Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

A convergence of association between menopause, breastfeeding and first birth age and metabolic syndrome in Women

여성의 폐경과 모유수유 기간 및 첫출산 연령과 대사증후군의 연관성에 관한 융합적 고찰

  • Lee, Seyoung (Department of dental Hygiene, Kyungdong University)
  • Received : 2018.09.06
  • Accepted : 2019.04.20
  • Published : 2019.05.28
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was investigate the association between birth age related health factors and metabolic syndrome in women. The data of 6743 women from Korean National Health and Nutrition Examination Survey(2012-2014 KNHANES) were analyzed. Dependent variable was metabolic syndrom related variables were collected. Menopause status was associated with metabolic syndrome [odds ratio of with post-menopause 1.44(95% CI: 1.09-1.90)]. First birth age was associated with metabolic syndrome [odds ratio of women with 26-30 year : 0.81 (95% CI: 0.68-0.98); odds ratio of women 31 year over: 0.62(95% CI: 0.45-0.87)] after adjusted for age, region, household income, smoking, occupation. In conclusion, the metabolic syndrome is closely related to menopause and first birth age, and will be used as a basic data in developing future educational programs for women.

본 연구는 여성의 건강요인과 대사증후군의 상관성을 연구하기 위해 2012-2014년 국민건강영양조사 원시자료를 이용하여 최종 6743명을 분석대상자로 하였다. 여성건강과 대사증후군과의 관련성을 보기 위한 나이 지역, 가구수입, 흡연, 직업을 보정 한 모델에서 폐경 전보다 폐경후가 1.44배 (95% CI:1.09-1.90)로 높아 유의하였고 첫 출산 연령군은 25세 이하 출산 연령군에 비교하여 26-30 세 그룹에서는 0.81배 (95% CI: 0.68-0.98), 31세 이상은 0.62배 (95% CI: 0.45-0.87)로 첫출산 연령이 높아질수록 대사증후군의 위험이 감소하였다. 결론적으로 대사증후군은 폐경과 첫출산 연령과 밀접하게 연관되어 있으며 향후 여성을 대상으로 하는 교육 프로그램을 개발함에 있어서 기초자료로 활용하고자 한다.

Keywords

Table 1. DistributionofMenopauseandDurationofbreastfeedingandFirstbirthagecharacteristics

OHHGBW_2019_v10n5_43_t0001.png 이미지

Table 2. General characteristics and Metabolic syndrome

OHHGBW_2019_v10n5_43_t0002.png 이미지

Table 3. Distribution of Menopause and Breast feeding and First birth age and Metabolic Syndrome.

OHHGBW_2019_v10n5_43_t0003.png 이미지

Table 4. Association between Menopause, Breastfeeding, First birth age and Metabolic syndrome.

OHHGBW_2019_v10n5_43_t0004.png 이미지

Table 5. Correlation between First birth age and pregnancy frequency

OHHGBW_2019_v10n5_43_t0005.png 이미지

References

  1. J. S. Taylor, J. E. Kaxmar, M. Nothnagle & R. A. Lawrence. (2005) A systematic Review of the Literature Associating Breast feeding with Type 2 Diabetes. Journal of the American College of Nutrition, 24(5), 320-326. https://doi.org/10.1080/07315724.2005.10719480
  2. M. C. Carr. (2003) The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab, 88(6), 2404-2411. https://doi.org/10.1210/jc.2003-030242
  3. E. S. Ford & W. H. Giles. (2002). Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA, 287(3), 356-9. https://doi.org/10.1001/jama.287.3.356
  4. J. M. Seo, Y. J. Lim, H. Y. Park. (2016) Gender difference in association with socioeconomic status and incidence of metabolic syndrome in Korean adults. The Korean Journal of Obesity, 25, 247-254. https://doi.org/10.7570/kjo.2016.25.4.247
  5. M. Aguilar, T. Bhuket, S. Torres, B. Liu & R. J. Wong. (2015). Prevalence of the Metabolic syndrome in the United States 2003-2012. JAMA, 313(19), 1973-4. https://doi.org/10.1001/jama.2015.4260
  6. S. R. Davis, C. Castelo-Branco, P. Chedraui, M. A. Lumsden, R. E. Nappi, D. Shah & P. Villaseca. (2012). Understanding weigh gain at menopause. Climacteric. 15(5), 419-407. https://doi.org/10.3109/13697137.2012.707385
  7. L. A. Ross & A. J. Polotsky. (2012). Metabolic correlates of menopause: an update. Curr Opin Obstet Gynecol. 24(6), 402-407. https://doi.org/10.1097/GCO.0b013e32835a91bc
  8. B. J. Edward & J. Li. (2012). Endocrinology of menopause. Periodontol 2000. 61(1), 177-194.. https://doi.org/10.1111/j.1600-0757.2011.00407.x
  9. E. P. Gunderson, D. R. Jacobs, V. Chiang, C. E. Lewis, & A. Tsai et al. (2009) Childbearing is associated with higher incidence of the metabolic syndrome among women of reproductive age controlling for measurements before pregnancy: the CARDIA study. AM J OBSTET GYNECOL, 201(2), 177-186.
  10. A. M. Stuebe, J. W. Rich-Edwards, W. C. Willett, J. E. Manson & K. B. Michels. (2005) Duration and incidence of type 2 diabetes. JAMA. 294(20), 2601-2610. https://doi.org/10.1001/jama.294.20.2601
  11. S. R. Choi, Y. M. Kim YM, M. S. Cho, S. H. Kim, Y. S. Shim. (2017). Association Between Duration of Breast Feeding and Metabolic Syndrome: The Korean National Health and Nutrition Examination Survey. J Womens Health, 26(4), 361-367 https://doi.org/10.1089/jwh.2016.6036
  12. A. Cohen, C. F. Pieper, A. J. Brown, L. A. Bastian. (2006). Number of children and risk of metabolic in women. J Womens Health. 15(6), 763-773. https://doi.org/10.1089/jwh.2006.15.763
  13. R. Sichieri, A. E. Field, J. Rich-Edwards & W. C. Willet. (2003). Prospective assessment of exclusive breasetfeeding in relation to weight change in women. Internation Journal of Obesity. 27(7), 815-820 https://doi.org/10.1038/sj.ijo.0802285
  14. Q. Yang, S. Greenlana & W. D. Flanders. (2006). Associations of maternal age and parity related factors with trends in low-birthweight rates: Unites States 1980 through 2000. Am J Public Health, 96(5), 856-861. https://doi.org/10.2105/AJPH.2004.049312
  15. T. M. Young, S. S. Martin & M. E. Young. (2001). Internal poverty and teen pregnancy. Adolescence. 36(142), 289-304.
  16. B. L. Rooney & C. W. Schauberger. (2002). Excess pregnancy weight gain and long-term obesity: one decade later. Obstet Gynecol. 100(2), 245-252. https://doi.org/10.1016/S0029-7844(02)02125-7
  17. A. J. Cameron, J. E. Shaw & P. Z. Zimmet. (2004) The metabolic syndrome: prevalence in worldwide populations. Endocrinology and metabolism clinics of North America, 33(2), 351-375. https://doi.org/10.1016/j.ecl.2004.03.005
  18. S. Im, E. J. Lee, B. J. Ku, S. I. Jo, J. S. Park, H. K. Jang, S. Y. Kim & H. K. Lee. (2005). Increasing Trends of Metabolic Syndrome in Korea-Based on Korean National Health and Nutrition Examination Surveys. Diabetes and Metabolism Journal. 29(5), 432-439.
  19. H. M. Shin, S. H. Jee, J. H. Kim & M. R. Kim (2012). The Influence on Cardiovascular Mortality of the Merabolic Syndrome in korean Postmenopausal Woman. J Korean Soc Menopause. 18(1), 6-14 https://doi.org/10.6118/jksm.2012.18.1.6
  20. G. M. Reaven. (1993) Role of insulin resistance in human disease (syndrome X); an expanded definition. Annu Rev Med. 44, 121-131. https://doi.org/10.1146/annurev.me.44.020193.001005
  21. K. G. Alberti & P. Z. Zimmet. (1998). Definition, diagnosis and classification of diabetes nellitus and its compliations Part 1: diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet Med 15(7), 539-553. https://doi.org/10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S
  22. Alberti KG, Zimmet P, Shaw J (2005) The metabolic syndrome a new worldwide definition. Lancet. 366(9491), 1059-1062. https://doi.org/10.1016/S0140-6736(05)67402-8
  23. J. A. Figuriredo Neto, E. D. Figueredo, J. B. Barbosa, F. Barbosa, G. R. Costa & V. J. Nina et al. (2010). Metabolic syndrome and menopause: cross-sectional study in gynecology clinic. Arq Brass Cardiol. 95(3), 339-345. https://doi.org/10.1590/S0066-782X2010005000094
  24. S. Pandey, M. Srinivas, S. Agashe, J. Joshi, P. Galvankar, C. P. Prakasam et al. (2010). Menopause and metabolic syndrome: A study of 498 urban women from western India. J Midlife Health. 1(2), 63-69.
  25. J. H. Sim, D. Chung, J. S. Lim, M. Y. Lee & C. H. Chung. (2015). Maternal age at first delivery is associated with the risk of metabolic syndrome in postmenopausal women frome 2008-2010 Korean National Health and Nutrition Examination Survey. PLos One 10(5).
  26. S. H. Kim. (2011). Association between Lactation and Metabolic Syndrome in Mid -life Women. J Korean Soc Matern Child Health. 15(2), 166-174. https://doi.org/10.21896/jksmch.2011.15.2.166
  27. H. J. Kim. (2014). Differences of lifstyle and prevalence of Metabolic Syndrome by Breatfeeding Experience of Woman in 30s and 40s. Master dissertation, Katholieke University. Seoul.
  28. K. J. Yun, K. Han, M. K. Kim, Y. M.Park, K. H. Baek & K. H. Song et al. (2015). Effect of materal age at childbirth on insulin resistance: the 2010 Korean National Health and Nutrition Examination Survey. Clinical Endocrinology. 82(6), 824-830. https://doi.org/10.1111/cen.12712
  29. J. S. We, K. D. Han & H. S. Kwon. (2015). Effect of Maternal Age at Childbirth on Obesity in Postmenopausal Women: A Nationwide Population-Based Study in Korea. Medician. 95(19), e3584
  30. M. J. Kim. (2016). The Convergence correlational Study on office Worker' Health Related Behaviors and prevalence Rates of Metabolic Syndrome : Journal of the Korea Convergence Society. 7(3), 99-109. https://doi.org/10.15207/JKCS.2016.7.3.099
  31. Y. S. Lee. (2016). The Effect of Public Health Center Program participation on Metabolic Syndrome and Risk of Disease in Middled-aged and Elderly Women. Journal of the Korea Convergence Society. 7(6), 317-325. https://doi.org/10.15207/JKCS.2016.7.6.317