당뇨병이 없는 남성 근로자의 건강행태 특성이 당화혈색소에 미치는 영향
The Impact of Health Behaviors of Male Workers without Diabetes on HbA1c
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives: The purpose of this study is to investigate the impact of health behaviors of male workers without diabetes such as smoking, drinking and physical activities on HbA1c using 2015 and 2016 data from Korea National Health and Nutrition Examination Survey (KNHANES). Methods: The final study subjects of KNHANES were a total of 1,703 male workers in their 30s-50s who had normal levels of fasting blood sugar level, HbA1c, and hemoglobin. For the study variables, age, household income, educational level and occupation were included as socio-demographic characteristics; smoking behavior, drinking behavior, and physical activity behavior as characteristics of health behavior; and waist circumference, body mass index, systolic and diastolic blood pressures, total cholesterol, triglyceride and HDL cholesterol as medical examination characteristics were included. The analysis was conducted using independent variables t-test, one-way ANOVA, Pearson’s correlation analysis and multiple regression analysis. Results: Socio-demographic factors that affect HbA1c were age, educational level, and occupation. As for HbA1c according to the status of current smoking, it was higher in order of the present, past and nonsmoking and HbA1c according to smoking amount pack-year increased linearly in between less than 1 pack-year and over 30 pack-year (p<0.001). Muscular exercises affected the reduction of HbA1c (p<0.05). In the multiple regression analysis with independent variables of the socio-demographic characteristics and health behavior, factors affecting HbA1c were age, occupation and smoking amount pack-year (p<0.05). In the multiple regression analysis where the characteristics of physical examination were added, factors affecting HbA1c were age, occupation, smoking amount pack-year, waist circumference and total cholesterol (p<0.001). Conclusions: As a result, the health behavior that had the most effect on HbA1c management for male workers without diabetes was the total lifetime smoking amount. Therefore, it is essential to prevent smoking as well as control, cholesterol to prevent diabetes for male workers.
Abstract
Objectives: The purpose of this study is to investigate the impact of health behaviors of male workers without diabetes such as smoking, drinking and physical activities on HbA1c using 2015 and 2016 data from Korea National Health and Nutrition Examination Survey (KNHANES). Methods: The final study subjects of KNHANES were a total of 1,703 male workers in their 30s-50s who had normal levels of fasting blood sugar level, HbA1c, and hemoglobin. For the study variables, age, household income, educational level and occupation were included as socio-demographic characteristics; smoking behavior, drinking behavior, and physical activity behavior as characteristics of health behavior; and waist circumference, body mass index, systolic and diastolic blood pressures, total cholesterol, triglyceride and HDL cholesterol as medical examination characteristics were included. The analysis was conducted using independent variables t-test, one-way ANOVA, Pearson’s correlation analysis and multiple regression analysis. Results: Socio-demographic factors that affect HbA1c were age, educational level, and occupation. As for HbA1c according to the status of current smoking, it was higher in order of the present, past and nonsmoking and HbA1c according to smoking amount pack-year increased linearly in between less than 1 pack-year and over 30 pack-year (p<0.001). Muscular exercises affected the reduction of HbA1c (p<0.05). In the multiple regression analysis with independent variables of the socio-demographic characteristics and health behavior, factors affecting HbA1c were age, occupation and smoking amount pack-year (p<0.05). In the multiple regression analysis where the characteristics of physical examination were added, factors affecting HbA1c were age, occupation, smoking amount pack-year, waist circumference and total cholesterol (p<0.001). Conclusions: As a result, the health behavior that had the most effect on HbA1c management for male workers without diabetes was the total lifetime smoking amount. Therefore, it is essential to prevent smoking as well as control, cholesterol to prevent diabetes for male workers.
참고문헌 (40)
- Global status report on noncomm- unicable diseases, "World Health Organization", 79~97 (2014)
- The seventh stage Korea National Health and Nutrition Examination Survey (KNHANES), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 30~34 (2016)
- Treatment guideline for diabetes, "Korean Diabetes Association", Korean Diabetes Association, 5~6 (2015)
- 나은희, "건강검진자에서 혈중 당화혈색소(HbA1c)치와 대사증후군과의 관계", Laboratory Medicine Online, 1(1), pp.3~9 (2011), 대한진단검사의학회
- 권세영, "당뇨병 및 공복혈당장애 예측을 위한 당화혈색소 값", 대한임상검사과학회지, 49(2), pp.114~120 (2017), 대한임상검사과학회[DOI]
- Saudek CD, "A new look at screening and diagnosing diabetes mellitus", J Clin Endocrinol Metab, 93(7), pp.2447~2453 (2008)
- Khaw KT, "Association of hemoglobin A(1c) with cardiovascular disease and mortality in adults: the european prospective investigation into cancer in norfolk", Ann Intern Med, 141(6), pp.413~420 (2004)
- Sung KC, "Diabetes UK", Diabetes Med, 24, pp.848~854 (2007)
- Kim SK, "Cigarette smoking and diabetes", Korea Clin Diabetes, 10(2), pp.73~76 (2009)
- Hur NW, "Smoking cessation and risk of type 2 diabetes mellitus : Korea medical insurance corporation study", Eur J Cardiovasc Prev Rehabil, 14(2), pp.244~249 (2007)
- Jang JE, "The impacts of alcohol consumption on glucose metabolism", J Korean Diabetes, 13(2), pp.81~85 (2012)
- Cho DH, "Blood sugar control in alcohol-consuming diabetics", J Korean Diabetes, 13(2), pp.91~95 (2012)
- Siler SQ, "The inhibition of gluconeogo following alcohol in human", Am J Physiol, 275(5), pp.897~907 (1998)
- Delvin JT, "Enhanced peripheral and splanchnic insulin sensitivity in NIDDM men after single about of exercise", Diabetes, 36(4), pp.434~439 (1987)
- Sanz C, "Physical exercise for the prevention and treatment of type 2 diabetes", Diabetes Metab, 36(5), pp.346~351 (2010)
- 천광훈, "중․노년 한국인의 당화혈색소와 신체활동의 관련성", 대한보건연구, 37(1), pp.59~71 (2011), 사단법인 대한보건협회[DOI]
- Lee ES, "Associated Factors in the Control of Fasting Blood Sugar and HbA1c of Diabetes Mellitus Patients-Data from the 2005 Korea National Health and Nutritional Examination Survey", pp.2005
- Hwang SW, "Factor associated hemoglobin concentration in adults without diabetes", Cheju J Life Sci, 5(5), pp.45~55 (2002)
- 김진화, "당뇨병이 없는 성인에서 심혈관질환 위험요소 및 대사증후군과 당화혈색소의 상관관계", Diabetes and Metabolism Journal, 32(5), pp.435~444 (2008), 대한당뇨병학회
- Lee KJ, "Correlation between glycosylated hemoglobin (HbA1c) in cardio-cerebrovascular disease without diabetes in Korean adults", pp.2011
- 이미선, "직장인 남성을 대상으로 한 12주간의 영양교육이 대사증후군 관련 인자에 미치는 영향", 대한지역사회영양학회지, 13(1), pp.46~61 (2008), 대한지역사회영양학회
- Kim JY, "The association between types of work and glycosylated hemoglobin in adult workers without diabetes", pp.2016
- 구인영, "일부 근로자의 혈압 및 혈당과 치주건강상태 비교", 보건의료산업학회지, 7(2), pp.81~91 (2013), 보건의료산업학회
- Summary Report in WHO International Seminar on raining and in Services Occupational Health For Developing Countries, "World Health Organization", Geneve, 10~15 (1972)
- The sixth stage Korea National Health and Nutrition Examination Survey (KNHANES), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 25~26 (2015)
- The seventh stage Korea National Health and Nutrition Examination Survey (KNHANES), "KCDC", Korea Centers for Disease Control and Prevention, 27~28 (2016)
- 이혜진, "당뇨병 진단기준으로 헤모글로빈A1C의 역할", 대한내과학회지, 79(5), pp.495~499 (2010), 대한내과학회
- "Treatment Guideline for internal medicine doctor (3rd edition)"[URL]
- 오지연, "한국어판 단문형 국제신처활동설문(IPAQ)의 신뢰도와 타당도", Korean Journal of Family Medicine, 28(7), pp.532~541 (2007), 대한가정의학회
- Kim YJ, "The association between types of work and glycosylated hemoglobin in adult workers without diabetes", pp.2016
- 김혜련, "우리나라에서 흡연율의 사회계층별 불평등과 변화추이", 보건사회연구, 27(2), pp.25~43 (2007), 한국보건사회연구원[DOI]
- Willi C, "Active smoking and the risk of type 2 diabetes: a systematic review and meta-analysis", JAMA, 298(22), pp.2654~2664 (2007)
- Mackenzie T, "Beverage intake, diabetes, and glucose control of adults in America", Ann Epidemiol, 16(9), pp.688~691 (2006)
- Bell RA, "Associations between alcohol consumption and insulin sensitivity and cardiovascular disease risk factors", Diabetes Care, 23(1), pp.1630~1636 (2000)
- Horowitz JF, "Exercise-induced alterations in muscle lipid metabolism improve insulin sensitivity", Exerc Sport Sci Rev, 35(4), pp.192~196 (2007)
- Kim CH, "Role of exercise in prevention of type 2 diabetes", J Korean Diabetes, 12(1), pp.29~33 (2011)
- Kim SH, "Effect of exercise on glucose metabolism", J Korean Diabetes, 12(1), pp.21~25 (2011)
- Yoon KH, "Epidemic obesity and type 2 diabetes in Asia", Lancet, 368(9548), pp.1681~1688 (2006)
- Kim SM, "Association of relative muscle mass with metabolic syndrome and the cardiovascular disease risk factors", pp.2013
- Min KW, "The effects of aerobic", resistance exercise on body fat mass, muscle strength and endothelial function in Korean type 2 diabetes mellitus patients, 2011, pp.12(1), 6~13