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지역사회 건강인의 코로나-19 유행 후 대사 이상 변화 및 영향을 미치는 요인

Associated Factors with Changes of Metabolic Abnormalities among General Population in COVID-19 Pandemic

나은희|김수영|권은주|박혜란|조선
대한임상건강증진학회 (Korean Society For Health Promotion And Disease Prevention)|2023.06|Korean Journal of Health Promotion|제23권 제2호|pp. 55-64

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키워드

COVID-19코로나-19대사증후군사회적 거리두기Social distancing생활습관LifestyleMetabolic syndrome
주제분류기타자연과학

초록

연구배경: 세계보건기구가 2020년 3월 선언한 코로나-19 팬데믹 상황은 장기간의 제한적 일상으로 이어져 개인의 건강생활 실천과 건강상태에 영향을 주었다. 본 연구에서는지역사회 동일 건강인을 대상으로 코로나-19 유행 후 주요대사 이상 및 건강행동의 변화를 확인하고, 대사 이상 변화에 미치는 요인을 파악하였다. 방법: 연구 대상은 H기관의 16개 전국 건강증진센터에서코로나-19 유행 이전인 2019년과 유행 시기인 2021년에 2회건강검진을 받은 20세 이상 성인 43,639명이었다. 대사 이상은 the third report of the cholesterol education program 기준을 적용하였다. 건강행동은 국가건강검진 문진표를 활용하여 흡연, 음주, 유산소 신체활동 및 근력운동 실천을 확인하였다. 코로나-19 유행 이후 대사증후군 및 대사 이상 변화에 영향을 미치는 요인을 확인하기 위해 다중 로지스틱 회귀분석을 실시하였다. 결과: 코로나-19 유행 후 대사증후군과 대사 이상은 전반적으로 증가하였으며, 여성보다 남성에서 증가폭이 컸고, 남녀 모두 50세 미만에서 증가 경향을 보였다. 코로나-19 유행 후 대사증후군 발생에 영향을 미친 요인은 50대 이상연령(odds ratio [OR], 1.130; 95% confidence interval [CI], 1.019-1.254), 코로나-19 유행 기간 금연을 시도하였거나(OR, 1.467; 95% CI, 1.171-1.839) 흡연을 시작하게 된 경우(OR, 1.251; 95% CI, 1.110-1.412), 유산소 신체활동 감소(OR, 1.328; 95% CI, 1.162-1.517) 및 근력운동 감소(OR, 0.704; 95% CI, 0.592-0.838)였다. 결론: 코로나-19 유행 후 대사증후군은 50세 미만 연령에서 증가하였고, 증가폭은 남성에서 더 높았다. 대사증후군발생과 관련 있는 요인은 흡연 경험, 유산소 및 근력운동 감소였고, 이는 복부비만 발생과 고중성혈증 발생에 영향을미치는 요인들과 일치하였다.

Abstract

Background: The coronavirus disease-2019 (COVID-19) pandemic has led to restrictions on daily living including social distancing. These restrictions had an impact on the individual's healthy lifestyle and health status. We investigated the associated factors with changes of metabolic abnormalities among general population in COVID-19. Methods: The participants were 43,639 people who received health check-ups twice in 2019 and 2021 during COVID-19 pandemic, at 16 health promotion centers. Metabolic abnormalities were identified according to the third report of the cholesterol education program criteria. Multiple logistic regression analysis was performed to confirm the factors related to changes of metabolic abnormalities during COVID-19. Results: Metabolic syndrome and metabolic abnormalities increased overall during the COVID-19 pandemic. This increase was mostly appeared in males. The occurrence of metabolic syndrome during COVID-19 was associated with 50s and older age (odds ratio [OR], 1.130; 95% confidence interval [CI], 1.019-1.254), attempt to quit smoking (OR, 1.467; 95% CI, 1.171-1.839), start smoking (OR, 1.251; 95% CI, 1.110-1.412), decrease in aerobic exercise (OR, 1.328; 95% CI, 1.162-1.517), and increase in strength exercise (OR, 0.704; 95% CI, 0.592-0.838). Conclusions: The metabolic syndrome is closely related to smoking experience and lack of exercise during COVID-19.

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