Abstract
As the tertiary industry is being developed, many problems are introduced in an industrial area in Korea. This study aims to investigate the residents' health conditions, such as the prevalence of metabolic syndrome and fatty liver diagnosed by ultrasonography, comparing the urban with the industrial areas. The subjects were 378 adults in the urban area and 376 adults in the industrial area. Subject variables accounted for were gender, age, drinking habits, smoking habits, physical activities, waist circumferences and BMI. In blood tests, fasting blood glucose, triglyceride, HDL, blood pressures, total cholesterol, AST, ALT and GGT were examined. Also, the presence and absence of fatty liver, diagnosed using ultrasonography, was investigated. As a result, the prevalence of metabolic syndrome were 43.7% in the urban area and 51.6% in the industrial area, hence it was significantly higher in the industrial area than in the urban area. Fasting blood glucose, triglyceride and waist circumference in the distribution of the individual components were 47.4, 53.7, and 16.1% in the urban area and 54.5, 61.5, and 22.9% in the industrial area respectively, so it was substantially higher in the industrial area than in the urban area. On the other hand, HDL, diastolic blood pressure, and fatty liver were 25.7, 43.4, and 44.7% in the urban area and 21.3, 19.9, and 36.7% in the industrial area respectively and thus it was much higher in the urban area than in the industrial area. In conclusion, this study shows that there were significant differences between the residents' health condition, comparing the urban area to the industrial area. Therefore, the precaution and aggressive management of metabolic syndrome may be necessary, in accordance with the characteristics of the industrial zone.
우리나라는 3차 산업이 발달하면서 공단지역의 문제점들이 대두되었다. 본 연구는 공단지역 주민들의 건강상태를 파악해 보고자, 도시지역과 공단지역 주민들의 대사증후군 유병률과 초음파상으로 진단되는 지방간의 유병률을 비교하였다. 도시지역 378명, 공단지역 376명을 대상으로 성별, 나이, 음주 흡연 운동상태, 허리둘레, BMI를 조사하였다. 혈액검사는 공복혈당, 중성지방, HDL, 혈압, 총콜레스테롤, AST, ALT GGT를 측정하였다. 또한 복부초음파로 지방간의 유무를 확인하였다. 분석결과 대사증후군 유병률은 도시지역 43.7%, 공단지역 51.6%로 공단지역이 유의하게 높았다(P <. 05). 각 구성요소별 분포는 공복혈당, 중성지방, 허리둘레는 도시 47.4, 53.7, 16.1%, 공단 54.5, 61.5, 22.9%로 공단지역이 유의하게 높았다(P < . 05). 반면, HDL, 이완기혈압, 지방간의 경우 도시 25.7, 43.4, 44.7%, 공단 21.3, 19.9, 36.7%로 도시지역이 유의하게 높았다(P< 0. 5, P < .001, P < .01). 연구결과 도시지역과 공단지역의 건강상태에는 유의한 차이가 있었고, 이에 따라 공단지역의 특성에 맞는 적극적인 대사증후군 예방 및 관리대책이 필요하다고 사료된다.