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題 名 | 臺中市社區老年人代謝症候群盛行率之調查=Metabolic Syndrome and Its Related Factors among the Elderly in a Taichung Community |
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作 者 | 廖俊正; 廖妙淯; 李孟智; 李祥煒; 陳順天; 陳立民; 陳宣志; 鍾國屏; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷 期 | 6:4 2011.11[民100.11] |
頁 次 | 頁221-231 |
分類號 | 417.792 |
關鍵詞 | 代謝症候群; 盛行率; 身體質量指數; 急性發炎蛋白; 總膽固醇與高密度脂蛋白膽固醇比值; Metabolic syndrome; Prevalence; Body mass index; C-reactive protein; Total-to-HDL cholesterol ratio; |
語 文 | 中文(Chinese) |
中文摘要 | 目的︰代謝症候群是一群與心臟血管疾病相關的危險因子結合,不但會導致糖尿病或心血管疾病的罹病率上升,也會增加全死因之死亡率。而現在國內針對六十五歲以上的老年人代謝症候群的研究雖然慢慢在重視,但針對基層里民至今尚未有具代表性的相關研究。基於上述原因,來探討台中市六十五歲以上老年人代謝症候群之盛行率與其相關因素調查。 方法︰本論文為橫斷式研究,主要為台中市某地區六十五歲 (含) 以上里民代謝症候群調查 (轄下共 39里),共納入研究對象 1,051人 (含男性 589人、女性 462人)。研究中的常態分佈之統計以百分比或平均值±標準差來表示,非常態分佈則是用中位數來呈現。而對於連續性變項的比較則採用 Student’s t-test之統計方法來分析,若為非常態變項則用無母數的 Mann-Whitney U test來分析。最後使用邏輯斯回歸分析檢定一些與代謝症候群相關的因子,看這些因子是否有預測代謝症候群的能力,而所有統計分析的檢定均以 p<0.05當做統計上有意義的參考。 結果︰發現此年齡層代謝症候群的盛行率高達 48.1%,比國內外文獻研究都還高。若以身體質量指數 (BMI) 分組之分析發現,BMI越大,代謝症候群盛行率就越高。研究也發現由性別、BMI等兩個自變項所建立的邏輯式迴歸模型,對於此族群代謝症候群預測正確率是非常之高。此外,含三項因子的代謝症候群結果得知,含有腹部肥胖、血壓偏高及空腹血糖異常的這一族群的人數最多,比例高達 46.2%。 結論︰本研究顯示台中市某地區六十五歲以上老年人代謝症候群之盛行率非常高,政府應更加重視此問題對於老年族群健康危害。 |
英文摘要 | Introduction: Previous studies have identified metabolic syndrome (MetS), which represents a combination of risk determinants, as a risk factor for cardiovascular disease, type 2 diabetes mellitus, and hypertension; it is also associated with increased mortality. Accounting for more than 10% of the total population in Taiwan, older people (aged above 65 years old) are at higher risk of developing MetS. Although the government has been placing greater emphasis on the studies of MetS among the elderly population, no representative studies have yet been conducted with a focus on community-dwelling elderly people in Taichung City. Method: In this cross-sectional study on a total of 1,051 subjects (589 males and 462 females) from a Taichung community that incorporates 39 neighborhoods, data was expressed as the mean with standard deviation and median with inter-quarter range for continuous variables. Student’s t test and Mann-Whitney U test for unpaired data were used for the comparison of mean and median values between MetS group and non-MetS group. Logistic regression was used to examine the related risk factors associated with MetS, the goodness of fit in model was also examined. Results: The prevalence of MetS in our study was 48.1%, obviously higher than the results reported in previous studies conducted both overseas and domestically in Taiwan. The number of the female patients who had MetS was higher than that of their male counterparts. C-reactive protein (CRP) was significantly different between the MetS group and non- MetS group. Logistic regression identified sex and body mass index as major risk factors associated with MetS. Conclusion: The prevalence of MetS was relatively higher among the elderly in the Taichung community, a situation deserving more attention and assistance from the government. |
本系統中英文摘要資訊取自各篇刊載內容。