Department of Healthcare Information and Management, Ming Chuan University, Taoyuan 333, Taiwan.
Int J Environ Res Public Health. 2020 May 12;17(10):3348. doi: 10.3390/ijerph17103348.
A metabolic syndrome (MS) diagnosis was made when the criteria for three or more of five MS components were met. Due to some limitations in the traditional MS criteria, however, different health care societies have sought to develop applicable MS scoring systems instead. Continuous MS scores can be of meaningful value in the prevention, diagnosis, and treatment of MS at different life stages. Relatedly, this study used a database for 27,748 subjects aged 20 to 64 years who received health checks at a health screening institution in Taiwan from 2010 to 2015 to a similar end. Five components of MS (waist circumference, fasting plasma glucose, blood pressure, fasting triglycerides, and high-density lipoprotein) were used to formulate an MS severity score in different gender and age stratums, which was then used to evaluate the risks of various lifestyle habits. Those estimates were then compared with the results for traditional MS diagnosis. The MS severity scores for some behaviors relating to smoking, drinking, physical activity, and sweetened beverage consumption were found to have changed from 0.03 to 0.2; however, a logistic regression analysis with dichotomous diagnosis did not indicate significant links between these behaviors and MS. The models established by the MS severity scores can identify the risk factors for MS in a more sensitive manner than the traditional MS diagnosis can, especially with respect to specific lifestyle habits. MS severity score can serve as an indicator to explore the potential risk factors for subclinical conditions in the early stages of MS.
代谢综合征（MS）的诊断标准为符合五项 MS 成分中的三项或以上。然而，由于传统 MS 标准存在一些局限性，不同的医疗保健协会一直在寻求开发适用的 MS 评分系统。连续的 MS 评分在不同生命阶段的 MS 预防、诊断和治疗中有重要价值。相关地，本研究使用了一个数据库，其中包含了 27748 名年龄在 20 至 64 岁之间的个体，他们在 2010 年至 2015 年期间在台湾的一家健康筛查机构接受了健康检查，以达到类似的目的。MS 的五个成分（腰围、空腹血糖、血压、空腹甘油三酯和高密度脂蛋白）用于制定不同性别和年龄分层的 MS 严重程度评分，然后用于评估各种生活方式习惯的风险。然后将这些估计值与传统 MS 诊断的结果进行比较。发现一些与吸烟、饮酒、身体活动和含糖饮料消费有关的行为的 MS 严重程度评分从 0.03 到 0.2 发生了变化；然而，对二项诊断的逻辑回归分析表明，这些行为与 MS 之间没有显著联系。MS 严重程度评分建立的模型可以比传统 MS 诊断更敏感地识别 MS 的危险因素，尤其是对于特定的生活方式习惯。MS 严重程度评分可以作为一种指标，探索 MS 早期亚临床状况的潜在危险因素。
