Clustering Patterns and Correlates of Multiple Health Behaviors in Middle-aged Koreans with Metabolic Syndrome
2
조회
0
다운로드
10
인용
0
참고문헌
키워드
초록
Objectives: The objective of the study was to examine the clustering patterns and correlates of multiple health behaviors (MHBs) in middle-aged Koreans with metabolic syndrome (MetS). Methods: Data on sociodemographics, clinical characteristics, health behaviors (vegetable intake, physical activity, cigarette smoking, and alcohol consumption), and psychological characteristics were collected by a self-reported survey and medical examination from 331 individuals with MetS. Clustering of MHBs was examined by measuring 1) the ratios of observed and expected prevalence of MHBs, and 2) the prevalence odds ratios. A binomial logistic regression were conducted. Results: Men were more likely than women to engage in multiple unhealthy behaviors. Clustering of smoking and heavy drinking was exhibited in the participants. Women with high vegetable intake were more likely to be physically inactive, and those with inadequate vegetable intake were more likely to be physically active. Those with lower self-regulation were more likely to engage in unhealthy behaviors. Conclusions: The findings support the multiple health behavior approach as opposed to the individual health behavior approach. Emphasis of self-regulation is necessary in developing multiple behavior intervention for individuals with MetS.
Abstract
Objectives: The objective of the study was to examine the clustering patterns and correlates of multiple health behaviors (MHBs) in middle-aged Koreans with metabolic syndrome (MetS). Methods: Data on sociodemographics, clinical characteristics, health behaviors (vegetable intake, physical activity, cigarette smoking, and alcohol consumption), and psychological characteristics were collected by a self-reported survey and medical examination from 331 individuals with MetS. Clustering of MHBs was examined by measuring 1) the ratios of observed and expected prevalence of MHBs, and 2) the prevalence odds ratios. A binomial logistic regression were conducted. Results: Men were more likely than women to engage in multiple unhealthy behaviors. Clustering of smoking and heavy drinking was exhibited in the participants. Women with high vegetable intake were more likely to be physically inactive, and those with inadequate vegetable intake were more likely to be physically active. Those with lower self-regulation were more likely to engage in unhealthy behaviors. Conclusions: The findings support the multiple health behavior approach as opposed to the individual health behavior approach. Emphasis of self-regulation is necessary in developing multiple behavior intervention for individuals with MetS.
참고문헌 (28)
- Anderson, E. S., "Social-cognitive determinants of physical activity: the influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study", Health Psychology, 25(4), pp.510~520 (2006)
- Bandura, A., "Health promotion from the perspective of Social Cognitive Theory", Psychology and Health, 13, pp.623~649 (1998)
- 박혜순, "Relationship between sleep duration and the metabolic syndrome: Korean National Health and Nutrition Survey 2001", INTERNATIONAL JOURNAL OF OBESITY, 32(7), pp.1091~1097, NATURE PUBLISHING GROUP
- Glanz, K., "Health behavior and health education: theory, research, and practice" (2008), Jossey-Bass
- "Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)— Short and Long Forms" (2005)[URL]
- Johnson, L. W, "The metabolic syndrome: concepts and controversy", Mayo Clinic Proceeding, 81(12), pp.1615~1620 (2006)
- Joo, N. S, "Limitation of metabolic syndrome-related articles", Korean Journal of Family Medicine, 32, pp.85~86 (2010)
- 강은정, "흡연, 음주, 신체활동을 사용한 한국 성인의 건강행태 군집의 분류", 보건사회연구, 27(2), pp.44~66 (2007), 한국보건사회연구원
- 강기원, "흡연, 음주와 운동습관의 군집현상을 통한 건강행태의 고위험군: 국민건강영양 조사", 예방의학회지, 43(1), pp.73~83 (2010), 대한예방의학회
- 김용재, "대사증후군과 뇌졸중", 대한신경과학회지, 23(5), pp.585~594 (2005), 대한신경과학회
- Kroenke, K, "The PHQ-9: Validity of a brief depression severity measure", Journal of General Internal Medicine, 16, pp.606~613 (2001)
- 권정현, "만성질병 예방 측면에서 본 30세 이상 한국 성인의 과일과 채소 섭취 평가: 2005년 국민건강영양조사 자료를 이용하여", Journal of Nutrition and Health, 42(2), pp.146~157 (2009), 한국영양학회
- 이은희, "생활습관 중재프로그램이 성인의 건강생활습관실천과 대사증후군 개선에 미치는 효과 분석", 보건교육건강증진학회지, 24(2), pp.1~19 (2007), 한국보건교육건강증진학회
- 이중정, "도시 영세지역 및 농촌지역 성인들의생활습관 위험요인 군집 현상", 보건교육건강증진학회지, 22(4), pp.167~177 (2005), 한국보건교육건강증진학회
- Lee, K. S., "The association of cigarette smoking and alcohol consumption with other cardiovascular risk factors in men from Seoul, Korea", Annals of Epidemiology, 8(1), pp.31~38 (1998)
- Li, C., "Clustering of multiple healthy lifestyle habits and health-related quality of life among US adults with diabetes", Diabetes Care, 30(7), pp.1770~1776 (2007)
- 임수, "국민건강영양조사에 근거한 한국인의 대사증후군의 증가 양상", Diabetes and Metabolism Journal, 29(5), pp.432~439 (2005), 대한당뇨병학회
- Report on National Health and Nutrition Survey 2005, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2006)
- National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III), "Executive summary of the third report of the NCEP Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)", Journal of the American Medical Association, 285, pp.2486~2497 (2001)
- National Institutes of Health, "Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults – The evidence report", Obesity Research, 6(S2), pp.51~209 (1998)
- Physical Activity Guidelines Advisory Committee Report 2008, "Physical Activity Guidelines Advisory Committee", U.S. Department of Health and Human Services, ~ (2008)
- Poortinga, W, "Prevalence and clustering of four major lifestyle risk factors in an English adult population", Preventive Medicine, 44(2), pp.124~128 (2007)
- Schuit, A. J, "Clustering of lifestyle risk factors in a general adult population", Preventive Medicine, 35, pp.219~224 (2002)
- Stampfer, M. J., "Primary prevention of coronary heart disease in women through diet and lifestyle", New England Journal of Medicine, 343, pp.16~22 (2000)
- Wilson, P. W. F., "Metabolic syndrome as a precursor of cardiovascular disease and type 2 diabetes mellitus", Circulation, 112, pp.3066~3072 (2005)
- The world health report: reducing risks, promoting healthy life, "World Health Organization", World Health Organization, ~ (2002)
- 유지수, "생활습관 요인이 대사증후군 유병 위험에 미치는 영향", Journal of Korean Academy of Nursing, 39(4), pp.594~601 (2009), 한국간호과학회
- Yoon, Y. S., "Alcohol consumption and the metabolic syndrome in Korean adults: the 1998 Korean National Health and Nutrition Examination Survey", American Journal of Clinical Nutrition, 80(1), pp.217~224 (2004)