Prevalence of Metabolic Syndrome and Related Factors Based on Smoking Status and Physical Activity in Korean Adult Men
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Background: Cigarette smoking and physical inactivity are critical risk factors for the prevalence of metabolic syndrome (MetS). This study aimed to investigate the prevalence of MetS and its related factors in adult men based on their physical activity (PA) levels and smoking status. Methods: In this cross-sectional analysis, 5,984 adult men aged 19-64 years were included based on the 7th Korean national health and nutrition examination survey (2016-2018). MetS was diagnosed based on the National Cholesterol Education Program Adult Treatment Panel III criteria, and PA was categorized as light PA (LPA), moderate, and vigorous PA (VPA). We used linear and logistic regression models to analyze the association between PA, MetS, and smoking status. Results: The prevalence of MetS in adult men was 27.8%, with the risk of MetS increasing with smoking and LPA. The risk of MetS significantly reduced by 64.7% in the VPA and quitter groups compared to that in the LPA and smoking groups (odds ratio, 0.353; 95% confidence interval, 0.232-0.539; P=0.001). Conclusions: Our study findings suggest that VPA may be an effective means of reducing the risk of MetS in adult men, while smoking and LPA may increase the risk of MetS
Abstract
Background: Cigarette smoking and physical inactivity are critical risk factors for the prevalence of metabolic syndrome (MetS). This study aimed to investigate the prevalence of MetS and its related factors in adult men based on their physical activity (PA) levels and smoking status. Methods: In this cross-sectional analysis, 5,984 adult men aged 19-64 years were included based on the 7th Korean national health and nutrition examination survey (2016-2018). MetS was diagnosed based on the National Cholesterol Education Program Adult Treatment Panel III criteria, and PA was categorized as light PA (LPA), moderate, and vigorous PA (VPA). We used linear and logistic regression models to analyze the association between PA, MetS, and smoking status. Results: The prevalence of MetS in adult men was 27.8%, with the risk of MetS increasing with smoking and LPA. The risk of MetS significantly reduced by 64.7% in the VPA and quitter groups compared to that in the LPA and smoking groups (odds ratio, 0.353; 95% confidence interval, 0.232-0.539; P=0.001). Conclusions: Our study findings suggest that VPA may be an effective means of reducing the risk of MetS in adult men, while smoking and LPA may increase the risk of MetS
참고문헌 (30)
- Eckel RH, "The metabolic syndrome", Lancet, 365(9468), pp.1415~1428 (2005)
- 김민현, "한국 성인에서 10년간 대사증후군 유병률과 위험요인의 변화: 국민건강영양조사(2008–2017) 자료를 이용하여", Korean Journal of Family Practice, 10(1), pp.44~52 (2020), 대한가정의학회[DOI]
- Saklayen MG, "The global epidemic of the metabolic syndrome", Curr Hypertens Rep, 20(2), pp.12~ (2018)
- Zafar U, "Metabolic syndrome : an update on diagnostic criteria, pathogenesis, and genetic links", Hormones(Athens), 17(3), pp.299~313 (2018)
- Lee J, "Association between physical activity and the prevalence of metabolic syndrome : from the Korean National Health and Nutrition Examination Survey, 1999-2012", Springerplus, 5(1), pp.1870~ (2016)
- Chiang TL, "Is the goal of 12, 000 steps per day sufficient for improving body composition and metabolic syndrome? The necessity of combining exercise intensity : a randomized controlled trial", BMC Public Health, 19(1), pp.1215~ (2019)
- Strasser B, "Physical activity in obesity and metabolic syndrome", Ann N Y Acad Sci, 1281(1), pp.141~159 (2013)
- Chu AH, "Association between physical activity and metabolic syndrome among Malay adults in a developing country, Malaysia", J Sci Med Sport, 17(2), pp.195~200 (2014)
- Janssen I, "Vigorous intensity physical activity is related to the metabolic syndrome independent of the physical activity dose", Int J Epidemiol, 41(4), pp.1132~1140 (2012)
- Cena H, "Relationship between smoking and metabolic syndrome", Nutr Rev, 69(12), pp.745~753 (2011)
- Kolovou GD, "Cigarette smoking", cessation and metabolic syndrome, 2016, pp.11(1), 6~14
- 오정은, "성인 남성에서 흡연과 대사증후군의 연관성", Journal of Obesity & Metabolic Syndrome, 23(2), pp.99~105 (2014), 대한비만학회
- Sun K, "Active smoking and risk of metabolic syndrome : a meta-analysis of prospective studies", PLoS One, 7(10), pp.e47791~ (2012)
- Kim JY, "Effects of smoking and aerobic exercise on male college students’ metabolic syndrome risk factors", J Phys Ther Sci, 30(4), pp.595~600 (2018)
- 라진숙, "Influence of Physical Activity on Metabolic Syndrome according to Smoking Intensity", 한국보건간호학회지, 32(2), pp.319~330 (2018), 한국보건간호학회[DOI]
- Kweon S, "Data resource profile : the Korea national health and nutrition examination survey(KNHANES)", Int J Epidemiol, 43(1), pp.69~77 (2014)
- Lee SY, "Appropriate waist circumference cutoff points for central obesity in Korean adults", Diabetes Res Clin Pract, 75(1), pp.72~80 (2007)
- Bull FC, "Global physical activity questionnaire(GPAQ) : nine country reliability and validity study", J Phys Act Health, 6(6), pp.790~804 (2009)
- Carpentier A, "Prolonged elevation of plasma free fatty acids impairs pancreatic beta-cell function in obese nondiabetic humans but not in individuals with type 2 diabetes", Diabetes, 49(3), pp.399~408 (2000)
- "Global physical activity questionn aire (GPAQ) analysis guide" (2012)[URL]
- Centers for Disease Control and Prevention, "Cigarette smoking among adults--United States, 1992, and changes in the definition of current cigarette smoking", MMWR Morb Mortal Wkly Rep, 43(19), pp.342~346 (1994)
- Berg A, "Physical activity and lipoprotein lipid disorders", Sports Med, 17(1), pp.6~21 (1994)
- Warburton DE, "Health benefits of physical activity : the evidence", CMAJ, 174(6), pp.801~809 (2006)
- Harris KK, "Metabolic effects of smoking cessation", Nat Rev Endocrinol, 12(5), pp.299~308 (2016)
- Klesges RC, "Smoking, body weight, and their effects on smoking behavior : a comprehensive review of the literature", Psychol Bull, 106(2), pp.204~230 (1989)
- Kaczynski AT, "Smoking and physical activity : a systematic review", Am J Health Behav, 32(1), pp.93~110 (2008)
- Ng R, "Smoking, drinking, diet and physical activity-modifiable lifestyle risk factors and their associations with age to first chronic disease", Int J Epidemiol, 49(1), pp.113~130 (2020)
- Huang JH, "Lifestyle factors and metabolic syndrome among workers : the role of interactions between smoking and alcohol to nutrition and exercise", Int J Environ Res Public Health, 12(12), pp.15967~15978 (2015)
- 김보연, "2020 Korean Society for the Study of Obesity Guidelines for the Management of Obesity in Korea", Journal of Obesity & Metabolic Syndrome, 30(2), pp.81~92 (2021), 대한비만학회[DOI]
- Choi HI, "Association of environmental tobacco smoke exposure with metabolic syndrome : a longitudinal cohort study of 71, 055 never smokers", Nutr Metab Cardiovasc Dis, 32(11), pp.2534~2543 (2022)