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性别在代谢综合征的生活方式和危险因素中的差异:女性的健康习惯是否优于男性?

Gender differences in lifestyle and risk factors of metabolic syndrome: Do women have better health habits than men?

机构信息

Graduate Institute of Gerontology and Health Care Management, Chang Gung University of Science and Technology, Taoyuan City, Taiwan.

Chang Gung Memorial Hospital, Taoyuan City, Taiwan.

出版信息

J Clin Nurs. 2019 Jun;28(11-12):2225-2234. doi: 10.1111/jocn.14824. Epub 2019 Mar 6.

Abstract

AIMS AND OBJECTIVES

To examine the gender-specific lifestyles of adults with metabolic syndrome in the Taiwanese community.

BACKGROUND

Many studies show different prevalence of metabolic syndrome in males and females; however, few studies have investigated gender-specific lifestyle risk factors, which are important for effectively reducing prevalence.

DESIGN

A cross-sectional study design was used.

METHODS

Between 2012 and 2015, a total of 1,066 individuals were recruited in northern Taiwan. Data were collected by questionnaires and analysed by descriptive statistics, chi-square tests and logistic regression. This study followed the STROBE guidelines.

RESULTS

The prevalence of metabolic syndrome was 40.8% in men and 36.0% in women. Women had healthier dietary habits, a higher rate of moderate-vigorous physical activity, and a lower rate of smoking and obesity than men. Men, who were overweight or obese, lacked vigorous physical activity, often consumed excess amounts of salt and fat, and seldom consumed appropriate amounts of protein tended to have metabolic syndrome. Women with an unhealthy metabolism tended to be overweight or obese and seldom consumed dairy products.

CONCLUSIONS

Men, who had normal body weight, performed vigorous physical activity, seldom consumed excess amounts of salt and fat, and often consumed appropriate amounts of protein tended not to have metabolic syndrome. Women with a healthy metabolism were of normal body weight and often consumed dairy products. There exist gender differences in health habits with metabolic syndrome.

RELEVANCE TO CLINICAL PRACTICE

Although the associated risk factors differed between men and women, controlling body weight and maintaining a healthy lifestyle may reduce the risk of metabolic syndrome.

摘要

目的和目标

研究台湾社区代谢综合征成年患者的性别特定生活方式。

背景

许多研究表明男性和女性的代谢综合征患病率不同;然而,很少有研究调查性别特定的生活方式危险因素,这对于有效降低患病率很重要。

设计

采用横断面研究设计。

方法

在 2012 年至 2015 年期间,在台湾北部共招募了 1066 名个体。通过问卷调查收集数据,并进行描述性统计分析、卡方检验和逻辑回归分析。本研究遵循 STROBE 指南。

结果

男性代谢综合征的患病率为 40.8%,女性为 36.0%。与男性相比,女性饮食习惯更健康,有更高比例的中度至剧烈体力活动,吸烟和肥胖率更低。超重或肥胖的男性缺乏剧烈体力活动,经常摄入过多的盐和脂肪,很少摄入适量的蛋白质,更容易患代谢综合征。代谢不健康的女性往往超重或肥胖,很少摄入乳制品。

结论

体重正常、进行剧烈体力活动、很少摄入过多盐和脂肪且经常摄入适量蛋白质的男性不易患代谢综合征。代谢健康的女性体重正常且经常摄入乳制品。代谢综合征与健康习惯存在性别差异。

临床相关性

尽管男性和女性的相关危险因素不同,但控制体重和保持健康的生活方式可能会降低代谢综合征的风险。

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