건강검진 수진자에서 대사증후군과 양측 상지 혈압차이의 관련성

Abstract

The objectives of this study were to investigate the association of metabolic syndrome and interarm difference (IAD) in health checkup examines. Study subjects were 410 adults of 30 years and over (234 males, 176 females), the health package check-up at the general hospital from August to October, 2013. The main outcome measures were mean difference in BP between arms that is predictive factor of peripheral vescular disease (PVD) and metabolic syndrome that is predictive factor of coronary artery disease (CAD). The incidence of High sIAD (systolic interarm difference, sIAD≧10) and High dIAD (diastolic interarm difference, dIAD≧10) is total of 96/410(23.4%), 36/410(8.8%) subjects. When the IAD-related variable is compensate, The mean of normal group sIAD and metabolic syndrome group sIAD is 5.7(±0.3) mmHg and 9.3(±0.7) mmHg(p<0.001). In particular, The mean of sIAD increased as the metabolic syndrome score(MSS) increased(p<0.001). When a logistic regression analysis was performed, metabolic syndrome was associated with increased High sIAD (odd ratio [OR] 4.0, 95% confidence interval [CI] 2.2-7.2) or High dIAD (OR 4.6, 95% CI 2.0-10.4). The odds ratio of High sIAD and High dIAD increased as the MSS increased. In conclusion, Our results suggest that increase of MSS or metabolic syndrome might contribute to IAD.