한국남자에서 결혼상태와 대사증후군과의 관련성
The Association between Marital Status and Metabolic Syndrome in Korean Men
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초록
연구배경: 높은 이혼율을 보이고 있는 우리나라에서 결혼상태와 대사증후군과의 관련성을 조사하고 여기에 생활습관의차이가 어떻게 관여하는가를 알아보기 위하여 연구를 시행하였다. 방법: 2008년 3월부터 2009년 2월 사이에 울산광역시의 한 대학병원의 건강증진센터에서 건강검진을 받은 20세 이상 남자12,288명의 건강검진 자료를 분석하였다. 대상자를 결혼군, 미혼군, 별거군, 사별군, 이혼군으로 나누고 결혼군에 대한 나머지 결혼상태의 대사증후군에 대한 교차비를 구하였고 결혼한남자와 이혼한 남자 만을 대상으로 음주횟수, 흡연, 운동횟수를 추가로 보정한 후 다시 교차비를 구하였다. 결과: 나이, 교육수준, 가구수입을 보정한 상태에서 이혼군의결혼군에 대한 대사증후군의 교차비가 1.48 (95% 신뢰구간,1.03-2.12; P=0.03)로 통계적으로 유의하였다. 이혼상태이거나 결혼상태인 남자들 만을 대상으로 한 경우에 대사증후군의 교차비는 음주횟수를 추가로 보정했을 때 1.47 (95% 신뢰구간, 0.97-2.24; P=0.07), 흡연을 추가로 보정했을 때 1.42 (95%신뢰구간, 0.99-2.04; P=0.06), 운동횟수를 추가로 보정했을때 1.35 (95% 신뢰구간, 0.93-1.96; P=0.12), 음주횟수, 흡연, 운동횟수를 모두 추가로 보정했을 때 1.37 (95% 신뢰구간, 0.89-2.12; P=0.15)로 낮아져 모두 통계적인 의의가 소실되었다. 결론: 인구사회학적 인자만을 보정하였을 때 이혼한 남자의대사증후군에 대한 위험도가 유의하게 높았으나 생활습관을추가로 보정하였을 때에는 이혼여부와 대사증후군의 관련성에 있어서의 유의성이 소실되었다. 이는 이혼한 남자의 나쁜생활습관이 이혼여부와 대사증후군의 관련성을 매개할 가능성을 시사한다.
Abstract
Background: We aimed to investigate the association between marital status and metabolic syndrome, and observed how their lifestyle may influence within their relationship. Methods: We analyzed the data from 12,288 Korean men over 20 years old taking a health checkup in a university hospital in Ulsan from March 2008 to February 2009. The subjects were classified as married, unmarried, separated, widowed,and divorced. The odds ratios for metabolic syndrome in each marital status were calculated after adjusting for age,educational level, and family income. In only married men and divorced men, odds ratios were calculated again after adjusting for alcohol intake, smoking, or exercise added to age, educational level, and family income. Results: After adjustment for age, educational level, and family income, the odds ratio for metabolic syndrome in divorced men was 1.48 (95% confidence internal [CI], 1.03 to 2.12; P = 0.03) compared to married men. However, the odds ratios in divorced men decreased to 1.47 (95% CI, 0.97 to 2.24; P = 0.07) after adjusting for alcohol intake added to age, educational level, and family income, 1.42 (95% CI, 0.99 to 2.04; P = 0.06) after adjusting for smoking added, 1.35 (95% CI, 0.93 to 1.96; P = 0.12) after adjusting for exercise added, and 1.37 (95% CI, 0.89 to 2.12; P = 0.15) after adjusting for alcohol intake,smoking, and exercise added. Conclusion: Divorced men were likely to have metabolic syndrome compared to married men and this finding may be mediated by their bad lifestyle.
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