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健檢族群生活型態與新陳代謝症候群相關性之探討

Association of Life Style with Metabolic Syndrome from Examination Population

摘要


目的:為探討參與團體健康檢查之個案,其生活型態與新陳代謝症候群的相關性。方法:採橫斷式研究設計,以中部某區域教學醫院團體健康檢查之勞工為收案對象,於健檢流程中收集個案基本屬性與生活型態的資料,並以2006年國民健康局修正之新陳代謝症候群定義為判定的標準,共計收取有效樣本547人(回收率78.1%)。結果:547位個案中,符合新陳代謝症候群定義共有69人(12.7%)。以性別分別探討相關危險因子,邏輯複迴歸模式分析顯示,在控制年齡變項後,男性新陳代謝症候群之相關危險因子為肥胖(身體質量指數≥27)、偶爾攝取豆類與經常攝取魚類食物;女性的相關危險因子則為肥胖與停經。結論:新陳代謝症候群的相關危險因子,會因性別及飲食習慣而有所不同。依據研究結果,建議未來預防性的健康檢查應將腹圍及高密度酯蛋白膽固醇納入常規檢測項目,醫護專業人員也應同時詢問個案各項生活型態,衛教民眾預防肥胖、正確的飲食習慣,以減少新陳代謝症候群的發生。

並列摘要


Objectives: To investigate the association of the life style and metabolic syndrome in the health examination laborers. Methods: A cross-sectional study was conducted among 547 cases that received health examination at the teaching hospital in medial Taiwan, simultaneously, demographic data and life style data collected during the health examination process. Bureau of Health Promotion, Taiwan, 2006, defined metabolic syndrome criteria. Results: The rate of metabolic syndrome was 12.7%. According to the sex and after control age, logistic regression model analysis showed that the risk factors of metabolic syndrome were obesity (body mass index, BMI≥27), infrequent intake bean and usually intake fish with man, and obesity and menopause with woman separately. Conclusions: The risk factors of metabolic syndrome were different by sex and diet habit. According to results, it’s suggested that both waist and high-density-lipoprotein cholesterol measurement in addition to prevention examination program. The health professionals should inquire of clients about the life style, providing health teaching about obesity prevention and correct diet habit to decrease metabolic syndrome.

參考文獻


行政院衛生署(2002)•國人肥胖定義及處理原則•2007年1月19日取自http://www.doh.gov.tw/cht/content.aspx。
林生傳(2000)•教育社會學 。高雄:復文。
林文元(2003)•利用指標個案病例對照研究來探討代謝症候群的家族群集現象•未發表的碩士論文,台北:國立臺灣大學預防醫學研究所。
國民健康局(2006)•代謝症候群之判定標準•2007年1月19日取自http://www.bhp.doh.gov.tw/BHP/do/chinese/home。
楊士賢(2004)•台灣地區尉校級軍官代謝症候群特徵之研究•未發表的碩士論文,台北:國防大學國防醫學院公共衛生學研究所

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