From the 1Department of Family Medicine, Gangnam Severance Hospital, College of Medicine, and 2Department of Medicine, Graduate School, Yonsei University, Seoul, Republic of Korea; 3Department of Family Medicine, Wonju Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Republic of Korea; and 4International Health Care Center, Severance Hospital, College of Medicine, Yonsei University, Seoul, Republic of Korea.
Menopause. 2014 Mar;21(3):221-6. doi: 10.1097/GME.0b013e3182987078.
This study aims to investigate the association between employment status and metabolic syndrome (MetS) in adult Korean women after stratification by menopause status.
We examined the relationship between employment status and the prevalence of MetS in 5,256 Korean women (3,141 premenopausal women and 2,115 postmenopausal women) who participated in the 2007-2009 Korean National Health Examination and Nutrition Survey. Employment status was classified as unemployed, employed part time, and employed full time based on a self-reported questionnaire. A modified Asian criterion based on a harmonized definition of MetS was adopted. Sampling weights were used to take the complex sampling method into account.
The prevalences of MetS in the unemployed group, part-time employment group, and full-time employment group were 14.5%, 11.8%, and 12.7% in premenopausal women and 54.9%, 44.0%, and 41.8% in postmenopausal women, respectively. Compared with the unemployed group, the odds ratios (95% CIs) for MetS in the part-time and full-time employment groups were 0.79 (0.52-1.22) and 0.80 (0.56-1.16) in premenopausal women and 0.67 (0.46-0.97) and 0.66 (0.51-0.84) in postmenopausal women, respectively, after adjusting for covariates such as age, inflammatory marker, socioeconomic status, and lifestyle factors.
Employment seems to be significantly related to a lower prevalence of MetS in postmenopausal women, but not in premenopausal women. However, there may not have been adequate statistical power to detect relations in premenopausal women. Further research is warranted to clarify the menopause-specific relationship between employment status and MetS risk.
本研究旨在探讨成年韩国女性在按绝经状态分层后，就业状态与代谢综合征（MetS）之间的关系。
我们调查了就业状态与 2007-2009 年参加韩国国家健康检查和营养调查的 5256 名韩国女性（3141 名绝经前女性和 2115 名绝经后女性）中 MetS 的患病率之间的关系。就业状态根据自我报告的问卷分为失业、兼职和全职。采用基于 MetS 统一定义的改良亚洲标准。采用抽样权重考虑到复杂的抽样方法。
在绝经前女性中，失业组、兼职组和全职组的 MetS 患病率分别为 14.5%、11.8%和 12.7%，而在绝经后女性中，失业组、兼职组和全职组的 MetS 患病率分别为 54.9%、44.0%和 41.8%。与失业组相比，在调整年龄、炎症标志物、社会经济地位和生活方式因素等混杂因素后，绝经前女性中兼职和全职就业组的 MetS 比值比（95%CI）分别为 0.79（0.52-1.22）和 0.80（0.56-1.16），而绝经后女性的比值比分别为 0.67（0.46-0.97）和 0.66（0.51-0.84）。
就业似乎与绝经后女性较低的 MetS 患病率显著相关，但与绝经前女性无关。然而，在绝经前女性中可能没有足够的统计能力来检测到这种关系。需要进一步的研究来阐明就业状态与 MetS 风险之间的绝经特异性关系。
