Wolchon Elementary School, Seoul 07980, Korea.
Department of Statistics and Data Science, Yonsei University, Seoul 03722, Korea.
Int J Environ Res Public Health. 2021 Apr 1;18(7):3699. doi: 10.3390/ijerph18073699.
This study examined gender differences in health behaviors for the risk of metabolic syndrome (MetS) among middle-aged adults using nationally representative data from the Seventh Korea National Health and Nutrition Examination Survey (2016-2018). The sample included data from 8677 middle-aged adults. The Health Practice Index measured health behaviors, including smoking, alcohol use, physical activity, sleeping, eating breakfast, working hours, nutritionally balanced diet, and mental stress. Complex sample multiple logistic regression analyses were conducted to determine the association between the Health Practice Index (HPI) and MetS. Men and women with poor or moderate HPI scores had significantly higher risks of having MetS than those with good HPI scores. Controlling for covariates, high-risk alcohol use ( < 0.001) and physical activity ( = 0.008) were associated with the risk of MetS in men and women, respectively. Men reporting alcohol use and women lacking a healthy diet were, respectively, 2.056 times (adjusted odds ratio (OR) = 2.056, 95% CI: 1.681-2.514) and 1.306 times (adjusted OR = 1.306, 95% CI: 1.075-1.587) more likely to have increased risks of MetS. Given these gender differences in health behaviors, developing tailored interventions could be beneficial in preventing MetS among middle-aged men and women.
本研究使用 2016-2018 年第七次韩国国家健康和营养检查调查的全国代表性数据，考察了中年人群健康行为的性别差异与代谢综合征（MetS）风险的关系。样本包括 8677 名中年成年人的数据。健康行为指数衡量了健康行为，包括吸烟、饮酒、体育活动、睡眠、吃早餐、工作时间、营养均衡饮食和精神压力。采用复杂样本多逻辑回归分析，确定健康行为指数（HPI）与 MetS 之间的关联。HPI 得分差或中等的男性和女性患 MetS 的风险明显高于 HPI 得分好的男性和女性。控制协变量后，高风险饮酒（<0.001）和体力活动（=0.008）分别与男性和女性患 MetS 的风险相关。报告饮酒的男性和缺乏健康饮食的女性分别患 MetS 的风险增加 2.056 倍（调整后的优势比（OR）=2.056，95%置信区间（CI）：1.681-2.514）和 1.306 倍（调整后的 OR=1.306，95% CI：1.075-1.587）。鉴于这些健康行为的性别差异，制定有针对性的干预措施可能有益于预防中年男性和女性的 MetS。
