한국산학기술학회논문지 (Journal of the Korea Academia-Industrial cooperation Society)

  • 제17권3호
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  • Pages.153-162
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  • 2016
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  • 1975-4701(pISSN)
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  • 2288-4688(eISSN)
한국산학기술학회 (The Korea Academia-Industrial cooperation Society)
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건강검진 수검자들의 대사증후군 위험인자별 유병률 및 비만지표와의 관련성

Prevalence Rates of Risk Factors of Metabolic Syndrome, and Its Related with Obesity Indices Among the Health Checkup Examinees

  • 박규리 (한국건강관리협회) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실)
  • Park, Kyu-Ri (Korea Association of Health Promotion) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 투고 : 2016.01.08
  • 심사 : 2016.03.03
  • 발행 : 2016.03.31
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초록

본 연구는 일반 성인을 대상으로 대사증후군 위험인자의 유병률을 파악하고, 각 대사증후군 위험인자들과 비만지표들과의 관련성을 파악하며, 비만지표들의 대사증후군을 예측하기 위한 관련성과 타당도를 검토하고자 시도하였다. 조사대상은 2014년 2월부터 11월까지의 기간에 한국건강관리협회 D지부 건강검진센타에서 종합건강검진을 받았던 20세 이상 1,051명을 대상으로 하였다. 연구결과, 조사대상자의 대사증후군 유병률은 21.5%이었으며, 각 위험인자의 유병률은 허리둘레의 경우 남자 31.8%, 여자 41.6%이었으며, TG는 남자 35.6%, 여자 17.3%이었고, HDL-C는 남자 17.6%, 여자 34.2%이었다. 혈압은 남자 53.5%, 여자 35.9%이었으며, FBS는 남자 14.9%, 여자 6.8%이었다. 이 같은 유병률은 연령이 높은 군일수록, BMI가 높은 군일수록, 음주횟수가 많은 군일수록, 유의하게 높았다. 비만지표별 대사증후군 위험요인 개수별 예측도를 보면 허리둘레/신장비가 높게 나타났다. 이상과 같은 결과를 볼 때, 다른 비만지표에 비해 허리둘레/신장비가 대사증후군 위험요인을 선별하는데 좀 더 예측력이 있다고 나타났다. 허리둘레/신장비는 간단하고 실용적인 복부비만의 지표가 될 수 있으며 대사증후군에 대한 선별검사로서 체질량지수와 허리둘레보다 우수한 것으로 나타났다.

The aim of this study was to estimate the prevalence of the metabolic syndrome risk factors for adults in the general population, understand the relationship of each factor with the obesity indicators, and examine the relevance and validity for predicting the metabolic syndrome in obese indicators. The study subjects were 1,051 adults aged 20 years and over, who underwent a health package check-up at the Korea Association of Health Promotion, D-branch from Feb. to Nov. 2014. As a result, the prevalence rates of metabolic syndrome of the study subjects were 21.5%, and the prevalence rates of the metabolic risk factors were as follows: 31.8% of men and 41.6% of women for abdominal obesity; 35.6% of men and 17.3% of women for TG; 17.6% of men and 34.2% of women for HDL-C; 53.5% of men and 35.9% of women for blood pressure; and 14.9% of men and 6.8% of women for FBS. The prevalence rates of metabolic syndrome were significantly higher in the older age group, in the group with the higher BMI, and in the group of higher level of drinking frequency. In the predictive indicators of obesity on metabolic syndrome risk factors, the waist / height ratio was higher than other indicators. Conclusively, WHtR appeared to be a useful indicator to show abdominal obesity and is better in selecting metabolic syndrome patients compared to other obesity indicators.

키워드

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