視障者代謝症候群與生活型態的性別差異

Gender Difference in the Prevalence of Metabolic Syndrome and Attributable Life Style among Visually Impaired People

杜秀容(Hsiu-Jung Tu) ； 胡雪萍(S. P. Hu) ； 翁林仲(Lin-Chung Woung) ； 蔡明足(Ming-Tsu Tsai) ； 張惠萍(Hui-Ping Chang) ； 趙珊(Shan Chao)

《北市醫學雜誌》 10卷3期 (2013/09) Pp. 195-204

https://doi.org/10.6200/TCMJ.2013.10.3.03

摘要

Objective: The purpose of this study was to identify metabolic syndrome risk factors of visually impaired people who joined the health examination in a hospital in Northern Taiwan. Method: A diet and lifestyle questionnaire survey, anthropometric measurements and blood biochemistry analysis were conducted among the visually impaired people. Results: The prevalence of overweight/obesity of all visually impaired people (n=54) was 44.4% (n=24), and 48.4% (n =15) and 39.1% (n =9) for men and woman. According the official definition of metabolic syndrome of the Ministry of Health, Taiwan, the prevalence of metabolic syndrome of all visually impaired people was 22.2%, and 25.8% and 17.4% for men and woman. Visually impaired people with metabolic syndrome had higher waist circumference, systolic/diastolic blood pressure, glucose level, triglyceride level, total cholesterol level and less high density lipoprotein value than people without metabolic syndrome. Men had significant higher waist circumference (88.0±11.6 vs. 78.1±9.9 cm), systolic blood pressure (137.6±22.6 vs. 121.1±19.5 mmHg) and uric acid than women (6.3±1.6 vs. 4.8±1.2 mg/dL), while women had higher HDL-C than men (54.8±12.5 vs. 47.2±11.1 mg/dL). No significant differences were found in the items of diet and lifestyle questionnaire except that men had significantly higher alcohol (p =0.02) and smoking consumption (p=0.01) than women. Conclusion: The prevalence of metabolic syndrome in visually impaired people was 22.2%. Being man was a risk factor for metabolic syndrome in visually impaired people, and men had significantly higher smoking and alcohol consumption than women in this population.

關鍵字

視障者 ； 代謝症候群 ； 生活型態

並列摘要

Objective: The purpose of this study was to identify metabolic syndrome risk factors of visually impaired people who joined the health examination in a hospital in Northern Taiwan. Method: A diet and lifestyle questionnaire survey, anthropometric measurements and blood biochemistry analysis were conducted among the visually impaired people. Results: The prevalence of overweight/obesity of all visually impaired people (n=54) was 44.4% (n=24), and 48.4% (n =15) and 39.1% (n =9) for men and woman. According the official definition of metabolic syndrome of the Ministry of Health, Taiwan, the prevalence of metabolic syndrome of all visually impaired people was 22.2%, and 25.8% and 17.4% for men and woman. Visually impaired people with metabolic syndrome had higher waist circumference, systolic/diastolic blood pressure, glucose level, triglyceride level, total cholesterol level and less high density lipoprotein value than people without metabolic syndrome. Men had significant higher waist circumference (88.0±11.6 vs. 78.1±9.9 cm), systolic blood pressure (137.6±22.6 vs. 121.1±19.5 mmHg) and uric acid than women (6.3±1.6 vs. 4.8±1.2 mg/dL), while women had higher HDL-C than men (54.8±12.5 vs. 47.2±11.1 mg/dL). No significant differences were found in the items of diet and lifestyle questionnaire except that men had significantly higher alcohol (p =0.02) and smoking consumption (p=0.01) than women. Conclusion: The prevalence of metabolic syndrome in visually impaired people was 22.2%. Being man was a risk factor for metabolic syndrome in visually impaired people, and men had significantly higher smoking and alcohol consumption than women in this population.

並列關鍵字

visually impaired people ； metabolic syndrome ； life style

參考文獻

Lollar DJ. Public health and disability: Emerging opportunities. Public Health Rep1999; 117:131-36.

Iczzoni LI, McCarthy EP, Davis RB, Siebens H. Mobility impairment and use of screening and preventive service. Am J Public Health 2000; 90:955-61.

Jones GC, Bell K. Adverse health behaviors and chronic conditions among working-age women with disabilities. Fam Community Health 2004; 27:22-36.

Dekka JM, Girman C, Rhodes T, et al. Metabolic syndrome and 10-year cardiovascular disease risk in the Hoorn study. Circulation 2005; 112: 666-73.

Hug, et al. Prevalence of the metabolic syndrome and its relation to all-cause & cardiovascular mortality in nondiabetic European men and women. Arch Intern Med 2004; Arch Intern Med 164:1066-76.