphasis on the studies of MetS among the elderly population, no representative studies have yet been conducted with a focus on community-dwelling elderly people in Taichung City.Method: In this cross-sectional study on a total of 1,051 subjects (589 males and 462 females) from a Taichung community that incorporates 39 neighborhoods, data was expressed as the mean with standard deviation and median with inter-quarter range for continuous variables. Student's t test and Mann-Whitney U test for unpaired data were used for the comparison of mean and median values between MetS group and non-MetS group. Logistic regression was used to examine the related risk factors associated with MetS, the goodness of fit in model was also examined.Results: The prevalence of MetS in our study was 48.1%, obviously higher than the results reported in previous studies conducted both overseas and domestically in Taiwan. The number of the female patients who had MetS was higher than that of their male counterparts. C-reactive protein (CRP) was significantly different between the MetS group and non-MetS group. Logistic regression identified sex and body mass index as major risk factors associated with MetS.Conclusion: The prevalence of MetS was relatively higher among the elderly in the Taichung community, a situation deserving more attention and assistance from the government.

並列關鍵字

metabolic syndrome ； prevalence ； body mass index ； C-reactive protein ； total-to-HDL cholesterol ratio