중년 남성에서 대사증후군과 식이요인과의 관련성
Dietary Factors and Metabolic Syndrome in Middle-Aged Men
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본 연구는 국민건강영양조사 제4기 1차년도(2007년)의 자료를 이용하여 우리나라 40세～64세 중장년 남성의 대사증후군 유병률을 파악하고영양소 섭취량 등의 식이 요인과 대사증후군과의관련성을 파악하고자 시행되었다. 성인 남성 709명 중 설문조사, 건강 검진, 영양조사의 연관성 가중치가 제공되지 않은 경우와설문에 대한 불충분한 응답으로 대사증후군 여부를 평가할 수 없는 348명을 제외한 총 361명을최종 분석 대상자로 하였다. 대사증후군의 정의는 2004년에 개정된 NCEP ATP III을 기준으로하였고, 복부비만 항목은 아시아-태평양 비만치료지침의 기준을 사용하였다. 대사증후군의 유병률은 40-49세 26.0%, 50-59세 30.4%, 60-64세 54.5%로 나타났으며, 대사증후군의 구성요소 중 복부비만과 혈당치는 연령에따라 유의한 차이를 보였다. 대사증군군과 유의한 관련을 보인 변수는 연령, 총흡연량, 외식 횟수였으며 에너지, 나트륨, 리보플라빈, 탄수화물,단백질, 지방, 무기질 섭취량 등의 식이요인은 유의한 관련이 없었다. 결론적으로 한국 중년 남성에 있어서는 식이습관 중 외식 횟수가 대사증후군과 유의한 관련이 있어 이를 감소하고 개선시키기 위한 효율적인 중재가 필요하다고 생각한다. 본 연구에서 영양소 섭취량은 대사증후군과 유의한 관련이 없었지만 이 부분에 대한 세밀하고 추가적인 향후 연구가 필요할 것으로 사료된다.
Abstract
Objectives: This study aims to identify dietary factors related to metabolic syndrome in middle aged Korean men who were participants in the Fourth Korea National Health and Nutrition Examination Survey(KNHANES IV) in 2007. Methods: The study targeted 361 of the 709 men aged between 40 and 64 years for a final analysis; the other 348 surveys had incomplete data which did not allow for the determination of metabolic syndrome. The definition of metabolic syndrome was based on the National Cholesterol Education Program Adult Treatment Panel III(NCEP ATP III). Results: There were significant differences in the metabolic syndrome of middle-aged men according to age, smoking pack-years, and number of resturant meals per week. Dietary factors such as vitamins,riboflavin, natrium, carbohydrate, protein and lipid intakes were not significant. Conclusions: It was verified that metabolic syndrome in middle-aged men is related to age, smoking pack-years and number of resturant meals per week. Dietary factors were not significantly related. However,further detailed studies in this area are needed.
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