Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

The Prevalence and the Related Factors of Metabolic Syndrome in Urban and Rural Community

도시와 농촌 지역의 대사증후군 유병률과 관련 요인

  • Received : 2013.07.25
  • Accepted : 2014.02.02
  • Published : 2014.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study is to investigate the prevalence of metabolic syndrome and its components and to examine the related factors in urban and rural community, South Korea. Methods: The data from the 5th Korea National Health and Nutrition Examination Survey (KNHANES-V) conducted in 2010 were utilized in this study. The subjects were 5,760 adults 20 years or over. The data were consisted with health survey questionnaire and health examination. $x^2$-test and logistic regression was used for the analysis SAS 9.3 applying sampling weights. Results: The prevalence of metabolic syndrome based on the latest definition proposed the joint scientific meeting was 23.4% and 29.0% respectively in urban and rural community. Rural community showed higher prevalence of abdominal obesity (29.9% vs 38.5%), elevated blood pressure (31.3% vs 38.5%), elevated blood glucose (24.3% vs 28.4%) than urban community. The related factors were age, marital status, high risk drinking, obesity in urban community and age, marital status high risk drinking, severe physical activity, obesity in rural community. Conclusion: This study showed there was difference in prevalence and the related factors of metabolic syndrome and these findings have important implications to prevent and manage metabolic syndrome in public health field.

Keywords

References

  1. Abdul-Rahim, H. F., Husseini, A., Bjertness, E., Giacaman, R., Gordon, N. H., & Jervell, J. (2001). The metabolic syndrome in the West Bank population: An urban-rural comparison. Diabetes care, 24(2), 275-279. http://dx.doi.org/10.2337/diacare.24.2.275
  2. Alberti, K., Eckel, R. H., Grundy, S. M., Zimmet, P. Z., Cleeman, J. I., & Donato, K. A., et al. (2009). Harmonizing the metabolic syndrome: A joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; National Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; and International Association for the Study of Obesity. Circulation, 120(16), 1640-1645. http://dx.doi.org/10.1161/CIRCULATIONAHA.109.192644
  3. Arai, H., Yamamoto, A., Matsuzawa, Y., Saito, Y., Yamada, N., & Oikawa, S., et al. (2006). Prevalence of metabolic syndrome in the general Japanese population in 2000. Journal of Atherosclerosis and Thrombosis, 13(4), 202-208. https://doi.org/10.5551/jat.13.202
  4. Beltran-Sanchez, H., Harhay, M. O., Harhay, M. M., & McElligott, S. (2013). Prevalence and trends of metabolic syndrome in the adult U.S. population, 1999-2010. Journal of the American College of Cardiology, 62(8), 698-703. http://dx.doi.org/10.1016/j.jacc.2013.05.064
  5. Butler, J., Rodondi, N., Zhu, Y., Figaro, K., Fazio, S., & Vaughan, D., et al. (2006). Metabolic syndrome and the risk of cardiovascular disease in older adults. Journal of the American College of Cardiology, 47(8), 1595-1602. http://dx.doi.org/10.1016/j.jacc.2005.12.046
  6. Gami, A. S., Witt, B. J., Howard, D. E., Erwin, P. J., Gami, L. A., & Somers, V. K., et al. (2007). Metabolic syndrome and risk of incident cardiovascular events and death: A systematic review and meta-analysis of longitudinal studies. Journal of the American College of Cardiology, 49(4), 403-414. https://doi.org/10.1016/j.jacc.2006.09.032
  7. Grundy, S. M. (2008). Metabolic syndrome pandemic. Arteriosclerosis, Thrombosis, and Vascular Biology, 28(4), 629-636. http://dx.doi.org/10.1161/ATVBAHA.107.151092
  8. Gu, D., Reynolds, K., Wu, X., Chen, J., Duan, X., & Reynolds, R. F., et al. (2005). Prevalence of the metabolic syndrome and overweight among adults in China. The Lancet, 365(9468), 1398-1405. https://doi.org/10.1016/S0140-6736(05)66375-1
  9. Joens-Matre, R. R., Welk, G. J., Calabro, M. A., Russell, D. W., Nicklay, E., & Hensley, L. D. (2008). Rural-urban differences in physical activity, physical fitness, and overweight prevalence of children. Journal of Rural Health, 24(1), 49-54. http://dx.doi.org/10.1111/j.1748-0361.2008.00136.x
  10. Khang, Y. H. (2007). Different logivity by village. In C. G. Lee (Ed.), Chasing health inequality in Korea: A report for making it social issues (pp. 67-79). Seoul: Publishing Company Meem.
  11. Kozan, O., Oguz, A., Abaci, A., Erol, C., Ongen, Z., & Temizhan, A., et al. (2007). Prevalence of the metabolic syndrome among Turkish adults. European Journal of Clinical Nutrition, 61(4), 548-553. http://dx.doi.org/10.1038/sj.ejcn.1602554
  12. Lee, M. S. (2005). Health inequalities among Korean adults. Korean Sociological Journal, 39(6), 183-209.
  13. Lim, H., Nguyen, T., Choue, R., & Wang, Y. (2012). Sociodemographic disparities in the composition of metabolic syndrome components among adults in South Korea. Diabetes care, 35(10), 2028-2035. http://dx.doi.org/10.2337/dc11-1841
  14. Lim, S., Jang, H., Lee, H., Kim, K., Park, C., & Cho, N. (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(4), 313-319. https://doi.org/10.1007/BF03344102
  15. Lim, S., Shin, H., Song, J. H., Kwak, S. H., Kang, S. M., & Yoon, J. W., et al. (2011). Increasing prevalence of metabolic syndrome in Korea: The Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care, 34(6), 1323-1328. https://doi.org/10.2337/dc10-2109
  16. Ministry of Health and Welfare, & Korea Center for Disease Control and Prevention. (2011a). 2010 National health statistics: Report of the first year of the fifth National Health and Nutrition Survey in 2010. Seoul: Ministry of Health and Welfare.
  17. Ministry of Health and Welfare, & Korea Center for Disease Control and Prevention. (2011b). The guidelines for using raw data of the fifth Korea National Health and Nutrition Examination Survey, 2010 (KNHANES V-1, 2010). Seoul: Ministry of Health and Welfare.
  18. Ntandou, G., Delisle, H., Agueh, V., & Fayomi, B. (2009). Abdominal obesity explains the positive rural urban gradient in the prevalence of the metabolic syndrome in Benin, West Africa. Nutrition Research, 29(3), 180-189. http://dx.doi.org/10.1016/j.nutres.2009.02.001
  19. Park, E. (2010). A Comparative study of youth health risk behaviors by region: Focused on metropolitan areas, medium sized and small city areas, and rural areas. Journal of Korean Academy Nursing, 40(1), 14-23. http://dx.doi.org/10.4040/jkan.2010.40.1.14
  20. Park, E.. Choi, S. J., & Lee, H. Y. (2013). The prevalence of metabolic syndrome and related risk factors based on the KNHANES V 2010. Journal of Agricultural Medicine and Community Health, 38(1), 1-13. http://dx.doi.org/10.5393/JAMCH.2013.38.1.001
  21. 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(2), 328-336. http://dx.doi.org/10.1093/ije/dyh032
  22. Park, Y-W., Zhu, S., Palaniappan, L., Heshka, S., Carnethon, M. R., & Heymsfield, S. B. (2003). The metabolic syndrome: Prevalence and associated risk factor findings in the US population from the third National Health and Nutrition Examination Survey, 1988-1994. Archives of Internal Medicine, 163(4), 427-436. http://dx.doi.org/10.1001/archinte.163.4.427
  23. Prabhakaran, D., Chaturvedi, V., Shah, P., Manhapra, A., Jeemon, P., & Shah, B., et al. (2007). Differences in the prevalence of metabolic syndrome in urban and rural India: A problem of urbanization. Chronic Illness, 3(1), 8-19. http://dx.doi.org/10.1177/1742395307079197
  24. Sarkar, S., Das, M., Mukhopadhyay, B., Chakrabarti, C., & Majumder, P. P. (2006). High prevalence of metabolic syndrome & its correlates in two tribal populations of India & the impact of urbanization. Indian Journal of Medical Research, 123(5), 679-686.
  25. Ulasi, I. I., Ijoma, C. K., & Onodugo, O. D. (2010). A communitybased study of hypertension and cardio-metabolic syndrome in semi-urban and rural communities in Nigeria. BMC Health Services Research, 10(1), 71. http://dx.doi.org/10.1186/1472-6963-10-71
  26. Weng, X., Liu, Y., Ma, J., Wang, W., Yang, G., & Caballero, B. (2007). An urban-rural comparison of the prevalence of the metabolic syndrome in Eastern China. Public Health Nutrition, 10(02), 131-136. http://dx.doi.org/10.1017/S1368980007226023
  27. Zyl, S., Merwe, L. J., Walsh, C. M., Groenewald, A. J., & Rooyen, F. C. (2012). Risk-factor profiles for chronic diseases of lifestyle and metabolic syndrome in an urban and rural setting in South Africa. African Journal of Primary Health Care & Family Medicine, 4(1), 1-10. http://dx.doi.org/10.4102/phcfm.v4i1.346

Cited by

  1. The Effects of Metabolic Syndrome on Quality of Life vol.16, pp.10, 2015, https://doi.org/10.5762/KAIS.2015.16.10.7034
  2. The Effect of Community-based Health Intervention Program to Improve Metabolic Disease in Jeju Island vol.50, pp.3, 2018, https://doi.org/10.15324/kjcls.2018.50.3.297
  3. 폐경이 대사증후군에 미치는 영향 vol.16, pp.4, 2015, https://doi.org/10.5762/kais.2015.16.4.2704
  4. 도시와 공단 지역의 대사증후군과 지방간의 유병률 및 관련요인에 관한 연구 vol.39, pp.3, 2014, https://doi.org/10.17946/jrst.2016.39.3.09
  5. 만성질환 영향요인 분석을 통한 지역사회 건강융합 -세종특별자치시 30-40대를 중심으로- vol.8, pp.5, 2014, https://doi.org/10.15207/jkcs.2017.8.5.127
  6. 농촌지역 여성의 대사증후군 발생 위험요인 구조모형 vol.20, pp.2, 2014, https://doi.org/10.7586/jkbns.2018.20.2.84
  7. 농어촌 의료서비스 개선사업 성과에 대한 지역주민과 사업담당자간의 인식 비교 vol.43, pp.2, 2014, https://doi.org/10.5393/jamch.2018.43.2.074
  8. 항우울제 사용 및 자살률의 지역적 편차에 대한 시각적 분석 vol.28, pp.4, 2014, https://doi.org/10.24304/kjcp.2018.28.4.308
  9. 감성요인이 국내 청소년 대사증후군 위험요인에 미치는 영향 vol.17, pp.10, 2014, https://doi.org/10.14400/jdc.2019.17.10.359