성인남성에서 현재 및 과거흡연과 대사증후군의 관련성
Association of Current and Past Smoking with Metabolic Syndrome in Men
2
조회
0
다운로드
13
인용
0
참고문헌
키워드
초록
Objectives : The objective of this study was to determine the relationship between past smoking and the risk factors for metabolic syndrome. Methods : From January 2007 to December 2007, a total of 3,916 over thirty years old male health screen examinees were divided into the nonsmoking, smoking, ex-smoking groups. The diagnosis of metabolic syndrome was based on the criteria of the NCEP ATP Ⅲ(Executive Summary of The Third Report of The National Cholesterol Education Program). Metabolic syndrome was defined as the presence of three or more of the following: a blood pressure ≥ 130/85 mmHg, a fasting glucose level ≥ 110 mg/dL, a HDL-C (High Density Lipoprotein Cholesterol) level < 40 mg/dL, a triglyceride level ≥ 150 mg/dL and, a waist circumference men ≥ 102 cm, but a waist to hip ratio > 0.90 was used as a surrogate for the waist circumference. Results : After adjustment for age, alcohol consumption and, exercise in the smokers, for the ex-smokers compared with the nonsmokers, the odds ratio (OR) of a lower HDL cholesterol level (<40 mg/dL) was 1.29 (95% CI=1.03-1.61) in the smokers, the ORs of a higher triglyceride level were 1.35 (95% CI=1.09-1.66) in the ex-smokers and, 2.12 (95% CI=1.75-2.57) in the smokers, and the OR of a waist to hip ratio was 1.25 (95% CI=1.03-1.52) in the ex-smokers. When there were over three components of metabolic syndrome in the ex-smokers and smokers as compared with the nonsmokers, the odds ratio against the risk of metabolic syndrome were 2.39 (95% CI=1.00-6.63) and 2.37 (95% CI=1.02-6.46), respectively. Conclusions : The present study suggested that there is an association of smoking with metabolic syndrome in men.
Abstract
Objectives : The objective of this study was to determine the relationship between past smoking and the risk factors for metabolic syndrome. Methods : From January 2007 to December 2007, a total of 3,916 over thirty years old male health screen examinees were divided into the nonsmoking, smoking, ex-smoking groups. The diagnosis of metabolic syndrome was based on the criteria of the NCEP ATP Ⅲ(Executive Summary of The Third Report of The National Cholesterol Education Program). Metabolic syndrome was defined as the presence of three or more of the following: a blood pressure ≥ 130/85 mmHg, a fasting glucose level ≥ 110 mg/dL, a HDL-C (High Density Lipoprotein Cholesterol) level < 40 mg/dL, a triglyceride level ≥ 150 mg/dL and, a waist circumference men ≥ 102 cm, but a waist to hip ratio > 0.90 was used as a surrogate for the waist circumference. Results : After adjustment for age, alcohol consumption and, exercise in the smokers, for the ex-smokers compared with the nonsmokers, the odds ratio (OR) of a lower HDL cholesterol level (<40 mg/dL) was 1.29 (95% CI=1.03-1.61) in the smokers, the ORs of a higher triglyceride level were 1.35 (95% CI=1.09-1.66) in the ex-smokers and, 2.12 (95% CI=1.75-2.57) in the smokers, and the OR of a waist to hip ratio was 1.25 (95% CI=1.03-1.52) in the ex-smokers. When there were over three components of metabolic syndrome in the ex-smokers and smokers as compared with the nonsmokers, the odds ratio against the risk of metabolic syndrome were 2.39 (95% CI=1.00-6.63) and 2.37 (95% CI=1.02-6.46), respectively. Conclusions : The present study suggested that there is an association of smoking with metabolic syndrome in men.
참고문헌 (29)
- Park HS, "Prevalence and associated factors of metabolic syndrome among adults in primary care", J Korean Soc Study Obes, 12(2), pp.108~123 (2003)
- Geslain-Biquez C, "The metabolic syndrome in smokers: The D.E.S.I.R. study", Diabetes Metab, 29(3), pp.226~234 (2003)
- Lee WY, "Effects of smoking, alcohol, exercise, education, andfamily history on the metabolic syndrome as defined by the ATP", Deabetes Res Clin Pract, 67(1), pp.70~77 (2005)
- Foy CG, "Smoking and incidence of diabetes among U.S. adults: Findings from the Insulin Resistance Atherosclerosis Study", Diabetes Care, 28(10), pp.2501~2507 (2005)
- Ford ES, "Prevalence of the metabolic syndrome among US adults: Findings from the third National Health and Nutrition Examination Survey", JAMA, 287(3), pp.356~359 (2002)
- Korea Centers for Disease Control and Prevention, "The Third Korea National Health and Nutrition Examination Survey (KNHANESⅢ)" (2006)
- Miyatake N, "Relationship between metabolic syndrome and cigarette smoking in the Japanese population", Intern Med, 45(18), pp.1039~1043 (2006)
- Expert Panel on Detection, "Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III)", JAMA, 285(19), pp.2486~2497 (2001)
- Chen CC, "Association among cigarette smoking, metabolic syndrome, and its individual components: The metabolic syndrome study in Taiwan", Metabolism, 57(4), pp.544~548 (2008)
- "Korean Association of Smoking and Health"[URL]
- Kim CH, "Lifestyle beha behaviors associated with metabolic syndrome in medical check-up examinee", Kosin Med J, 21(1), pp.227~234 (2006)
- Nakanishi N, "Cigarette smoking and the risk of the metabolic syndrome in middle-aged Japanese male office workers", Ind Health, 43(2), pp.295~301 (2005)
- Wannamethee SG, "Modifiable lifestyle factors and metabolic syndrome in older men: Effects of lifestyle changes", Am Geriatr Soc, 54(12), pp.1909~1914 (2006)
- Kim JH, "The effects of cigarette smoking on abdominal fatness", J Korean Acad Fam Med, 21(9), pp.1172~1179 (2000)
- Bamia C, "Tobacco smoking in relation to body fat mass and distribution in a general population sample", Int J Obes Relat Metab Disord, 28(8), pp.1091~1096 (2004)
- Ishizaka N, "Association between cigarette smoking, metabolic syndrome, and carotid arteriosclerosis in Japanese individuals", Atherosclerosis, 181(2), pp.381~388 (2005)
- Wada T, "Risk of metabolic syndrome persists twenty years after the cessation of smoking", Intern Med, 46(14), pp.1079~1082 (2007)
- Oh SW, "Association between cigarette smoking and metabolic syndrome: The Korea National Health and Nutrition Examination Survey", Diabetes Care, 28(8), pp.2064~2066 (2005)
- Dzien A, "The metabolic syndrome as a link between smoking and cardiovascular disease", Diabetes Obes Metab, 6(2), pp.127~132 (2004)
- 이하영, "장기 흡연 남성의 흡연 상태와 C-반응성 단백질 및 대사증후군과의 관련성", 가정의학회지, 29(2), pp.94~101 (2008), 대한가정의학회
- Targher G, "Cigarette smoking and insulin resistance in patients with noninsulin-dependent diabetes mellitus", J Clin Endocrinol Metab, 82(11), pp.3619~3624 (1997)
- Masulli M, "Relationship between smoking habits and the features of the metabolic syndrome in a nondiabetic population", Nutr Metab Cardiovasc Dis, 16(5), pp.364~370 (2006)
- Tonstad S, "Premature coronary heart disease, cigarette smoking, and the metabolic syndrome", Am J Cardiol, 96(12), pp.1681~1685 (2005)
- Lee KS, "The association of cigarette smoking and alcohol consumption with other cardiovascular risk factors in men from Seoul, Korea", Ann Epidemiol, 8(1), pp.31~38 (1998)
- Teshima K, "Cigarette smoking, blood pressure and serum lipids in Japanese men aged 20-39 years", J Physiol Anthropol Appl Human Sci, 20(1), pp.43~45 (2001)
- Xu F, "The association between amount of cigarettes smoked and overweight, central obesity among chinese adults in Najing, China", Asia Pac J Clin Nutr, 16(2), pp.240~247 (2007)
- Ishizaka N, "Association between cigarette smoking, white blood cell count, and metabolic syndrome as defined by the Japanese criteria", Intern Med, 46(15), pp.1167~1170 (2007)
- Weitzman M, "Tobacco smoke exposure is associated with the metabolic syndrome in adolescents", Circulation, 112(6), pp.862~869 (2005)
- Prapavessis H, "The effects of exercise and nicotine replacement therapy on smoking rates in women", Addict Behav, 32(7), pp.1416~1432 (2007)
