한국전자통신학회논문지 (The Journal of the Korea institute of electronic communication sciences)

한국전자통신학회 (Korea Institute of Electronic Communication Science)
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한국 성인 여성의 대사증후군과 삶의 질

The Relationship between Metabolic Syndrome and Quality of Life in Korean Adult Women

  • 박형수 (경기의료재단 영광하나의원) ;
  • 박종 (조선대학교 의과대학)
  • 투고 : 2013.01.22
  • 심사 : 2013.04.22
  • 발행 : 2013.04.30
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초록

대사증후군은 심혈관 질환에 큰 위험인자이며, 대사증후군을 가진 사람의 삶의 질은 저하될 수밖에 없을 것으로 판단된다. 따라서 우리나라 19세 이상 성인 여자를 대상으로 위험인자의 수, 각 위험인자별 이상 유무와 삶의 질과의 관계를 파악하고자 한다. 본 연구는 국민건강영양조사 제4기 1차년도와 제4기 2차년도의 자료를 통합하였고, 연구의 대상자 4,365명을 최종 분석 대상자로 하였다. 자료 분석은 Version 17.0 한글판 SPSS 통계 프로그램을 이용하였으며, 통계적 유의성은 p<0.05로 정의하였다. 본 연구의 대사증후군 유병률은 24.2%였다. 대사증후군의 위험 요인수가 1개인 경우의 삶의 질에 대한 회귀계수는 -0.024, 2개인 경우는 -0.048, 3개인 경우는 -0.090, 4개인 경우는 -0.117, 5개인 경우는 -0.168이었다. 위험요인들의 회귀계수는 허리둘레 -0.035. 혈압은 -0.064, 공복혈당은 -0.026, HDL콜레스테롤은 -0.012이었다. 결론적으로 대사증후군과 그 위험요인이 여성의 삶의 질 저하에 영향을 주고 있어서 이에 대한 중재가 요구되며, 향후 대사증후군에 영향을 미치는 다른 요인들과 삶의 질의 인과관계를 명확히 밝히는 연구를 통해 삶의 질 회복을 위한 방안이 필요하다고 사료된다.

Metabolic syndrome is the most important risk factors of cardiovascular diseases So, it is judged that Quality of life of persons with metabolic syndrome inevitably deteriorate. For the purpose, the study aims to analyse the number of risk factors, and the relationship between abnormality of each risk factor and Quality of life, targeting adult women aged more than 19. For this study, data from the National Health and Nutrition Behavior Survey in 2007 and 2008 were incorporated and 4,365 subjects were collected for the study. Version 17.0 SPSS was used for data analysis. Statistical significance was defined as p<0.05. As a result of the study, the prevalence rate of metabolic syndrome was 24.2%. According to the number of risk factors of metabolic syndrome the regression coefficient of Quality of life was -0.024 when the number of risk factor was one, -0.048 when there were two risk factors, -0.090 when there were three risk factors, -0.117 when there were four risk factors, and -0.168 when there were five risk factors. The regression coefficient(abnormal/normal)of risk factors of metabolic syndrome were as follows; Waist circumference -0.035, Blood pressure was -0.064, Fasting glucose was -0,026 and HDL cholesterol was -0.012. In conclusion, as it was discovered that risk factors of metabolic syndrome had significant relations with Quality of life, it is suggested that the relations between some significant variables and Quality of life should be actively considered so that adult women can perceive metabolic syndrome properly and endeavor to improve their Quality of life.

키워드

참고문헌

  1. Reaven GM, "Banting lecture. Role of insulin resistance in human disease", Diabetes, Vol. 37, pp. 1595-607, 1988. https://doi.org/10.2337/diab.37.12.1595
  2. Cameron AJ, Shaw JE, Zimmet PZ, "The metabolic syndrome : prevalence in worldwide populations", Endocrinol Metab Clin North Am Vol. 33, pp. 351-375, 2004. https://doi.org/10.1016/j.ecl.2004.03.005
  3. Trevisan M, Liu J, Bahsas FB, Menotti A., "Syndrome X and mortality : a populationbased study. Risk Factor and Life Expectancy Research Group", Am J Epidemiol Vol. 148, pp. 958-966, 1998. https://doi.org/10.1093/oxfordjournals.aje.a009572
  4. 정미화, 석경휴, 박형수, "우리나라성인의 배우자 유무와 비만과의 관련성", 한국전자통신학회논문지, 7권, 3호, pp. 679-685, 2012.
  5. 차봉수, "대사증후군의 진단(특집)", 대한당뇨병학회, 7권, 1호, pp. 20-24, 2006.
  6. 윤경선, 최희정, 임지애, 윤주호, 김상환, "성인 남녀에서 대사증후군과 혈장 호모시스테인과의 관계", 대한가정의학회논문지, 29권, 7호, pp. 499-505, 2008.
  7. Ford ES, Chaoyang LI., "Metabolic syndrome and Health-Related Quality of life among U.S. Adults", Ann Epidemiol, Vol. 18, No. 3, pp. 165-171, 2008. https://doi.org/10.1016/j.annepidem.2007.10.009
  8. 국민건강영양조사 제3기 결과 보고서, 질병관리본부, 2005.
  9. Park HS, Oh SW, Cho SI, Choi WH, Kim YS, "The metabolic syndrome and associated lifestyle factors among South Korean adults", International Journal of Epidemiology Vol. 33, pp. 328-336, 2004. https://doi.org/10.1093/ije/dyh032
  10. Kwon HS, Park YM, Lee HJ, Lee JH, Choi YH, Ko SH, Lee JM, Kim SR, Kang SY, Lee WC, Ahn MS, Noh JH, Kang JM., "Prevalenceand clinical characteristics of the metabolic syndrome in middle-aged Korean adults", Korean J of Intern Med, Vol. 20, No. 4, pp. 310-316, 2005. https://doi.org/10.3904/kjim.2005.20.4.310
  11. Park HS, Kim SM, Lee JS, Lee J, Han JH, Yoon DK, Baik SH, Choi DS, Choi KM., "Prevalence and trends of metabolic syndrome in Korea: Korean National Health and Nutrition Survey 1998-2001", J of Pharmacology and Therapeutics, Vol. 9, No. 1, pp. 50-58, 2007.
  12. Ford ES, Giles WH, Mokdhad AH., "Increasing prevalence of the metabolic syndrome among U.S. Adults", Diabetes Care, Vol. 27, pp. 2444-2449, 2004. https://doi.org/10.2337/diacare.27.10.2444
  13. 정지영, 이미영, 김미정, "삶의 질에 따른 만성질환 유병률, 건강관련 생활습관 및 영양섭취 실태조사", 대한지역사회영양학회지, 15권, 4호, pp. 445-459, 2010.
  14. 질병관리본부, "삶의 질 조사도구(EQ-5D)의 질 가중치 추정 연구 보고서", 충남대학교, 질병관리본부 서울, 2007.
  15. Dolan P., "Modeling valuations for EuroQol health states", Med care Vol. 35, pp. 1095-1108, 1997. https://doi.org/10.1097/00005650-199711000-00002
  16. The EuroQol group, "EuroQol-a new facility for the measurement of health-relqted quality of life", Health policy, Vol. 16, pp. 199-208, 1990. https://doi.org/10.1016/0168-8510(90)90421-9
  17. 한미아, 류소연, 박 종, 강명근, 박종구, 김기순, "일부 농촌지역 성인에서 EQ-5D를 이용한 건강관련 삶의 질", 예방의학회지, 41권, 3호, pp. 173-180, 2008. https://doi.org/10.3961/jpmph.2008.41.3.173
  18. 국민건강영양조사 제4기 1차년도결과 보고서, 질병관리본부, 2007.
  19. 국민건강영양조사 제4기 1차년도결과 보고서, 질병관리본부, 2008.
  20. 국민건강영양조사 제4기 1차년도결과 보고서, 질병관리본부, 2009.
  21. Wee HL, Cheung YB, Li SC, Fong KY, Thumboo J., "The impact of diabetes mellitus and other chronic medical conditions on health-related quality of life: is the whole greater than the sum of its parts?" Health Qual Life Outcomes, Vol. 12, No. 3, pp. 1-11, 2005.
  22. 국민건강영양조사 원시자료 이용 지침서 제4기 (2007-2009), 질병관리본부.
  23. The IDF, http://www.idf.org/webdata/docs/ IDF Meta-syndrome definition. pdf Last accessed 29 Aug 2005.
  24. 이상엽, 박해순, 김선미, 권혁상, 김대형, 김대중, 조금주, 한지혜, 김성례, 박철영, 오승준, "한국인의 복부비만 기준을 위한 허리둘레 분별점", 대한비만학회지, 15권, 1호, pp. 1-9, 2006.
  25. Frisman GH. Kristenson M., "Psychosocial status and health related quality of life in relation to the metabolic syndrome in a Swedish middle-aged population", European Journal of Cardiovascular Nursing, Vol. 8, No. 3, pp. 207-215, 2009. https://doi.org/10.1016/j.ejcnurse.2009.01.004
  26. Park SS, Yoon YS, Oh SW., "Health-related quality of life in metabolic syndrome: The Korea National Health and Nutrition Examination Survey 2005", J of Diabetes Research and Clinical Practice, Vol. 91, pp. 381-388, 2011. https://doi.org/10.1016/j.diabres.2010.11.010
  27. 박소영, "대사증후군 환자의 삶의 질에 관한 연구", 석사학위논문 연세대학교, 2008.
  28. Amiri P, Hosseinpanah F, Rambod M, Montazeri A, Azizi F., "Metabolic Syndrome Predicts poor health-related quality of in women but Not Men: Tehran Lipid and Glucose Study", J of Women's Health, Vol. 19, No. 6, pp. 1201-1207, 2010. https://doi.org/10.1089/jwh.2009.1710
  29. Gordon DJ, Ekelund LG, Karon JM, Probstfield JL, Rubenstein C, Sheffield LT, Weissfeld L., "Predictive value of exercise test for mortality in North American men: the Lipid Research Clinics Mortality Follow-up study", J of the American Heart Association, Vol. 74, pp. 252-261, 1986.
  30. 정혜수, 서지아, 김신곤, 김난희, 김두만, 정춘희, 최동섭, "제2형 당뇨병환자에서 대사증후군과 만성 합병증과의 관계", 대한당뇨병학회, 33권, 5호, pp. 392-400, 2009. https://doi.org/10.4093/kdj.2009.33.5.392

피인용 문헌

  1. The Relationship between Metabolic Syndrome Risk Factors and Health Promotion Behavior in General Hospital Nurses vol.15, pp.6, 2015, https://doi.org/10.5392/JKCA.2015.15.06.314
  2. The Effects of Metabolic Syndrome on Quality of Life vol.16, pp.10, 2015, https://doi.org/10.5762/KAIS.2015.16.10.7034
  3. Metabolic Syndrome Status of Chinese Workers and Their Physical Profiles, Lifestyle Scores, and Nutrient Intakes vol.22, pp.1, 2017, https://doi.org/10.5720/kjcn.2017.22.1.63