한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제17권6호
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  • Pages.147-156
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  • 2016
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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일개 대학병원 건강검진 수진자의 대사증후군 호전과 관련요인

Metabolic Syndromes Improvement and Its Related Factors among Health Checkup Examinees in a University Hospital

  • 조말숙 (영남의료원 간호부) ;
  • 서순림 (경북대학교 간호대학 간호과학 연구소) ;
  • 김건엽 (경북대학교 의학전문대학원 예방의학교실)
  • 투고 : 2016.03.24
  • 심사 : 2016.06.02
  • 발행 : 2016.06.30
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초록

본 연구는 대사증후군 환자의 건강관리를 위한 기초자료를 제공하고자 대사증후군 환자의 호전과 그 관련된 요인을 파악하였다. 2013년 1월부터 2014년 12월까지 대학병원 종합검진센터에서 2년 연속 검진 받은 만 20세 이상 성인 중 2013년 검진에서 대사증후군 진단을 받은 280명을 대상으로 하였다. 자료 분석은 SPSS WIN18.0을 이용하여 평균과 표준편차, t-검정, ${\chi}^2$ 검정, 로지스틱 회귀분석을 하였다. 연구결과 호전군의 대사증후군 구성요소는 기준년도(2013년)의 3개에서, 추적년도(2014년)에 2개로 감소된 비율이 60.6%로 가장 높았다. 호전군은 기준년도에 비해 추적년도에 허리둘레, 수축기 혈압, 중성지방의 감소 및 고밀도 지단백 콜레스테롤 증가가 유의한 차이를 보였다. 대사증후군 호전군과 유지군 간에는 음주, 운동, 열량, 지방, 당질 섭취 및 지질저하제 복용에서 유의한 차이를 보였다. 로지스틱 회귀분석에서 대사증후군 호전에는 운동, 열량섭취, 당뇨병 복용 유지가 유의한 영향력을 보였다. 본 연구의 결과 대사증후군 관리를 위해서는 운동증가, 식생활개선을 위한 중재프로그램 제공이 필요하며, 이를 지속적으로 관리하기 위한 보건교육 강화가 요구되었다.

The purpose of this study was to identify the factors associated with the improvement of metabolic syndrome, and provide basic data for the health management of clients. The subjects were 280 adults who were diagnosed with metabolic syndrome in 2013, and who were examined from January 2013 to December 2014. The data were analyzed by descriptive statistics, t-test, ${\chi}^2$-test, and logistic regression analysis with SPSS WIN 18. The change rate from 3 to 2 risk factors was 60.6% among those clients whose metabolic syndrome improved. The improvement group showed a decrease in their waist circumference, systolic blood pressure, triglycerides and increase in their HDL cholesterol in 2014 compared to 2013, as well as decreased drinking, increased exercise, proper calorie, protein and carbohydrate uptake, and increased consumption of a lipid lowering agent. Exercise, calorie uptake and maintenance of an oral hypoglycemic drug influenced the improvement of the metabolic syndrome. In conclusion, it is necessary to have an intervention program including exercise enhancement and diet modification and to reinforce the health education for continuing health management.

키워드

참고문헌

  1. National Cholesterol Education Program (NCEP), " Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), Circulation, 106(25), pp. 3143-3421, 2001.
  2. Ministry of Health and Welfare, Korea National Health & Nutrition Examination Survey(2007-2010), 2012.
  3. E. S. Ford, "Risks for all-cause mortality, cardiovascular disease, and diabetes associated with the metabolic syndrome: a summary of the evidence.", Diabetes Care, 28(7), pp. 1769-1778, 2005. DOI: http://dx.doi.org/10.2337/diacare.28.7.1769
  4. Y. H. Kim, R. J. Park, W. J. Park, M. B. Kim, J. D. Moon, "Predictors of Metabolic Syndrome Among Shipyard Workers and its Prevalence", Korean J Occup Environ Med, 21(3), pp. 209-217, 2009.
  5. S. Y. Bang, "The Effects of Metabolic Syndrome on Quality of Life.", Journal of the Korea Academia- Industrial cooperation Society, 16(10), pp. 7034-7042, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.10.7034
  6. Research group of Metabolic Syndrome, Manual of Metabolic Syndrome, The Korean Academy of Family Medicine, 2007.
  7. J. A. Seo, " Metabolic Syndrome and Associated Risk Factors Among the Clients of a Comprehensive Medical Examination Center.", Journal of East-West Nursing Research, 14(2), pp. 47-53, 2008.
  8. B. S. Kim, M. J. Kim, H. R. Choi, C. W. W, S. Y. Kim, "Relationship between Physical Activity Level, Amount of Alcohol Consumption and Metabolic Syndrome in Korean Male Drinkers", The Korean Journal of Sports Medicine, 39, pp. 97-104, 2014. DOI: http://dx.doi.org/10.5763/kjsm.2014.32.2.97
  9. Y. W. Park, S. Zhu, L. Palaniappan, S. Heshka, M. R. Carxethon, & S. B. eymesfild, "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), pp. 427-436, 2003. DOI: http://dx.doi.org/10.1001/archinte.163.4.427
  10. L. Azadbakht, P. Mirmiran, A. Esmaillzadeh, T. Azizi, & F. Azizi, "Beneficial effects of a dietary approaches to stop hypertension eating plan on features of the metabolic syndrome.", Diabetes Care, 28(12), pp. 2823-2831, 2005. DOI: http://dx.doi.org/10.2337/diacare.28.12.2823
  11. D. Giugliano, A. Ceriello, & K. Esposito, "The effects of diet on inflammation: Emphasis on the metabolic syndrome.", Journal of the American College of Cardiology, 48, pp. 677-685, 2006. DOI: http://dx.doi.org/10.1016/j.jacc.2006.03.052
  12. E. G. Oh, S. Y. Bang, S. S. Hyun, S. H. Chu, J. Y. Jeon, M. S. Kang, " Knowledge, Perception and Health Behavior about Metabolic Syndrome for an at Risk Group in a Rural Community Area", Journal Korean Acad Nurs, 37(5), pp. 790-800, 2007. https://doi.org/10.4040/jkan.2007.37.5.790
  13. J. S. Kang, H. S. Kang, E. K. Yun, H. R. Choi, "Factors Influencing Health Behavior Compliance of Patients with Metabolic Syndrome.", Korean J Adult Nurs, 24(2), pp. 191-199, 2012. DOI: http://dx.doi.org/10.7475/kjan.2012.24.2.191
  14. Y. C. Cho, I. S. Kwon, J. Y. Park, M. W. Shin, "Prevalence of Metabolic Syndrome and Its Associated Factors among Health Checkup Examinees in a University Hospital.", Journal of the Korea Academia-Industrial cooperation Society, 13(11), pp. 5317-5325, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.11.5317
  15. H. K. Cheon, T. Y. Lee, I. S. Kwon, "The Incidence of Metabolic Syndrome and Its Risk Factor in Who Under Went Medical Check-up in A Health Promotion Center.", Journal of the Korea Academia-Industrial cooperation Society, 13(3), pp. 1186-1193, 2012. DOI: http://dx.doi.org/10.5762/KAIS.2012.13.3.1186
  16. H. S. Kim, S. J. Yoon, K. S. Lee, H. S. Kim, S. W. Oh, H. S. Ryu, J. A. Choo, K. H. Lee, B. W. Ryu, D. O. Lee, D. R. Park, "Effects of a Self-management Program for Metabolic Syndrome - A Metabolic Syndrome Management Program in Seoul.", Korean Journal of Health Education and Promotion, 28(2), pp. 51-62, 2011.
  17. Y. R. Kim, H. K. Cheon, T. Y. Lee, "The Change patterns of the Clustering of metabolic syndrome.", Journal of the Korea Academia-Industrial cooperation Society, 17(1), pp. 526-537, 2016. DOI: http://dx.doi.org/10.5762/KAIS.2016.17.1.526
  18. S. M. Nam, H. Y. Yu, M. Y. Lee, J. H. Koh, J. Y. Shin, Y. G. Shin, C. H. Chung, "Alcohol Consumption, Liver Enzymes, and Prevalence of Metabolic Syndrome in Korean Adult Men.", Diabetes & Metabolism Journal, 31(3), pp. 253-260, 2007. DOI: http://dx.doi.org/10.4093/jkda.2007.31.3.253
  19. H. S. Park, S. U. Oh, J. H. Kang, Y. U. Park, J. M. Choe, Y. S. Kim, U. H. Choe, H. J. Yu, Y. S. Kim, " Prevalence and Associated Factors with Metabolic Syndrome in South Korea -From the Korean National Health and Nutrition Examination Survey, 1998.", Journal of Korean Society for the Study of Obesity, 12(1), pp. 1-14, 2003.
  20. P. Zimmet, J. Shaw, & K. G. Alberit, "Preventing type 2 diabetes and the dysmetabolic syndrome in the real world: a realistic view.", Diabets Medicine, 20, pp. 693-702, 2003. DOI: http://dx.doi.org/10.1046/j.1464-5491.2003.01052.x
  21. A. Gokcel, Y. Gumurdulu, H. Karakose, E. Melek Ertorer, N. Tanaci, N. Bascil Tutuncu and N. Guvener, "Evaluation of the safety and efficacy of sibutramine, orlistat and metformin in the treatment of obesity", Diabetes, Obesity and Metabolism, 4(1), pp. 49-55, 2002. DOI: http://dx.doi.org/10.1046/j.1463-1326.2002.00181.x
  22. S. M. Kim, S. H. Lee, "Effects of 12 Week Walking Exercise on Body Composition and Metabolic Syndrome Indices in Middle-aged Women.", Review of Korea Entertainment Industrial Association, 7(3), pp. 123-132, 2013. DOI: http://dx.doi.org/10.21184/jkeia.2013.09.7.3.123
  23. C. H. Ha , S. Ha, W. Y. So, "Effects of a 12-week Combined Exercise Training Program on the Body Composition, Physical Fitness Levels, and Metabolic Syndrome Profiles of Obese Women.", Journal of Korean Public Health Nursing, 26(3), pp. 417-427, 2013. DOI: http://dx.doi.org/10.5932/JKPHN.2012.26.3.417
  24. H. J. Yoo, Y. H. Kim, "A Study on the Characteristics of Nutrient Intake in Metabolic Syndrome Subjects.", Korean Journal Nutr, 41(6), pp. 510-517, 2008.
  25. M. K. Choi, Y. S. Jun, Y. J. Bae, C. J. Sung, "A Study on Nutrient Intakes and Blood Parameters of Adult Men and Women with Metabolic Syndrome.", J Korean Soc Food Sci Nutr, 36(3), pp. 311-317, 2007. DOI: http://dx.doi.org/10.3746/jkfn.2007.36.3.311
  26. H. M. Nam, M. J. Choi, "Prevalence of Metabolic Syndrome and Metabolic Abnormalities in Korea Children and Adolescents and Nutrient intakes -Using 2008 the Korea National Health and Nutrition Examination Survey-.", Korean Journal of Community Nutrition, 19(2), pp. 133-141, 2007. DOI: http://dx.doi.org/10.5720/kjcn.2014.19.2.133
  27. J. W. Chung, S. C. Sung, "The effect of applying u-health system on metabolic syndrome management of elderly.", The journal of Digital Policy & management, 11(11), pp. 553-560. 2013. DOI: http://dx.doi.org/10.14400/JDPM.2013.11.11.553
  28. H. J. Yoon, S. S. K. Lee, "The Incidence and Risk Factors of Metabolic Syndrome in Rural Area", Journal of the Korea Academia-Industrial cooperation Society, 16(6), pp. 3934-3943, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.6.3934
  29. J. P. Foreyt, "Need for lifestyle intervention: How to begin.", The American Journal of Cardiology, 94(4A), pp. 11E-14E. 2005.
  30. J. Y. Lee, M. S. Kim, S. H. Lee, " Effects of Fitness Management Class for Wellness Convergence -Based on Fitness, Obese Indices, Metabolic Syndrome Factors-.", Journal of Digital Convergence, 13(5), pp. 329-336, 2015. DOI: http://dx.doi.org/10.14400/JDC.2015.13.4.329
  31. Moigan Gharipour, Nizal Sarrafzadegan, Masoum Sadeghi, Alireze Khosravi, Mohsen Hoseini, Hossein Khosravi Boroujeni, Arsalan Khaledifar, "The metabolic syndrome and associated lifestyle factors among the Iranian population.", Adv Biomed Res, 11(4), pp. 84, 2015.