Department of Public Health, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Kita-ku, Okayama 700-8558, Japan.
Department of Occupational Therapy, School of Health Sciences and Social Welfare, Kibi International University, 8 Iga-machi, Takahashi, Okayama 716-8508, Japan.
Int J Environ Res Public Health. 2018 Nov 17;15(11):2575. doi: 10.3390/ijerph15112575.
The purpose of this study was to investigate the relationship between occupational dysfunction and metabolic syndrome (MetS) and its component factors in community-dwelling Japanese adults (N = 1,514). Self-reported lifestyle behaviors, Classification and Assessment of Occupational Dysfunction (CAOD) scores, and metabolic traits were measured. CAOD levels were divided into tertiles (low, moderate, and high), and their associations with MetS and its components were evaluated through logistic regression analysis. The association of MetS with CAOD was demonstrated in the total number of individuals [OR = 1.92 (95% CI 1.17⁻3.17)] and in older individuals [OR = 1.90 (95% CI 1.04⁻3.46)]. The association of dyslipidemia and CAOD was evident for overweight individuals [OR = 2.08 (95% CI 1.17⁻3.68)]. A higher association of high blood pressure with CAOD was evidenced in younger individuals [OR = 2.02 (95% CI 1.05⁻3.89)] who belonged to the highest-CAOD-score group in comparison to those who registered the lowest-CAOD-score group. The evaluation of MetS and interventions related to its prevention may be more effective if the viewpoint of occupational dysfunction is taken into account.
本研究旨在探讨日本社区居民职业功能障碍与代谢综合征（MetS）及其组成因素之间的关系（N=1514）。测量了生活方式行为、职业功能障碍分类和评估（CAOD）评分以及代谢特征。CAOD 水平分为三分位数（低、中、高），并通过逻辑回归分析评估其与 MetS 及其成分的相关性。在总人数中，MetS 与 CAOD 之间存在相关性[OR=1.92（95%CI 1.17⁻3.17）]，在老年人中也存在相关性[OR=1.90（95%CI 1.04⁻3.46）]。在超重人群中，血脂异常与 CAOD 之间存在相关性[OR=2.08（95%CI 1.17⁻3.68）]。在属于 CAOD 评分最高组的年轻人群中，高血压与 CAOD 之间的相关性更高[OR=2.02（95%CI 1.05⁻3.89）]，与 CAOD 评分最低组相比。如果从职业功能障碍的角度评估 MetS 及其预防相关的干预措施，可能会更有效。
