過重者及肥胖者的身體活動與代謝症候群、高血壓前期及糖尿病前期的關係探討

Physical activities and its association with metabolic syndrome, pre-hypertension and pre-diabetes among overweight and obesity subjects

黃淑君(Shu-Jyun Huang)

指導教授 ： 吳明蒼

高雄醫學大學/健康科學院/職業安全衛生研究所/碩士(2009年)

摘要

研究目的為探討過重者及肥胖者的身體活動分別與代謝症候群、高血壓前期及糖尿病前期的關係。研究設計是以醫院為主的橫斷式研究，於2002年6月至2007年10月在高雄市立小港醫院家醫科減重門診收集307位個案的問卷、身體量測值與血液檢查值。利用邏輯斯回歸分析身體活動分別與代謝症候群、高血壓前期及糖尿病前期的關係。代謝症候群的定義根據2007年台灣行政院衛生署國健局準則。

研究結果發現，代謝症候群盛行率為44.30%；高血壓前期盛行率為62.98%；糖尿病前期盛行率為22.42%。在調整其它變項之後，代謝症候群的發生率，有隨著身體活動頻率及時間的增加，而有下降的趨勢，Ptrend為0.001；高血壓前期的發生率也隨著身體活動頻率的增加而有下降的現象，Ptrend為0.039；糖尿病前期則是在較多身體活動頻率及時間的部份有相關，其OR為0.21(95%CI:0.1-0.8)。

因為是橫斷式的研究，所以只能證明身體活動與代謝症候群、高血壓前期及糖尿病前期的發生率呈負相關。

關鍵字

代謝症候群 ； 高血壓前期 ； 糖尿病前期 ； 身體活動 ； 橫斷式研究法

並列摘要

This study aimed to evaluate physical activities and its association with metabolic syndrome, pre-hypertension and pre-diabetes among overweight and obesity subjects.
We conducted a hospital based cross-sectional study to investigate the risk factors of metabolic syndrome, pre-hypertension and pre-diabetes. Basic document and lifestyle characteristics that were collected as self-reported for 307 participants, randomly selected during June 2002 to October 2007, evaluated in the Department of Family Medicine, Kaohsiung Municipal Hsiao-kang Hospital. Multivariable logistic regression was used to estimate odds ratios and 95% confidence intervals with adjustment for multiple covariates. Metabolic syndrome was defined according to TAIWAN rules (2007).

The prevalence of metabolic syndrome was 44.30%, pre- hypertension was 62.98% and pre-diabetes was 22.42%.The adjusted odds ratios of metabolic syndrome decreased with increasing physical activity frequency and time ( p=0.001 for trend). The adjusted OR of pre-hypertension decreased with increasing physical activity frequency ( p=0.039 for trend). The adjusted OR of pre-diabetes in the most frequency and time of physical activity was 0.21(95%CI: 0.1-0.8).

Physical activities may be associated with metabolic syndrome, pre-hypertension and pre-diabetes. Physical activities are inversely related to the prevalence of metabolic syndrome, pre-hypertension and pre-diabetes.

並列關鍵字

Metabolic Syndrome ； Pre-hypertension ； Pre-diabetes ； Physical Activities ； Cross-sectional Study

參考文獻

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