Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지

The Effects of Lifestyle Factors on Metabolic Syndrome among Korean Adults

한국인의 대사증후군에 대한 생활습관 요인의 영향

  • Received : 2012.02.10
  • Accepted : 2012.03.21
  • Published : 2012.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to estimate the effects of lifestyle factors on metabolic syndrome (MS) among Korean adults ($age{\geq}20$). Methods: A total of 7,798 subjects (weighted subjects=37,215,961) were recruited from the 2009 Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Data were analyzed by t-test, ${\chi}^2$-test, and logistic regression in consideration of strata, cluster and weight as national data using the SAS 9.1 program. Results: The prevalence of MS by definition of AHA/NHLBI and waist circumference cutoff points for Koreans was 22.4%. The mean clinical MS score for MS patients was 3.4, but the mean score for the non-MS group was 1.2 out of 5.0. Among the lifestyle factors, smoking (OR=1.024), stress ($0.546{\leq}OR{\leq}0.587$) and drinking (OR=1.005) had significant influence on the MS risk and MS scores, but exercise did not. Conclusion: The results of this study indicate that further research is necessary on the effect of lifestyle factors on MS risk and nurses should focus on effective programs about smoking, stress and drinking for the prevention and reduction of MS risk.

Keywords

References

  1. American Heart Association. (2002). 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) final report. Circulation, 106 , 3143-3421.
  2. Azadbakht, L., Mirmiran, P., Esmaillzadeh, A., Azizi, T., & Azizi, F. (2005). Beneficial effects of a dietary approaches to stop hypertension eating plan on features of the metabolic syndrome. Diabetes Care, 28, 2823-2831. https://doi.org/10.2337/diacare.28.12.2823
  3. Choi, J. H., Park, S. H., Youn, H. S., Kim, M. Y., & Lee, Y. J. (2011). Sex differences in the relationship between metabolic syndrome and pulmonary function: The 2007 Korean national health and nutrition examination survey. Endocrine Journal, 58 , 459-465. https://doi.org/10.1507/endocrj.K11E-011
  4. Eckel, R. H., Barouch, W. W., & Ershow, A. G. (2002). Report of the national heart, lung, and blood institute-national institute of diabetes and digestive and kidney diseases working group on the pathophysiology of obesity-associated cardiovascular disease. Circulation, 105, 2923-2928. https://doi.org/10.1161/01.CIR.0000017823.53114.4C
  5. Ford, E. S., Giles, W. H., & Dietz, W. H. (2002). Prevalence of the metabolic syndrome among US adults: Findings from the third national health and nutrition examination survey. Journal of the American Medical Association, 287, 356-359. https://doi.org/10.1001/jama.287.3.356
  6. Giugliano, D., Ceriello, A., & Esposito, K. (2006). The effects of diet on inflammation: Emphasis on the metabolic syndrome. Journal of the American College of Cardiology, 48, 677-685. https://doi.org/10.1016/j.jacc.2006.03.052
  7. Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., et al.,(2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute (AHA/NHLBI) scientific statement. Circulation, 112, 2735-2752. https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  8. Hong, A. R., Lee, K. S., Lee, S. Y., & Yu, J. H. (2009). Association of current and past smoking with metabolic syndrome in men. Journal of Preventive Medicine and Public Health, 42 (3), 160-164. https://doi.org/10.3961/jpmph.2009.42.3.160
  9. 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. The Korean Journal of Medicine, 63 , 649-660.
  10. 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
  11. Kim, Y. H., & Yang, Y. O. (2005). Effects of walking exercise on metabolic syndrome risk factors and body composition in obese middle school girls. Journal of Korean Academy of Nursing, 35, 858-867.
  12. Korea Centers for Disease Control and Prevention. (2009). The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Seoul: Author.
  13. Lee, H. S., & Kwon, C. S. (2010). Prevalence of metabolic syndrome and related risk factors of elderly residents in Andong rural area: 1. Based on the anthropometric measurements and health behaviors. The Korean Society of Food Science and Nutrition, 39, 511-517. https://doi.org/10.3746/jkfn.2010.39.4.511
  14. Lee, S. Y., Park, H. S., Kim, D. J., Han, J. H., Kim, S. M., Cho, G. J., et al. (2007). Appropriate waist circumference cutoff points for central obesity in Korean adults. Diabetes Research and Clinical Practice, 75 , 72-80. https://doi.org/10.1016/j.diabres.2006.04.013
  15. Lim, S., Jang, H. C., Lee, H. K., Kim, K. C., Park, C., & Cho, N. H. (2006). A rural-urban comparison of the characteristics of the metabolic syndrome by gender in Korea: The Korean Health and Genome Study (KHGS). Journal of Endocrinological Investigation, 29 , 313-319.
  16. Ministry of Health, Welfare and Family Affairs. (2008). The Third Korea National Health and Nutrition Examination Survey (KNHANES III) 2005 -health examination- Retrieved March 20, 2012, from http://dl.nanet.go.kr/OpenFlash Viewer.do
  17. National Institute of Health. (2001). Executive summary of the 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, ATP III). Journal of the American Medical Association, 285, 2486-2497. https://doi.org/10.1001/jama.285.19.2486
  18. Oh, E. G., Bang, S. Y., Hyun, S. S., Chu, S. H., Jeon, J. Y., & Kang, M. S. (2007). Knowledge, perception and health behavior about metabolic syndrome for an at risk group in an rural community area. Journal of Korean Academy of Nursing, 37 , 790-800.
  19. Park, H. S., Lee, S. Y., Kim, S. M., Han, J. H., & Kim, D. J. (2006). Prevalence of the metabolic syndrome among Korean adults according to the criteria of the International Diabetes Federation. Diabetes care, 29 , 933-934. https://doi.org/10.2337/diacare.29.04.06.dc06-0069
  20. 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
  21. Reaven, G. M. (1988). Banting lecture: Role of insulin resistance in human disease. Diabetes, 37, 1595-1607. https://doi.org/10.2337/diabetes.37.12.1595
  22. Shim, H. S., Kim, H. S., & Kim, J. H. (2010). Analysis of metabolic syndrome risk factors among the menopausal women in her fifties. The Journal of Korean Biological Nursing Science, 12 , 58-62.
  23. Tak, Y. R., An, J. Y., Kim, Y. A., & Woo, H. Y. (2007). The effects of a physical activity-behavior modification combined intervention (PABM-intervention) on metabolic risk factors in overweight and obese elementary school children. Journal of Korean Academy of Nursing, 37 , 902-913.
  24. Yoo, J. S., Jeong, J. I., Park, C. G., Kang, S. W., & Ahn, J. A. (2009). Impact of life style characteristics on prevalence risk of metabolic syndrome. Journal of Korean Academy of Nursing, 39 , 594-601. https://doi.org/10.4040/jkan.2009.39.4.594
  25. Yoon, Y. S., Oh, S. W., Baik, H. W., Park, H. S., & Kim, W. Y. (2004). Alcohol consumption and the metabolic syndrome in Korean adults: The 1998 Korean national health and nutrition examination survey. The American Journal of Clinical Nutrition, 80 , 217-224.