Ki Nam-Kyun, Lee Hae-Kag, Cho Jae-Hwan, Kim Seon-Chil, Kim Nak-Sang
Department of Radiology, Korea Medical Institute, Republic of Korea; Department of International Radiological Science, Hallym University of Graduate Studies, Republic of Korea.
Department of Computer Science and Engineering, Soonchunhyang University, Republic of Korea.
J Phys Ther Sci. 2016 Jan;28(1):38-45. doi: 10.1589/jpts.28.38. Epub 2016 Jan 30.
[Purpose] The aim of this study was to explore lifestyle factors in relation to metabolic syndrome so as to be able to utilize the results as baseline data for the furtherance of health-care and medical treatment. [Subjects and Methods] This study was conducted with patients who visited a health care center located in Seoul and had abdominal ultrasonography between 2 March 2013 and 28 February, 2014. Heights, weights, and blood pressures were measured by automatic devices. Three radiologists examined the patients using abdominal ultrasonography for gallstone diagnosis. The statuses of patients with regard to smoking, alcohol, coffee, and physical activities were explored for the lifestyle investigation. For investigating baseline demographics, we first used descriptive statistics. We then used the χ(2) test to analyze lifestyles and gallstone prevalence with regard to the presence of metabolic syndrome. Lastly, logistic regression analysis was conducted to discover the risk factors of metabolic syndrome. [Results] For men, body mass index, maximum gallstone size, and waist circumference were revealed as risk factors for metabolic syndrome, in descending order of the degree of risk. For females, gallstone presence was the most significant risk factor, followed by waist circumference. [Conclusion] Metabolic disease mainly presents itself along with obesity, and we should become more focused on preventing and treating this disease. A large-scale prospective study is needed in the future, as the cause of nonalcoholic steatohepatitis remained unclear in this study.
[目的] 本研究旨在探索与代谢综合征相关的生活方式因素,以便能够将研究结果用作推进医疗保健和治疗的基线数据。[对象与方法] 本研究针对2013年3月2日至2014年2月28日期间前往首尔某医疗中心并接受腹部超声检查的患者进行。身高、体重和血压通过自动设备测量。三位放射科医生使用腹部超声对患者进行检查以诊断胆结石。为进行生活方式调查,探究了患者在吸烟、饮酒、喝咖啡和体育活动方面的状况。为调查基线人口统计学特征,我们首先使用描述性统计。然后,我们使用χ²检验分析代谢综合征患者的生活方式与胆结石患病率之间的关系。最后,进行逻辑回归分析以发现代谢综合征的危险因素。[结果] 对于男性,按风险程度从高到低排序,体重指数、最大胆结石大小和腰围被揭示为代谢综合征的危险因素。对于女性,胆结石的存在是最显著的危险因素,其次是腰围。[结论] 代谢性疾病主要与肥胖相伴出现,我们应更加关注该疾病的预防和治疗。由于本研究中非酒精性脂肪性肝炎的病因仍不明确,未来需要进行大规模的前瞻性研究。