七十歲以上老年人新陳代謝症候群的相關指標及盛行狀況—健檢資料分析

Health Examination Report of the Elderly (older than 70 years old)-Analyzing Related Markers of Metabolic Syndrome and Their Prevalent Condition

謝俊德(Chun-Der Hsieh) ； 林雅芬(Ya-Fen Ling) ； 陳民虹(Min-Hong Chen) ； 楊日昇(Jin-Sheng Yang)

《台灣家庭醫學雜誌》 14卷4期 (2004/12) Pp. 184-192

https://doi.org/10.7023/TJFM.200412.0184

摘要

新陳代謝症候群是心血管疾病的危險因子。本研究取90年4月至11月間，參加台中市某區域教學醫院70歲以上老人免費健康檢查，共598位老人為研究對象，因此項健康檢查不包括腰圍及高密度脂蛋白膽固醇，故本研究改以身體質量指數及總膽固醇取代，將身體質量指數大於子於24.2，總膽固醇超過200 mg/dL歸為異常，另外三酸甘油酯、血壓及空腹血糖三項指標的診斷標準則與ATPⅢ定義相同；因本研究的五項指標與新陳代謝症候群ATPⅢ診斷指標不完全相同，故改稱為新陳代謝症候群相關指標。分析的結果顯示男性有三種或三種以上新陳代謝症候群相關指標異常共73人(l9.3%) ，女性有三種或三種以上新陳代謝症候群相關指標異常共63人(28.6%)。統計檢定的結果指出性別與三酸甘油酯、有三種或三種以上新陳代謝症候群相關指標異常皆達到統計上的顯著差異；而身體質量指數屬過重及肥胖之老年人佔總數之41.7%，且與有三種或三種以上新陳代謝症候群相關指標異常呈顯著相關。

並列摘要

Metabolic syndrome is one of the risk factors of cardiovascular diseases. We defined body mass index, systolic and diastolic blood pressure, fasting glucose, total cholesterol and triglyceride concentrations as the five metabolic syndrome related markers. Our study aimed to evaluate the prevalent condition of metabolic syndrome related markers in a Taichung elderly group of 70 years old and older. We collected data on 378 males and 220 females who attended the free health examination supported by the Bureau of National Health Insurance in one of the regional teaching hospitals between April 2001 and September 2001.
19.3% males and 28.6% females were noted to have three or more metabolic syndrome related markers. There was significant difference in the prevalence of abnormal total cholesterol, abnormal triglyceride and having three or more metabolic syndrome related markers between male and female groups. 41.7% patients were overweight (20.6%) and obese (21.1%), and they had a significantly higher percentage of three or more metabolic syndrome related markers than non-overweight group.

並列關鍵字

Elderly ； metabolics syndrome ； prevalence

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