Department of Internal Medicine, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea.
Center of Biomedical Data Science, Wonju College of Medicine, Yonsei University, Wonju, Republic of Korea.
Atherosclerosis. 2018 Oct;277:47-52. doi: 10.1016/j.atherosclerosis.2018.08.003. Epub 2018 Aug 17.
Little information exists on the prevalence of metabolic syndrome (MetS) in Korea since 2007. We aimed to provide up-to-date estimates of the prevalence of MetS and its trend in the general adult population in Korea.
We compared the prevalence and pattern of MetS among participants in the Korean National Health and Nutrition Examination Surveys (KNHANES) IV (2007-2009), V (2010-2012), and VI (2013-2015), aged ≥19 years. Data from the 2005 census of the Korean population were presented according to age standardization.
The overall age-standardized prevalence of MetS in 2013-2015 was 20.3% (95% confidence interval [CI], 19.6%-21%). Since 2007, the overall prevalence of MetS has remained stable, whereas the prevalences among men and women, respectively, have increased and decreased slightly. By contrast, the prevalence of MetS among men aged 19-49 years has shown an increasing tendency since 2007. Moreover, nearly 40% of women aged ≥60 years had MetS in 2013-2015. Among the five components of MetS, only elevated fasting glucose level has shown an increasing trend since 2007 in both men and women. As the family income and educational level decreased, the prevalence of MetS increased.
The overall prevalence of MetS has remained stable since 2007. However, the prevalence of MetS was higher in middle-aged men and women aged ≥60 years. Considering the close association between MetS and socioeconomic status, age- and sex-specific strategies should be developed at the national level for the treatment and prevention of MetS in Korea.
自 2007 年以来，有关韩国代谢综合征（MetS）流行率的信息较少。本研究旨在提供韩国一般成年人群中 MetS 流行率的最新估计值及其趋势。
我们比较了韩国国家健康与营养调查（KNHANES）IV 期（2007-2009 年）、V 期（2010-2012 年）和 VI 期（2013-2015 年）参与者中 MetS 的流行率和模式，年龄均≥19 岁。根据年龄标准化，展示了 2005 年韩国人口普查的数据。
2013-2015 年，MetS 的总体年龄标准化流行率为 20.3%（95%置信区间[CI]，19.6%-21%）。自 2007 年以来，MetS 的总体流行率保持稳定，而男性和女性的流行率分别略有增加和减少。相比之下，2007 年以来，19-49 岁男性的 MetS 流行率呈上升趋势。此外，2013-2015 年，近 40%的≥60 岁女性患有 MetS。在 MetS 的五个组成部分中，只有空腹血糖水平自 2007 年以来呈上升趋势，男性和女性均如此。随着家庭收入和教育水平的降低，MetS 的流行率增加。
自 2007 年以来，MetS 的总体流行率保持稳定。然而，中年男性和≥60 岁女性的 MetS 患病率较高。考虑到 MetS 与社会经济地位密切相关，韩国应在国家层面制定针对 MetS 的特定于年龄和性别的治疗和预防策略。
