The Journal of the Korea Contents Association (한국콘텐츠학회논문지)

The Korea Contents Association (한국콘텐츠학회)
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Sex Differences in the Association of Habitual Snoring with Metabolic Syndrome

성별에 따른 습관성 코골이와 대사증후군 요소의 관련성

  • 김성준 (인제대학교 의과대학 예방의학교실)
  • Received : 2013.10.28
  • Accepted : 2014.01.03
  • Published : 2014.01.28
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Abstract

The purpose of this study was to assess the association between habitual snoring and metabolic syndrome in the Korean population and to evaluate it's possible gender variations. The study subjects were 2,007 volunteers aged 40-69 years who participated in regular health check-ups(male:434, female:1,573) from May 2012 to December 2012. Standard interviews, anthropometrics and biochemical studies were conducted. Habitual snoring was defined as snoring more than 4 days per week. The prevalence of metabolic syndrome in our sampling pool was 17.4% (male: 20.7%, female: 16.5%), and this increased with age. After adjusting for age, smoke and alcohol consumption, sleep duration, regular exercise, the odds ratio of metabolic syndrome and it's components were increased significantly by habitual snoring. HDL-cholesterol, blood sugar, waist size were significantly higher in women, but not significantly higher in men.

본 연구는 한국인 성인을 대상으로 습관성 코골이와 대사증후군 구성 요소들과의 관련성에 대해 알아보고 또한 성별에 따른 차이점을 알아보고자 연구를 시행하였다. 2012년 3월부터 2012년 12월까지 일개 대학병원에 내원한 40세 이상 69세 이하까지 성인들 중 연구에 참여하기로 동의한 2,007명(남자 434명, 여자 1,573명)을 대상으로 하였다. 연구 대상자들에 대하여 구조화된 설문지를 작성하였고 신체 계측, 생활 습관 및 임상검사결과를 비교분석하였다. 연구 조사대상자들의 대사증후군의 유병률은 17.4% (남성 20.7%, 여성 16.5%)였으며, 연령이 증가할수록 대사증후군의 유병률도 같이 증가하였다. 연구 대상자에 대해 연령, 흡연, 음주, 수면시간, 규칙적 운동 변수를 보정한 후 다변량 로지스틱 회귀분석 결과 습관성 코골이에 의한 대사증후군의 위험이 여전히 유의하게 높았다(교차비: 1.96, 95% CI=1.45-2.66). 성별에 따라 연령, 음주, 흡연 요인을 보정한 후 다변량 로지스틱 회귀분석을 한 결과 여자에서 고밀도지질단백콜레스테롤, 혈당, 허리둘레의 발생 위험이 유의하게 높았으며(p<0.05), 대사증후군의 발생 위험도 유의하게 높았으나(교차비: 2.36, 95% CI= 1.64-3.40), 남자에서는 대사증후군 구성 요소 및 대사증후군 발생 위험이 높아지지 않았다.

Keywords

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