Department of Family Medicine, Dongguk University Ilsan Hospital, Gyeonggi-Do, South Korea.
Diabetes Res Clin Pract. 2011 Mar;91(3):381-8. doi: 10.1016/j.diabres.2010.11.010. Epub 2010 Dec 4.
This study sought to assess the association between metabolic syndrome (MS) and health-related quality of life (HRQOL) in the general population.
We analyzed data for 4463 adults, aged 30 years or older, from the Korea National Health and Nutrition Examination Survey 2005. "EuroQol 5D", which measures two dimensions, the EuroQol 5D index score (EQ-5D) and the EuroQol visual analogue scale (EQ-VAS), was used to evaluate HRQOL.
Mean scores for the EQ-5D in both sexes and EQ-VAS in women decreased with increasing number of MS components, and women's means for both scores were significantly lower than men's. In individual domains of HRQOL, men with more MS components tended to have higher odds ratios for decreased self-care, and women had decreased mobility, according to the EQ-5D. In men, high blood pressure led to decreased EQ-5D, and in women, abdominal obesity and high blood pressure did so. Additionally, we found that taking medication had an impact on decreased HRQOL, especially in subjects with impaired fasting glucose.
HRQOL was negatively associated with the number of MS components and it was decreased by taking hypoglycemic medications. This association differed by gender.
本研究旨在评估普通人群中代谢综合征(MS)与健康相关生活质量(HRQOL)之间的关系。
我们分析了 2005 年韩国国家健康和营养检查调查中 4463 名年龄在 30 岁及以上的成年人的数据。使用“欧洲五维健康量表(EQ-5D)”评估 HRQOL,该量表测量两个维度,即 EQ-5D 指数评分(EQ-5D)和 EQ-VAS。
无论性别,EQ-5D 的平均得分均随 MS 成分数量的增加而降低,女性的这两个得分均显著低于男性。在 HRQOL 的各个领域中,MS 成分较多的男性在自我护理方面的可能性更高,而女性的移动能力下降。根据 EQ-5D,男性的高血压会导致 EQ-5D 降低,而女性的腹部肥胖和高血压则会导致这种情况。此外,我们发现服用药物会对 HRQOL 产生负面影响,尤其是对空腹血糖受损的患者。
HRQOL 与 MS 成分的数量呈负相关,服用降血糖药物会降低 HRQOL。这种关联因性别而异。