Park H S, Kim S M, Lee J S, Lee J, Han J H, Yoon D K, Baik S H, Choi D S, Choi K M
Department of Family Medicine, University of Ulsan College of Medicine, Seoul, Korea.
Diabetes Obes Metab. 2007 Jan;9(1):50-8. doi: 10.1111/j.1463-1326.2005.00569.x.
Metabolic syndrome (MetS) is a major international health problem. Limited information is available about the prevalence of MetS in Asia, especially in Korea.
To examine the prevalence and trends of MetS in a Korean population. In addition, we investigated the risk factors associated with MetS.
A total of 7445 participants aged >/=20 years from the Korean National Health and Nutrition Survey (KNHNS) 1998 and 5964 participants from the KNHNS 2001 were included in this analysis. The KNHNS is a cross-sectional health survey of a nationally representative sample of the Korean population. The prevalence of MetS was determined using the National Cholesterol Education Program Adult Treatment Panel III criteria and the Asia-Pacific criteria for obesity based on waist circumference (APC-WC).
Using the ATP III criteria, the age-adjusted prevalence of MetS among Korean adults was 15.7% (13.7% male, 17.8% female) in 1998 and 14.4% (13.0% male, 16.2% female) in 2001. Using the APC-WC criteria, the prevalence was 21.6% (19.4% male, 23.9% female) in 1998 and 21.4% (20.1% male, 23.4% female) in 2001. Of the five MetS components, increasing trends were found between 1998 and 2001 in the prevalence of hypertriglyceridaemia, low high-density lipoprotein cholesterol and central obesity for both men and women. Age, sex, body mass index and a family history of diabetes were associated with MetS.
These results from a representative sample show that MetS is common in Korean adults. A systemic public health programme is required to prevent future increases in diabetes and cardiovascular complications.
代谢综合征（MetS）是一个重大的国际健康问题。关于亚洲尤其是韩国代谢综合征患病率的信息有限。
研究韩国人群中代谢综合征的患病率及趋势。此外，我们调查了与代谢综合征相关的危险因素。
本分析纳入了1998年韩国国民健康与营养调查（KNHNS）中7445名年龄≥20岁的参与者以及2001年KNHNS中的5964名参与者。KNHNS是对韩国具有全国代表性样本的横断面健康调查。代谢综合征的患病率根据美国国家胆固醇教育计划成人治疗小组第三次报告（ATP III）标准以及基于腰围的亚太肥胖标准（APC-WC）来确定。
采用ATP III标准，1998年韩国成年人中经年龄调整的代谢综合征患病率为15.7%（男性13.7%，女性17.8%），2001年为14.4%（男性13.0%，女性16.2%）。采用APC-WC标准，1998年患病率为21.6%（男性19.4%，女性23.9%），2001年为21.4%（男性20.1%，女性23.4%）。在代谢综合征的五个组成部分中，1998年至2001年间，男性和女性的高甘油三酯血症、低高密度脂蛋白胆固醇血症和中心性肥胖患病率均呈上升趋势。年龄、性别、体重指数和糖尿病家族史与代谢综合征有关。
来自代表性样本的这些结果表明，代谢综合征在韩国成年人中很常见。需要一项系统性的公共卫生计划来预防未来糖尿病和心血管并发症的增加。
