The Effects of Lifestyle Factors on Metabolic Syndrome among Korean Adults

Mee Young Im; Young-Ran Lee; Suk Jung Han; Chung-Min Cho

doi:10.12799/jkachn.2012.23.1.13

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Im, Lee, Han, and Cho: The Effects of Lifestyle Factors on Metabolic Syndrome among Korean Adults

Original Article

Journal of Korean Academy of Community Health Nursing

Journal of Korean Academy of Community Health Nursing 2012; 23(1): 13-21.

Published online: 31 March 2012

DOI: https://doi.org/10.12799/jkachn.2012.23.1.13

The Effects of Lifestyle Factors on Metabolic Syndrome among Korean Adults

Mee Young Im¹, Young-Ran Lee², Suk Jung Han³, Chung-Min Cho⁴

¹Associate Professor, Department of Nursing, Seoil College, Seoul, Korea.

²Associate Professor, Department of Nursing, Seoul Women's College of Nursing, Seoul, Korea.

³Associate Professor, Department of Nursing, Samyook University, Seoul, Korea.

⁴Professor, Department of Nursing, Sungshin Women's University, Seoul, Korea.

Corresponding author: Im, Mee Young. Department of Nursing, Seoil College, 22 Seoildaehak-gil, Jungnang-gu, Seoul 131-702, Korea. Tel: +82-2-490-7512, 7517, Fax: +82-2-490-7225, imlydia@hanmail.net

Received 10 February 2012 Revised 21 March 2012 Accepted 21 March 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

The purpose of this study was to estimate the effects of lifestyle factors on metabolic syndrome (MS) among Korean adults (age≥20).

Methods

A total of 7,798 subjects (weighted subjects=37,215,961) were recruited from the 2009 Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-3). Data were analyzed by t-test, χ²-test, and logistic regression in consideration of strata, cluster and weight as national data using the SAS 9.1 program.

Results

The prevalence of MS by definition of AHA/NHLBI and waist circumference cutoff points for Koreans was 22.4%. The mean clinical MS score for MS patients was 3.4, but the mean score for the non-MS group was 1.2 out of 5.0. Among the lifestyle factors, smoking (OR=1.024), stress (0.546≤OR≤0.587) and drinking (OR=1.005) had significant influence on the MS risk and MS scores, but exercise did not.

Conclusion

The results of this study indicate that further research is necessary on the effect of lifestyle factors on MS risk and nurses should focus on effective programs about smoking, stress and drinking for the prevention and reduction of MS risk.

Keywords: Metabolic syndrome X, Life style, Prevalence, Smoking, Alcohol drinking

Figures and Tables

Table 1

Comparison of Demographic Characteristics between MS and Non-MS Groups (N=7,798, wN=37,215,961)

Note. Missing cases are excepted.

MS=metabolic syndrome, Non-MS: Non-metabolic syndrome; wN=weighted sum of observations is based on 2005' estimated population by Statistics Korea; wSD=weighted standard deviation due to national wide data analysis.

Table 2

Comparison of Metabolic Syndrome Clinical Determinants between MS and Non-MS Groups (N=7,798, wN=37,215,961)

Note. Missing cases are excepted.

Table 3

Comparison of Lifestyle Factors between MS and Non-MS Groups (N=7,798, wN=37,215,961)

Note. Missing cases are excepted.

Table 4

Logistic regression model of Lifestyle Risk Factors (N=7,798, wN=37,215,961)

Note. Missing cases are excepted; Logistic regression model fit statistics (Wald χ²=207.75, DF=6, p<.001).

wN=weighted sum of observations is based on 2005' estimated population by Statistics Korea; SE=standard error; OR=odds ratio; CI=confidence interval.

Notes

The present research has been conducted by the Research Grant of Seoil University in 2010.

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