한국 노인에서 비만, 복부비만과 대사증후군의 유병률
The Prevalence of Obesity, Abdominal Obesity and Metabolic Syndrome among Elderly in General Population
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연구배경: 노인에서의 비만, 복부비만과 대사증후군의 유병률에 대한 추정은 국가보건정책과 임상진료에 중요한 자료이다. 그러나 국내 연구는 드물다. 본 연구는 65세 이상 노인에서비만, 복부비만과 대사증후군의 유병률을 추정하고 각 대사이상 요소의 유병률을 성별에 따라 분석하였다. 방법: 국민건강영양조사 제4기의 자료를 이용하였으며 65세이상의 노인을 분석대상으로 하였다. 사회 인구적 특성, 만성질환, 약물복용, 신체계측과 혈액검사 자료를 이용하였다결과: 여성 노인의 비만, 복부비만, 대사증후군의 유병률은 각각 46.9%, 56.3%, 46.7% (IDF 기준)였고, 남성 노인에서는 23.1%, 26.6%, 21.7% (IDF 기준)였다. 수정된 ATP III의 기준에 의한 대사증후군 유병률은 41.7% (남), 63.2% (여)였다. 여성 노인은 남성 노인에 비해 비만, 복부비만, 대사증후군모두에서 높은 유병률을 가지고 있었다(P<0.001). 개별 대사이상의 유병률에서 성별간 차이를 보인 것은 HDL-C이었다(P<0.001). 여성 노인은 HDL-C의 대사이상 유병률이 79.9%에달했다. 개별 대사 이상 중에서 비교적 높은 유병률을 보인 것은 혈압이상(남 63.1%, 여 69.4%)이었다. 결론: 우리나라 노인의 비만, 복부비만, 대사증후군의 유병률은 유럽과 미국에 비해 높았고, 여성 노인이 남성 노인에 비해더 높았으며, 최근 증가하고 있어 보건정책과 임상진료에 중요한 문제로 부각될 것이다.
Abstract
Background: The prevalence of obesity, abdominal obesity and metabolic syndrome is important for health policies and clinical practice. The aim of study is to estimate the prevalence of obesity, abdominal obesity and metabolic syndrome among older than 65 years in general population and identify the differences by gender. Additionally, we examined the prevalence of the abnormality of metabolic components by sex. Methods: We analyzed data from the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV)2007. The subjects of this study include persons over 65 years. We used data about demographics, chronic diseases,medications and blood laboratory results. Results: The prevalence of obesity, abdominal obesity and metabolic syndrome in elderly women was 46.9%, 56.3%and 46.7% (International Diabetes Federation [IDF] criteria) respectively. In elderly men, 23.1%, 26.6% and 21.7% (IDF criteria). The prevalence of metabolic syndrome by modified ATP III was 63.2% in elderly women and 41.7% in elderly men. The prevalence of these was significantly higher in women elderly other in men elderly (P < 0.001). The abnormality of HDL-C among the individual metabolic components was significantly higher in women elderly than in men elderly. The prevalence of HDL-C abnormality in women elderly reached 79.9%. Conclusion: The prevalence of obesity, abdominal obesity and metabolic syndrome was higher in Korea than US and Europe, and higher among women elderly than men elderly. Recent increase in prevalence of these might be a public health problem.
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