Lee Sangjin, Ko Young, Kwak Chanyeong, Yim Eun-Shil
Office for Planning and Coordination, Division of Planning and Coordination, Ministry of Health & Welfare, 13, Doum 4-ro, Sejong-si, 339-012, Republic of Korea.
College of Nursing, Gachon University, 191 Hambakmoeiro, Yeonsu-Gu, Incheon, 406-799, Republic of Korea.
BMC Geriatr. 2016 Jan 23;16:27. doi: 10.1186/s12877-016-0202-9.
Gender is thought to be an important factor in metabolic syndrome and its outcomes. Despite a number of studies that have demonstrated differences in metabolism and its components that are dependent on gender, limited information about gender differences on the characteristics of metabolic syndrome and its components is available regarding the Korean old adult population. This study aimed to identify gender differences in characteristics of the metabolic syndrome and other risk factors for cardiovascular disease.
Secondary analysis of data from a nationwide cross-sectional survey for health examination at the time of transitioning from midlife to old age was performed. Multiple logistic regression models were used to estimate adjusted odds ratios and 95% confidence intervals for gender differences among the Korean 66-year-old population with metabolic syndrome.
Gender differences in metabolic syndrome components that contributed to the diagnosis of metabolic syndrome were identified. In males, the most common component was high blood sugar levels (87.5%), followed by elevated triglyceride levels (83.5%) and high blood pressure (83.1%). In females, the most commonly identified component was elevated triglyceride levels (79.0%), followed by high blood sugar levels (78.6%) and high blood pressure (78.5%). Gender differences for other risk factors for cardiovascular disease, including family history, health habits, and body mass index were observed.
Gender-specific public health policies and management strategies to prevent cardiovascular disease among the older adult population should be developed for Koreans undergoing the physiological transition to old age.
性别被认为是代谢综合征及其后果的一个重要因素。尽管有多项研究表明代谢及其组成部分存在依赖于性别的差异,但关于韩国老年人群代谢综合征及其组成部分特征的性别差异的信息有限。本研究旨在确定代谢综合征特征及其他心血管疾病危险因素的性别差异。
对一项从中年过渡到老年时进行的全国性健康检查横断面调查的数据进行二次分析。使用多元逻辑回归模型估计韩国66岁代谢综合征人群中性别差异的调整优势比和95%置信区间。
确定了导致代谢综合征诊断的代谢综合征组成部分的性别差异。在男性中,最常见的组成部分是高血糖水平(87.5%),其次是甘油三酯水平升高(83.5%)和高血压(83.1%)。在女性中,最常确定的组成部分是甘油三酯水平升高(79.0%),其次是高血糖水平(78.6%)和高血压(78.5%)。观察到包括家族史、健康习惯和体重指数在内的其他心血管疾病危险因素的性别差异。
对于正在经历向老年生理过渡的韩国人,应制定针对性别的公共卫生政策和管理策略,以预防老年人群中的心血管疾病。