Yim Eunshil, Lee Kyounga, Park Ilsu, Lee Sangjin
Department of Nursing, Daegu Health College, 15 Yeongsong-ro, Buk-gu, Daegu 41453, Korea.
Medical Research Collaborating Center, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul 03080, Korea.
Healthcare (Basel). 2020 May 15;8(2):134. doi: 10.3390/healthcare8020134.
This study was conducted to investigate the effect of health-related behavior changes on the prevalence of metabolic syndrome (MetS). This study utilized data from the Korea National Health Examination Survey of adults aged 40 or older who underwent health screening in 2011, 2013, and 2015. The prevalence of MetS was analyzed according to sex, age, income, residence location, and health-related behaviors by conducting multiple logistic regression analysis. For health-related behaviors, smoking, drinking, and physical activity were examined, and changes in health-related behaviors over five years from 2011 to 2015 were included in the analysis. The prevalence of MetS in Korea in 2015 was 31.7%. The prevalence showed statistically significant differences according to sex, age, income, location, and health-related behaviors. The prevalence was higher in men than in women and increased with aging. Regarding income, MetS prevalence was slightly higher in the middle-income groups compared with the lowest or the highest. Regarding location, MetS prevalence was lower in metropolitan areas compared to small- to medium-sized cities and farming/fishery rural areas. Regarding health-related behavior, MetS prevalence increased in the smoking, heavy drinking, and passive activity groups compared with the nonsmoking, moderate drinking, and active activity groups. Regarding health-related behavior change, MetS prevalence was higher by 22% in the short-term nonsmoking group (subjects who smoked in the past but not currently) compared to the continuous nonsmoking group. The risk for MetS also increased by 84.9% in the continuous heavy drinking group compared to the continuous moderate drinking group. Finally, the risk for MetS increased by 30.3% in the continuous passive physical activity group compared to the continuous active physical activity group. This study's findings indicate the importance of maintaining healthy lifestyle habits to prevent MetS. In particular, the focus for change should be concentrated on short-term nonsmoking, continuous heavy drinking, and continuous passive physical activities to improve health-related behaviors.
本研究旨在调查与健康相关的行为变化对代谢综合征（MetS）患病率的影响。本研究使用了2011年、2013年和2015年接受健康筛查的40岁及以上韩国成年人的国民健康检查调查数据。通过进行多因素逻辑回归分析，根据性别、年龄、收入、居住地点和与健康相关的行为分析了MetS的患病率。对于与健康相关的行为，研究了吸烟、饮酒和身体活动情况，并将2011年至2015年五年间与健康相关行为的变化纳入分析。2015年韩国MetS的患病率为31.7%。患病率在性别、年龄、收入、地点和与健康相关的行为方面存在统计学上的显著差异。男性患病率高于女性，且随年龄增长而增加。在收入方面，中等收入群体的MetS患病率略高于最低或最高收入群体。在地点方面，大城市地区的MetS患病率低于中小城市和农业/渔业农村地区。在与健康相关的行为方面，与不吸烟、适度饮酒和积极活动组相比，吸烟、大量饮酒和被动活动组的MetS患病率有所增加。在与健康相关的行为变化方面，与持续不吸烟组相比，短期不吸烟组（过去吸烟但目前不吸烟的受试者）的MetS患病率高22%。与持续适度饮酒组相比，持续大量饮酒组的MetS风险也增加了84.9%。最后，与持续积极身体活动组相比，持续被动身体活动组的MetS风险增加了30.3%。本研究结果表明保持健康生活习惯对预防MetS的重要性。特别是，应将行为改变的重点集中在短期戒烟、持续大量饮酒和持续被动身体活动上，以改善与健康相关的行为。
