Journal List > J Korean Acad Community Health Nurs > v.24(2) > 1058305

Kim: Prevalence of the Metabolic Syndrome and Its associated Factors among Elders in a Rural Community

Abstract

Purpose

The purpose of this study is to identify the prevalence of the metabolic syndrome (MS) and factors associated with it among elders in a rural community.

Methods

Data were collected from 683 subjects with a questionnaire, physical measurement, and blood test. The prevalence of the MS was determined by AHA/NHLBI and waist circumference cutoff points for Koreans.

Results

The prevalence of the MS was 50.5% in total (41.6% in men, 56.3% in women) while the prevalence of 5 metabolic risk factors was 67.7% for elevated blood pressure, 51.0% for low HDL-cholesterol, and 50.2% for abdominal obesity. Risk factors associated with the prevalence of the MS included family history, BMI, and physical activity; significant factors associated with that of metabolic components included family history, BMI, smoking, drinking, and physical activity. Especially, a higher BMI was a strong risk factor of the prevalence of abdominal obesity as well as the MS and its components.

Conclusion

The findings indicate that nurses should care for elders based on each metabolic component regarding its prevalence level and concentrate primarily on reducing elevated blood pressure, low HDL-cholesterol by controlling the main risk factor, abdominal obesity through lifestyle modification.

Figures and Tables

Table 1
Prevalence of Each Risk Factor of Metabolic Syndrome and Clustering of Risk Factors of Metabolic Syndrome
jkachn-24-225-i001

High-density lipoprotein cholesterol.

Table 2
Difference of the Prevalence of Metabolic Syndrome by Demographic and Lifestyle Factors (N=683)
jkachn-24-225-i002

No answer excluded; Family history was defined as the presence of hypertension, diabetes, and cardiovascular disease.

Table 3
Difference of the Prevalence of Each Metabolic Risk Factor by Demographic and Lifestyle Factors (N=683)
jkachn-24-225-i003

HDL-C=high-density lipoprotein cholesterol.

Table 4
Factors Associated with Prevalence Risk of Metabolic Syndrome and Metabolic Risk Factors
jkachn-24-225-i004

OR=odds ratio; CI=confidence interval; HDL-C=high-density lipoprotein cholesterol.

*p<.05; **p<.01; ***p<.001.

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