성인에서 대사증후군의 유병률 및 구성인자의 군집특성 분석

Abstract

ABSTRACT

Prevalence and Factor Analysis of the Metabolic Syndrome in Adults

Park Kyoung Ae Advisor: Prof. Kim Jin Hwa M.D, Ph.D. Department of Public Health Graduate School of Health Science Chosun University

Background: Along with westernized living style due to developed economy, prevalence of the metabolic syndrome in Korea is increasing. The metabolic syndrome indicates that groups of risky factors of cardiac & vascular diseases occur in an individual and it is important to diagnose and manage them in advance as it may involved with occurrence of cardiac & vascular diseases. Therefore, this study applied the standards presented by the NCEP ATP III and the standard waist measurements of Asian and Pacific areas to identify prevalence of the metabolic syndrome and analyse the relations between components and degrees of their association, targeting the applicants of physical examinations at university hospitals in Gwangju. Subjects and Methods: The subjects of the study were 1,948(944 male subjects and 1004 female ones) who aged more than 20 and received physical examinations in examination centers of university hospitals from January 2008 to June 2010. This study defined the metabolic syndrome based on Adult Treatment Panel(ATP) III , National Cholesterol Education Progragm(NCEP) and applied the standards of waist measurements of Asian and Pacific areas as follows: ≥ 90 cm for male subjects and ≥ 80 cm for female subjects. Results: The gender ratio of the subjects was 1:1.063, which indicates that more female subjects participated in the study than male ones. The prevalence of the metabolic syndrome of male subjects was 27.5%(260 of 944) which was higher than 24.4%(245 of 1004) of female ones. As a result of analysing it according to ages, it was discovered that the prevalence of the former was 27.5%(260 of 944) and that of the latter was 24.4%(245 of 1004). The highest prevalence of the metabolic syndrome was shown in the subjects in fifties. According to components of the metabolic syndrome, that of the former was 48.5%(458 of 944) and that of the latter was 59.3%(595 of 1004), which indicates that they had the highest increase rate in waist measurements. Components of the metabolic syndrome have significant correlations each other and the correlation coefficient between increased waist measurements and diastolic blood pressure was 0.273, which was the highest. When correlations between components of the metabolic syndrome and the number of components were analysed, the factor which had the highest correlations with increased number of the components was the increase in waist measurement(0.552 of correlations coefficient). According to gender, increase in waist measurement of male subjects and increase in neutral fat of female subjects had the highest correlations with increased number of the components. Conclusion: The prevalence of the metabolic syndrome was 27.5% (260 of 944) for male subjects while that of female subjects was 24.4% (245 of 1004). Its highest prevalence was demonstrated in both genders in fifties. The increased waist measurement had the highest correlations with increased number of the components, which suggests it is important to control abdominal obesity.