台灣成年婦女肥胖指標與代謝症候群及三高疾病之系列研究

瞿馥苓

doi:10.6831/TMU.2014.00059

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台灣成年婦女肥胖指標與代謝症候群及三高疾病之系列研究

The series study of obesity indicators and metabolic syndrome, hypertension, diabetes mellitus and hyperlipidemia of Taiwanese adult women.

瞿馥苓 , Ph.D　　Advisor：鄭綺　　

繁體中文 DOI： 10.6831/TMU.2014.00059

婦女；肥胖；肥胖指標；代謝症候群；高血壓；糖尿病；高血脂； women ； obesity ； obesity indicators ； metabolic syndrome (MS) ； hypertension ； diabetes mellitus ； hyperlipidemia

Abstract │ Reference (139) │ Altmetrics

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The obesity rate of Taiwanese adult women is increasing, with age and menopause considered important factors causing this rise and a change in obesity type. Obesity and obesity type are significantly related to metabolic syndrome (MS) and hypertension (HT), diabetes mellitus (DM), and hyperlipidemia. Currently, obesity indicators (cut-off points) are typically used in obesity control for all adult women but have not been to account for women in different ages and menopause statuses.
The goal of this study was to discuss the feasibility of predicting and diagnosing MS, HT, DM, and hyperlipidemia for adult women in different ages and menopause statuses using the obesity indicators (cut-off points) of waist-to-height ratio (WHtR), waist circumference (WC), waist-to-hip ratio (WHR), and body mass index (BMI). The study using the database of the “2002 Survey on the Prevalence of Hypertension, Hyperglycemia and Hyperlipidemia in Taiwan” and the “2007 Survey on the Prevalence of Hypertension, Hyperglycemia and Hyperlipidemia in Taiwan” provided by the Ministry of Health and Welfare. 
    The results showed that the obesity indicators could reliably diagnose two-or-more and three-or-more components of MS, HT, and DM for pre-menopausal women under 65 years old. Additionally, we were able to reliably predict these diseases by using our new cut-off points within five years. Accordingly, compared with current cut-off points used, the diagnostic cut-off points of four obesity indicators should decrease. In order to prevent the prevalence of two or three components of MS, we suggested that the cut-off points of obesity indicators should be, respectively: WHtR, 0.47 and 0.49; WC, 74.7 and 78 cm; WHR, 0.78 and 0.79; and BMI, 22.3 and 24.0 kg/m2. The cut-off points to prevent HT and DM should be: WHtR, 0.49; WC, 74.7cm; WHR, 0.79; and BMI, 22.3 kg/m2. Both WHtR and WC are better obesity indicators for predicting MS, HT, and DM in pre-menopausal women. On the other hand, the diagnostic ability of obesity indicators is poor for MS, HT, DM, and hyperlipidemia for women above 65 years old, and hyperlipidemia specifically is poorly predicted by obesity indicators for all women, indicating that obesity is not a major factor for these diseases. 
The results of this study suggest that the cut-off points of obesity indicators should be decreased in order to prevent the occurrence of MS, HT, and DM in pre-menopausal women. Furthermore, obesity is not a major predictor of hyperlipidemia for women generally, or of MS, HT, DM, and hyperlipidemia for elderly women. Future research can discuss related factors in more detail and further calibrate the best diagnostic tools.

Reference ( 139 ) 〈TOP〉

王麗雲, 曾泓富, 玉慧卿, & 張玉珍 (2003) ．成人肥胖、肥胖型態與血脂、血糖及血壓之相關研究．長庚護理，14(3), 217-225.
連結：
黃伯超、游秦玲(2004)．你的體重理想嗎?健康世界．224，45-54。
連結：
莊紹源、沈震寰、蔡世澤、周碧瑟（2002）．Clinical identification of the metabolic syndrome in Kimen. Acta Cardiol Sin,18, 16-23.
連結：
葉慶輝、葉鑑毅、葉淑娟 (2007) ．四十歲以上成年人之肥胖與共病相關性之探討．中華職業醫學雜誌, 14(3)， 171-189.
連結：
劉家鴻、吳岱穎、郭冠良、陳健志、林光洋、黃惠娟(2005) ．過重與肥胖．基層醫學．20(9)，219-222。
連結：

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