경상남도 일부지역 농촌 중년여성의 대사증후군의 유병률 및 위험요인의 추이분석
Trend Analysis on Prevalence Rate and Risk Factor of Metabolic Syndrome among Middle-aged rural women in Gyeongsangnam-do Province
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구는 경상남도 일부 농촌지역의 중년여성을 대상으로 대사증후군 유병률과 관련된 대상자의 특성을 확인하고 영향요인을 분석하여 대사증후군의 위험요인을 예방하고, 중재방안을 마련하는데 기초자료를 제공하고자 시도되었다. 연구대상자는 2000년부터 2010년까지 국립암센터 지역사회 기초 코호트에 등록된 경상도 농촌지역 30세 이상의 여성으로, SPSS 23.0을 이용하여 χ²-검정, t-test, 로지스틱 회귀분석으로 분석하였다. 연구결과, 2000년부터 2005년까지와 2006년부터 2010년도 연구대상자들의 신장(t=4.21, p<.001), 체중(t=5.13, p<.001), 체질량지수(t=3.66, p<.001), 수축기혈압(t=-2.16, p=.031), 이완기혈압(t=-3.27, p=.001), 공복혈당(t=-2.45, p=.014), 중성지방(t=3.23, p=.001)이 통계적으로 유의하게 나타났다. 2000년부터 2005년은 연령(Odds ration(OR)=3.00)과 불규칙적인 식사(OR=1.21)가, 2006년부터 2010년은 고학력(OR=.51)일수록 유병률이 낮으며, 불규칙적인 운동(OR=1.67)이 대사증후군의 위험요인으로 유의하게 나타났다. 본 연구결과를 토대로, 농촌지역의 중년여성에 대한 간호중재는 연령, 학력, 운동과 식이와 관련된 건강관리 프로그램 및 교육, 정보제공이 필요하며, 대사증후군 유병률 감소를 위한 지속적인 연구가 요구된다.
Abstract
The purpose of this study was for providing a basic resource to prevent risk factors of metabolic syndrome and have interventions throughout analyzing the factors affecting and identifying the features of the targets who were related with the metabolic syndrome prevalence rate among the middle-aged women who are living in rural area of Gyeongsang province. The study targets were over 30 years old of the middle-aged women who are in rural area of Gyeongsang province that registered in National Cancer Center community basic cohort from 2000 to 2010 and were analyzed χ²-test, t-test, logistic regression analysis using SPSS 23.0 program. According to the study result, there were significant differences with respect to height(t=4.21, p<.001), weight(t=5.13, p<.001), body mass index(t=3.66, p<.001), systolic blood pressure(t=-2.16, p=.031), diastolic blood pressure(t=-3.27, p=.001), fasting glucose(t=-2.45, p=.014) and triglyceride(t=3.23, p=.001) between 2000~2005 and 2006~2010. The risk factors of metabolic syndrome showed its significantly in irregular exercise(Odds ration(OR)=1.67) group, was low to higher education group(OR=.51) from 2006 to 2010, and irregular meals(OR=1.21) and age(OR=3.00) group from 2000 to 2005. Based on this research result, we need to provide the information, education, health control program that related to diet, exercise, academic background, age for the rural area middle-aged women and need to study for reducing the metabolic syndrome prevalence rate continuously.
참고문헌 (30)
- 강지순, "대사증후군 대상자의 건강행위 이행에 영향을 미치는 요인", 성인간호학회지, 24(2), pp.191~199 (2012), 한국성인간호학회[DOI]
- "National health and nutrition survey, 6th year 2nd year" (2014)[URL]
- K.G.M.M. Alberti, "Harmonizing the Metabolic Syndrome", Circulation, 120(16), pp.1640~1645 (2009), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 조강옥, "한국 성인의 대사증후군 위험인자들에 대한 체질량지수와 체형지수의 연관성", 한국체육학회지, 52(6), pp.449~456 (2013), 한국체육학회
- Heval M Kelli, "Cardio Metabolic Syndrome: A Global Epidemic", Journal of Diabetes & Metabolism, 6(3) (2016), OMICS Publishing Group[DOI]
- Women's Health Nursing Curriculum Research, "Women’s health nursing" (2016), Soomoonsa
- Simony Lira do Nascimento, "Exercício físico no ganho de peso e resultados perinatais em gestantes com sobrepeso e obesidade: uma revisão sistemática de ensaios clínicos", Cadernos de Saúde Pública, 27(3), pp.407~416 (2011), FapUNIFESP (SciELO)[DOI]
- P. S. Cooke, "Role of estrogens in adipocyte development and function", Experimental biology and medicine, 229(11), pp.1127~1135 (2004)
- E. Zoico, "Relation between adiponectin and bone mineral density in elderly post-menopausal women: Role of body composition, leptin, insulin resistance, and dehydroepiandrosterone sulfate", Journal of Endocrinological Investigation, 31(4), pp.297~302 (2008)[DOI]
- Molly C. Carr, "The Emergence of the Metabolic Syndrome with Menopause", The Journal of Clinical Endocrinology & Metabolism, 88(6), pp.2404~2411 (2003), The Endocrine Society[DOI]
- Yong-Woo Park, "The Metabolic Syndrome", Archives of Internal Medicine, 163(4), pp.427~ (2003), American Medical Association (AMA)[DOI]
- S. G. Yeoum, "The investigation on the risk factors of cardiovascular disease for postmenopausal women over 50 years", Journal of Menopausal Medicine, 9(3), pp.266~272 (2003)
- K. H. Lee, "Prevalence and sex-related characteristics of metabolic syndrome in a Korean rural cohort", Journal of Lipid and Atherosclerosis, 18(2), pp.226~238 (2008)
- I. S. Hyun, "A study on development of health care service for the elderly", Journal of Korean Academy of Public Health Nursing, 11(2), pp.57~72 (1997)
- Y. S. Jo, "Prevalence and associated factors of metabolic syndrome in a rural community", Journal of Korean Academy of Rural Health Nursing, 7(1), pp.5~17 (2012)
- 박정식, "도시지역 검진수진자 40,698명에서 NCEP-ATPⅢ 기준에 의한 대사증후군의 유병율", 대한내과학회지, 63(3), pp.7~298 (2002), 대한내과학회
- 손준석, "일개 도시 성인의 성별에 따른 대사증후군 관련요인의 차이", Korean Journal of Health Promotion, 12(1), pp.13~21 (2012), 대한임상건강증진학회[DOI]
- 안옥희, "일 지역 대사증후군 위험인자와 건강행태에 관한 연구 - 2014 지역사회건강조사 -", 한국산학기술학회논문지, 17(12), pp.218~225 (2016), 한국산학기술학회[DOI]
- Expert Panel, National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report, "National Cholesterol Education Program(NCEP)", National Cholesterol Education Program, ~ (2002)
- B. Enkhmaa, "Prevalence of the metabolic syndrome using the third report of the national cholesterol educational, program expert panel on detection, evaluation, and treatment of high Bbood cholesterol in adults (ATP Ⅲ)and the modified ATP Ⅲ definitions for Japanese and Mongolians", Clinica Chimica Acta, 352(1), pp.105~113 (2005)
- "Domestic Statistics"[URL]
- 김희승, "40, 50대 여성 비만도와 연령 별 대사증후군 위험인자 비교", Journal of Korean Academy of Nursing, 37(4), pp.453~458 (2007), 한국간호과학회
- H. Y. Jin, "Trend analysis on prevalence rate and risk factor of metabolic syndrome", master, pp.2016
- 김희승, "50, 60대 폐경 여성 연령별 대사증후군 위험인자와 생활습관 비교", Journal of Korean Biological Nursing Science, 15(3), pp.133~138 (2013), 한국기초간호학회[DOI]
- V. S. Conn, "Metabolic effects of interventions to increase exercise in adults with type 2 diabetes", Diabetologia, 50(5), pp.913~921 (2007), Springer Nature[DOI]
- Wendy Macdonald, "Practice nurses and the facilitation of self-management in primary care", Journal of Advanced Nursing, 62(2), pp.191~199 (2008), Wiley[DOI]
- 윤태훈, "한국 중소하천의 Clark 모형 도달시간 및 저류상수의 재정의", 대한토목학회 논문집B, 25(3B), pp.181~187 (2005), 대한토목학회
- H. R. Farshchi, "Beneficial metabolic effects of regular meal frequency on dietary thermogenesis, insulin sensitivity, and fasting lipid profiles in healthy obese women", The American Journal of Clinical Nutrition, 81(1), pp.16~24 (2005)
- 박세아, "한국 성인의 식사의 규칙성에 따른 영양소 섭취와 심혈관계 위험인자", Korean Journal of Health Promotion, 10(2), pp.53~60 (2010), 대한임상건강증진학회
- The 3rd national health and nutrition survey analysis report: examination section, "Korea Centers for Disease Control and Prevention", ~ (2007)