본문 바로가기
KERD
논문KCI 등재

건강행위실천과 대사증후군

Health Behavior and Metabolic Syndrome

이상엽|김윤진|조병만|이정규|김영주|오정대
대한가정의학회 (The Korean Academy Of Family Medicine)|2009.02|Korean Journal of Family Medicine|제30권 제02호|pp. 120-128

0

조회

0

다운로드

24

인용

0

참고문헌

키워드

대사증후군Health Behavior생활습관LifestyleMetabolic Syndrome건강행위
주제분류가정의학

초록

연구배경: 대사증후군의 예방 및 치료에 생활습관 교정이 강 조되고 있다. 이에 건강행위 실천 개수에 따른 대사증후군의 유병률 차이를 알아보았다. 방법: 2006년 1월부터 2006년 12월까지 일개 대학병원 건강 증진센터를 방문한 수진자 중 20세 이상의 성인 1,240명을 최 종 연구대상으로 하였다. 대사증후군의 진단기준은 modied ATP Ⅲ 정의를 사용하였고, 그 중 허리둘레 기준은 한국인의 기준에 따랐다. 생활습관은 수면시간, 흡연상태, 음주습관, 운 동, 열량섭취, 체중의 6항목으로 설정하였다. 수면시간은 6시 간 이하, 7-8시간, 9시간 이상으로, 흡연상태는 비흡연군, 과 거 흡연군, 현재 흡연군으로, 음주는 비음주군, 적절음주군, 과 음군으로, 운동은 하루 30분 이상씩 일주일에 3일 이상 규칙적 으로 운동하는 군, 그 이하의 운동을 하는 군, 비운동군으로, 열 량섭취는 권장열량 이하를 섭취하는 군, 권장열량보다 10% 이 하를 초과 섭취하는군, 권장열량보다 10%를 초과하여 과잉 섭 취하는 군으로, 체중은 정상 체중군, 과체중군, 비만군으로 건 강행위 항목을 각각 3개의 그룹으로 분류하여 대사증후군의 유병률을 비교하였다. 결과: 비흡연군, 적절음주군 및 비음주군, 규칙적인 운동을 하 는 군, 권장열량 이하를 섭취하는 군 및 비비만군에서 대사증 후군의 유병률이 유의하게 낮았다. 건강행위 실천개수가 증 가할수록 대사증후군의 유병률이 감소하였다(0개 50.0%, 1 개 41.0%, 2개 30.6%, 3개 13.8%, 4개 8.5%, 5개 5.3% 및 6개 4.3%). 남자, 여자 및 전체에서 건강행위가 3개 이하인 군에 비해 건 강행위가 4개 이상인 군에서 대사증후군을 가질 교차비는 각 각 3.70 (95% 신뢰구간; 2.31-5.92), 3.54 (95% 신뢰구간; 1.91- 6.59) 및 4.25 (95% 신뢰구간; 2.97-6.08)이었다. 결론: 평균 이상의 건강행위를 실천하는 군이 그렇지 않은 군 에 비해 대사증후군의 유병률이 유의하게 낮았다.

Abstract

Background: Life style has been shown to improve risk factors comprising the metabolic syndrome. Metabolic syndrome is a prime candidate for lifestyle modification utilizing the tools of exercise, nutritional therapy and so on. Therefore, we examined the prevalence of metabolic syndrome according to health behaviors. Methods: A total of 1,240 adults were recruited into this cross-sectional study. The subjects were examined on body mass index, waist circumference, blood pressure, and lipid profile. Medical history was reviewed and daily calorie intake was examined by food frequency questionnaire. Six healthy behaviors, sleeping hours, smoking, drinking, exercise, calorie intake and body weight of subjects, were examined. Each healthy behaviors were categorized into three groups. Metabolic syndrome as diagnosed by ATP Ⅲ criteria. Results: The study subjects consisted of 57.1% men and 42.9% women. The prevalence of metabolic syndrome was 14.3%. The prevalence of metabolic syndrome was lower in the group with good healthy behaviors. The subjects with more good healthy behaviors had a lower prevalence of metabolic syndrome than those with less good healthy behaviors (0, 50.0%; 1, 41.0%; 2, 30.6%; 3, 13.8%; 4, 8.5%; 5, 5.3%; and 6, 4.3%). Relative to the subjects with high good health behavior score, those with low good health behavior score were at significantly increased risk of metabolic syndrome (odds ratio = 4.25, 95% CI 2.97-6.08). Conclusion: The subjects with much more good healthy behaviors had a substantially lower risk of being diagnosed with the metabolic syndrome compared to those with lesser good healthy behaviors. This finding suggests that lifestyle modification may be appropriate as the first-line intervention to metabolic syndrome.

참고문헌 (38)

  1. Isomaa B, "Cardiovascular morbidity and mortality associated with the metabolic syndrome", Diabetes Care, 24, pp.683~689 (2001)
  2. Haner SM, "Prospective analysis of the insulin-resistance syndrome(syndrome X)", Diabetes, 41, pp.715~722 (1992)
  3. Reaven GM, "Banting lecture 1988. Role of insulin resistance in human disease", Diabetes, 37, pp.1595~1607 (1988)
  4. DeFronzo RA, "Insulin resistance. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease", Diabetes Care, 14, pp.173~194 (1991)
  5. Alberti KG, "Definition, diagnosis and classificationof diabetes mellitus and its complications. Part 1: diagnosis andclassification of diabetes mellitus provisional report of a WHOconsultation", Diabet Med, 15, pp.539~553 (1998)
  6. Expert Panel on Detection, Evaluation, and Treatment of HighBlood Cholesterol in Adults, "Executive Summary of The ThirdReport of The National Cholesterol Education Program (NCEP)Expert Panel on Detection, Evaluation, And Treatment of HighBlood Cholesterol In Adults (Adult Treatment Panel III)", JAMA, 285, pp.2486~2497 (2001)
  7. Ford ES, "Prevalence of the metabolic syndrome syndromeamong US adults: findings from the third National Healthand Nutrition Examination Survey", JAMA, 287, pp.356~359 (2002)
  8. Yamamoto A, "Life style and cardiovascular risk factors in theJapanese population-from an epidemiological survey on serumlipid levels in Japan 1990 part 1: influence of life style and excessbody weight on HDL-cholesterol and other lipid parameters inmen", J Atheroscler Thromb, 10, pp.165~175 (2003)
  9. Kim SW, "Prevalence of insulin resistance syndrome in subjects living in Jungup District, Korea", J Korean Diabetes Assoc, 23, pp.70~78 (1999)
  10. Kim BS, "Prevalence of metabolic syndrome for Koreans: among the clients of comprehensive medical examination center in one university hospital", Korean J Health Promot Dis Prev, 2, pp.17~26 (2001)
  11. 임열리, "ATP III의 진단기준에 따른 대사증후군의 유병률과 관련위험요인 분석 -일개 대학병원 건강증진센터 수진자를 대상으로-", Korean Journal of Family Medicine, 24(2), pp.135~143 (2003), 대한가정의학회
  12. Facchini FS, "Insulin resistance and cigarette smoking", Lancet, 339, pp.1128~1130 (1992)
  13. Corrao G, "Alcohol and coronary heart disease: a meta-analysis", Addiction, 95, pp.1505~1523 (2000)
  14. Shaper AG, "Alcohol intake and mortality in middle aged men with diagnosed coronary heart disease", Heart, 83, pp.394~399 (2000)
  15. Jennings G, "The effects of changes in physical activity on major cardiovascular risk factors, hemodynamics, sympathetic function, and glucose utilization in man: a controlled study of four levels of activity", Circulation, 73, pp.30~40 (1986)
  16. Weinstock RS, "Diet and exercise in the treatment of obesity: effects of 3 interventions on insulin resistance", Arch Intern Med, 158, pp.2477~2483 (1998)
  17. Lim YT, "Effect of weight loss on health-related quality of life in obese patients", J Korean Acad Fam Med, 22, pp.556~564 (2001)
  18. Yaggi HK, "Sleep duration as a risk factor for the development of type 2 diabetes", Diabetes Care, 29, pp.657~661 (2006)
  19. The report of the dietary guide lines advisory committee on dietary guidelines for Americans, 2005, "US Department of Agriculture", US Department of Agriculture, ~ (2005)
  20. Obesity: preventing and managing the global epidemic. Report of a WHO consultation, "World Health Organization", World Health Organization, ~ (2000)
  21. Grundy SM, "Diagnosis and management of the metabolic syndrome: an American Heart Association", National Heart, Lung, and Blood Institute Scientific Statement, 2005, pp.112, 2735~2752
  22. Lee S, "Is new criteria of metabolic syndrome applicable in Korean?", Korean J Obes, 14(3), pp.3~8 (2005)
  23. Lee SY, "Appropriate waist circumference cuto points for central obesity in Korean adults", Diabetes Res Clin Pract, 75, pp.72~80 (2007)
  24. Schoenborn CA, "Health habits of U.S. adults, 1985: the “Alameda 7” revisited", Public Health Rep, 101, pp.571~580 (1986)
  25. Belloc NB, "Relationship of physical health status and health practices", Prev Med, 1, pp.409~421 (1972)
  26. Breslow L, "Persistence of health habits and their relationship to mortality", Prev Med, 9, pp.469~483 (1980)
  27. Cundiff DK, "Diet and tobacco use: analysis of data from the diabetic control and complications trial, a randomized study", MedGenMed, 4, pp.2~ (2002)
  28. Kim SM, "A cross-sectional study of association among smoking, alcohol drinking, and obese indices in men", Korean J Obes, 7, pp.332~341 (1998)
  29. Kim JH, "The effects of cigarette smoking on abdominal fatness", J Korean Acad Fam Med, 21, pp.1172~1179 (2000)
  30. Choi EY, "Alcohol habits in Korea", J Korean Acad Fam Med, 19, pp.858~869 (1998)
  31. 홍원기, "여성 음주와 대사증후군", 가정의학회지, 28(2), pp.120~126 (2007), 대한가정의학회
  32. Peltonen P, "Changes in serum lipids, lipoproteins, and heparin releasable lipolytic enzymes during moderate physical training in man: a longitudinal study", Metabolism, 30, pp.518~526 (1981)
  33. Pan XR, "Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study", Diabetes Care, 20, pp.537~544 (1997)
  34. Tuomilehto J, "Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance", N Engl J Med, 344, pp.1343~1350 (2001)
  35. Bulwer BE, "Sedentary lifestyles, physical activity, and cardiovascular disease: from research to practice", Crit Pathw Cardiol, 3, pp.184~193 (2004)
  36. Centers for Disease Control (CDC), "Coronary heart diseaseattributable to sedentary lifestyle: selected states, 1988", MMWR Morb Mortal Wkly Rep, 39, pp.541~544 (1990)
  37. Muzio F, "Long-termeects of low-calorie diet on the metabolic syndrome in obesenondiabetic patients", Diabetes Care, 28, pp.1485~1486 (2005)
  38. Park YW, "Is the cut-off value of body mass index (BMI) appropriate for identifying obesity in Korea?", Korean J Health Promot Dis Prev, 2, pp.10~16 (2002)

관련 논문AI추천

광주 전남지역 성인의(19-64세) 건강생활실천과 대사증후군 인지와의 관련성- 2010년 지역사회건강조사 자료를 이용하여 -박종, 류소연, 박현희, 천인애, 최성우, 한미아한국농촌의학.지역보건학회 · 농촌의학.지역보건2013 · 제38권 제4호40세 이상 성인에서 사회경제적 수준 및 건강행동과 대사증후군의 관련성김동현, 김성희, 박재용대한임상건강증진학회 · Korean Journal of Health Promotion2013 · 제13권 제4호ATP III의 진단기준에 따른 대사증후군의 유병률과 관련위험요인 분석 -일개 대학병원 건강증진센터 수진자를 대상으로-심현준, 오은혜, 임열리, 장유수, 조비룡, 황승욱대한가정의학회 · Korean Journal of Family Medicine2003 · 제24권 제2호한 전자제품 연구소 남자 종사자들의 생활습관실천과 대사증후군의 관련성구정완, 김용규, 김형렬, 명준표, 박정일대한예방의학회 · 예방의학회지2009 · 제42권 제5호일개 도시 성인의 성별에 따른 대사증후군 관련요인의 차이김영욱, 김자현, 김찬우, 손준석, 조병만, 채창호대한임상건강증진학회 · Korean Journal of Health Promotion2012 · 제12권 제1호Factors Positively Influencing Health Are Associated with a Lower Risk of Development of Metabolic Syndrome in Korean Men: The 2007–2009 Korean National Health and Nutrition Examination Survey강희택, 김신혜, 김태종, 이재우, 임형지, 조미라대한가정의학회 · Korean Journal of Family Medicine2017 · 제38권 제3호

이 간행물의 다른 논문 (5건)

의료-사회적 취약대상자를 위한 일차의료박상민pp. 91-97성인 여자에서 대사증후군과 만성 신질환과의 관계채선경, 이지수, 천지현, 박혜순pp. 98-105식사 칼슘 섭취량과 원위부 대장 선종 유무와의 연관성손지영, 권혁태, 허시원, 조비룡, 김종진pp. 106-111젊은 남녀 성인에서 수직진동운동기가 체중과 체성분에 미치는 영향도현진, 권혁중, 최재경, 조희경, 조동영, 오승원, 유정훈pp. 112-119가정의학회지에 실린 중재 관련 비무작위연구논문의 질 평가김수영, 김형준pp. 129-137
원문 보기