Analysis of Metabolic Syndrome Risk Factors among the Menopausal Women in Her Fifties

50대 폐경 여성의 대사증후군 위험인자 분석

  • 심혜선 (포천 중문의과대학교 간호학과) ;
  • 김희승 (가톨릭대학교 간호대) ;
  • 김주현 (강원대학교 간호대학)
  • Received : 2010.02.18
  • Accepted : 2010.04.03
  • Published : 2010.06.30

Abstract

Purpose: The purpose of this study was to assess the difference of metabolic syndrome (MS) risk factors according to the MS diagnosis in the age of fifties women. Methods: Forty-two subjects (non metabolic syndrome 30, metabolic syndrome 12) were recruited from the health promotion center of a tertiary care hospital in an urban city. MS was defined by third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) (ATP III), and abdominal obesity was determined by Asia-Pacific criteria in waist circumference. Results: The prevalence of MS by definition of NCEP-ATP III and Asia-Pacific criteria in waist circumference was 28.6% in the age of fifties women. The educational level and the median HDL-cholesterol were significantly lower in the MS patient group than in the Non-MS group. The median of weight, triglyceride, and fasting glucose were significantly higher in the MS patient group than in the Non-MS group. Conclusion: These results indicate that the nursing care should be focused on weight, triglyceride, HDL-cholesterol, and fasting glucose of the MS patients in the fifties women.

Keywords

References

  1. Bjorntorp, P. (1996). Behavior and metabolic disease. International Journal of Behavioral Medicine, 3, 285-302. https://doi.org/10.1207/s15327558ijbm0304_1
  2. Carr, M. C. (2003). The emergence of the metabolic syndrome with menopause. The Journal of Clinical Endocrinology and Metabolism, 88, 2404-2411. https://doi.org/10.1210/jc.2003-030242
  3. Choi, S. H., Ahn, C. W., Cha, B. S., Chung, Y. S., Lee, K. W., Lee, H. C., et al. (2005). The prevalence of the metabolic syndrome in Korean adults: Comparison of WHO and NCEP criteria. Yonsei Medical Journal, 46, 198-205. https://doi.org/10.3349/ymj.2005.46.2.198
  4. Chung, H. W., Kim, D. J., Kim, H. D., Choi, S. H., Ahn, C. W., Cha, B. S., et al. (2002). Prevalence of metabolic syndrome according to the new criteria for obesity. Journal of Korean Diabetes Association, 26, 431-442.
  5. Executive Summary of the Third Report of the National Cholesterol Education Program (NECP) Expert Panel on Detection, Evaluation and Tramtment of High Blood Cholesterol in Adults (Adult Treatment Panel III). (2001). The Journal of the American Medical Association, 28, 2486-2497.
  6. Jung, C. H., Park, J. S., Lee, W. Y., & Kim, S. W. (2002). Effects of smoking, alcohol, exercise, level of education, and family history on the metabolic syndrome in Korean adults. Korean Journal of Medicine, 63, 649-659.
  7. Kim, H. M., Park, J., Ryu, S. Y., & Kim, J. (2007). The effect of menopause on the metabolic syndrome among Korean women: The Korean National Health and Nutrition Examination Survey. Diabetes Care, 30, 701-706. https://doi.org/10.2337/dc06-1400
  8. Kim, M. H., Kim, M. K., Choi B. Y., & Shin, Y. J. (2004). Prevalence of the metabolic syndrome and its association with cardiovascular diseases in Korea. Journal of Korean Medical Science, 19, 195-201. https://doi.org/10.3346/jkms.2004.19.2.195
  9. Kwon, H. S., Park, Y. M., Lee, H. J., Choi, Y. H., Ko, S. H., Lee, J. M., et al. (2005). Prevalence and characteristics of the metabolic syndrome in middle-aged Korean adults. Korean Journal of Internal Medicine, 20, 310-316. https://doi.org/10.3904/kjim.2005.20.4.310
  10. Lee, H. J., Kwon H. S., Park, Y. M., Chun, H. N., Choi, Y. H., Ko, S. H., et al. (2005). Waist circumference as risk factor for metabolic syndrome in Korean adult; Evaluation from 5 different criteria of metabolic syndrome. Journal of Korean Diabetes Association, 29, 48- 56.
  11. Lym, Y. L., Hwang, S. W., Shim, H. J., Oh, E. H., Chang, Y. S., & Cho, B. L. (2003). Prevalence and risk facts of the metabolic syndromes as defined NCEP-ATPIII. Journal of Korean Academic Family Medicine, 24, 135-143.
  12. Park, H. S. (2002). Epidemiology of metabolic symdrome in Korean. Journal of Korean Society for Study Obesity, 11, 203-211.
  13. Park, H. S., Oh, S. W., Cho, S. I., Choi, W. H., & Kim Y. S. (2004). The metabolic syndrome and associated lifestyle factors among South Korean adults. International journal of epidemiology, 33, 328- 336. https://doi.org/10.1093/ije/dyh032
  14. Park, S. H., Lee, W. Y., & Kim, S. W. (2003). The relative risks of the metabolic symdrome defined by adult treatment panel according to insulin resistance in Korean population. Korean Journal of Medicine, 64, 552-560.
  15. Rexrode, K. M., Carey, V. J., Hennekens, C. H., Walters, E. E., Colditz, G. A., Stampfer, M. J., et al. (1998). Abdominal adiposity and coronary heart disease in women. The Journal of the American Medical Association, 280, 1843-1848. https://doi.org/10.1001/jama.280.21.1843
  16. Schubert, C. M., Rogers, N. L., Remsberg, K. E., Sun, S. S., Chumlea, W. C., Demerath, E. W., et al. (2006). Lipids, lipoproteins, lifestyle, adiposity and fat-free mass during middle age: The Pels Longitudinal Study. International Journal of Obesity, 30, 251-260. https://doi.org/10.1038/sj.ijo.0803129
  17. Song, J., Kim, E., Shin, C., Kim, S. S., Lee, H. K., Jung, M., et al. (2004). Prevalence of the metabolic syndrome among South Korean adults: The Ansan Study. Diabetic Medicine, 21, 1064-1065.
  18. Wamala, S. P., Lynch, J., Horsten, M., Mittleman, M. A., Schench- Gustafsson, K., & Orth-Gome, R. K. (1999). Education and metabolic syndrome in women. Diabetes Care, 22, 1999-2003. https://doi.org/10.2337/diacare.22.12.1999
  19. World Health Organization. (1998). Obesity: Preventing and Managing the Global Epidemic. Geneva: Author.
  20. World Health Organization West Pacific Region. (2000). The Asia- Pacific perspective: refining obesity and its treatments. IOFT Feburary.