台灣南部健檢成人代謝症候群之盛行率與危險因子探討

Prevalence and Risk Factors of Metabolic Syndrome among Adults Attending Health Examination in Southern Taiwan

吳香錡(Hsiang-Chi Wu) ； 李世強(Shyh-Chyang Lee) ； 趙泰宏(Tai-Hung Chao) ； 吳文智(Wen-Chih Wu) ； 葉慶輝(Ching-Hui Yeh) ； 葉淑娟(Shu-Chuan Jennifer Yeh)

《中華職業醫學雜誌》 16卷2期 (2009/04) Pp. 127-139

https://doi.org/10.30027/CJOM.200904.0005

摘要

目標：台灣飲食習慣日趨西化，代謝症候群病患亦逐年增加，其衍生之相關心血管疾病，勢必對台灣醫療造成更大的負擔，本研究乃針對成人代謝症候群與相關因子做分析探討，以提供成人保健政策規劃與後續研究參考。方法：本研究為一橫斷性研究，研究對象為至南部某區域醫院體檢之1152位成人。資料收集主要包括個人基本特性、生活型態、過去病史、檢驗結果等相關因子，並做描述性與卡方統計分析探討，達統計相關變項則進一步執行多變項羅吉斯迴歸分析。結果：在1152位成人中，平約年齡為68.63±13.25歲，代謝症候群盛行率為36.7%。卡方檢定結果發現：個人基本特性（包括年齡、子女數、收入、教育程度、職業、停經女性、肥胖程度…等）、生活型態（包括刷牙習慣、日常交通工具…等）、過去病史（如高血壓、高血脂、糖尿病、肝炎、…等）及檢驗結果（高密度脂蛋白膽固醇HDL、三酸甘油酯Triglyceride、血糖Blood sugar、肝功能GPT、肌酸酐Creatinine、尿酸Uric acid、血色素HgB等）與代謝症候群有關。此外。多變項羅吉斯迴歸結果顯示老人、體重過重及肥胖、不運動、不喜歡刷牙、肝功能(GPT)異常、尿酸(Uric acid)異常，有較大風險會有代謝症候群。結論：由結果顯示，台灣隨著老年化時代來臨，代謝症候群人口也日漸增加，除了定義下之危險因子，也提醒成人應注意日常的生活習慣、飲食與自我保健篩檢，以便維持良好的健康，避免不必要之心血管疾病發生。

關鍵字

健康檢查 ； 代謝症候群

並列摘要

Objectives: As the eating habit is changing, the number of patients with metabolic syndrome is rising, and the resulting number of cardiovascular diseases will inevitably become an enormous burden for people in Taiwan. The purpose of the current study was to investigate the prevalence and related factors of metabolic syndrome in adults, the implications of which could provide impetus for further research and program for health promotion for adults. Methods: The study was a cross-sectional study. Research subjects were comprised of 1152 adults undergoing a health examination in a regional hospital in southern Taiwan. The data collected included socio-demographic variables, lifestyle, history of diseases, and laboratory data. Descriptive and Chi-square tests were used to examine the relationship between metabolic syndrome and its related factors. Those statistically significant variables were further selected to establish multiple logistic regression models. Results: Among 1152 adults over 40 yrs of age, the average age was 68.63±13.25years and the prevalence of metabolic syndrome was 36.7%. The results of Chi-square testing revealed that factors, such as socio-demographic variables (including age, number of children, income, education level, occupation, menopause, and obesity status), lifestyle (including teeth brushing daily transportation status), history of diseases (including hypertension. hyperlipidemia, diabetes and hepatitis), and laboratory data (e.g., low HDL, high Triglyceride, high Blood sugar, GPT impairment. Creatinine impairment, Uric acid impairment, normal HgB) had statistical significance with metabolic syndrome. The results of multiple logistic regression showed that the elderly, the overweight and obesity, those who do not exercise, those who seldom teeth brushing, and those with abnormal GPT & Uric Acid had a relatively high risk of developing metabolic syndrome. Conclusions: The results of the current study showed that the prevalence of metabolic syndrome is increasing with the aging society in Taiwan. Except being care of the risk factors under the current definition, in order to remain healthy and avoid unnecessary cardiovascular disease, it is necessary for adults to optimize their personal life styles, maintain diet control, and undergo regular health examinations.

並列關鍵字

health examination ； metabolic syndrome