The Duration of Common Indoor Pollutant Exposure Is Associated with Metabolic Syndrome in Taiwanese Population

台灣族群常見室內污染物的暴露與代謝症候群之相關性

10.53106/168232812021123104004

吳映萱(Ying-Hsuan Wu)；莊昀璇(Yun-Shiuan Chuang)；杜鴻賓(Hung-Pin Tu)；吳明蒼(Ming-Tsang Wu)；李純瑩(Chun-Ying Lee)

essence ； incense ； indoor air pollutants ； metabolic syndrome ； mosquito-repellent coil burning ； 香精 ； 燒香 ； 室內污染 ； 代謝症候群 ； 蚊香

台灣家庭醫學雜誌

31卷4期（2021 / 12 / 01）

280 - 293

英文

Purpose: This study aimed to investigate the association between the exposure time to indoor air pollutants and metabolic syndrome (MetS) in the Taiwanese population. Methods: A cross-sectional survey was conducted in a sample of 5,000 participants recruited from the Taiwan Biobank between December 2008 and May 2014. The exposed group's characteristics were the following: regularly burned incense, burned at-home mosquito-repellent coil, or were exposed to essence for at least 5 minutes. This group was further divided into two categories: shorter exposure duration (exposure time ＜6 hours per week) group and longer exposure duration (exposure time ≥6 hours per week) group. Multiple logistic regression was used to investigate the relationship between the duration of indoor air pollutants exposure and MetS. Results: In multiple logistic regression analysis, on comparison to the non-exposed group after adjusting the confounding variables, we found that the prevalence of MetS was higher in the longer exposure time group (adjusted odd ratio [aOR] 1.47, 95% CI 1.06-2.04, p=0.019). Regarding the components of MetS, we observed a positive association between the longer exposure time group and hypertriglyceridemia (aOR 1.37, 95% CI 1.03-1.82, p=0.032). Conclusion: In summary, those exposed to indoor air pollutants, including regular incense burning, at-home mosquito-repellent coil burning, and/or essence use for ≥6 hours per week had an increased risk of MetS in the studied population.

目的：近來研究指出，室外環境汙染與代謝症候群具正相關性。然而，對於室內汙染與代謝症候群的相關探討仍較少。故本研究旨在探討常見室內汙染物（燒香、蚊香、香精）與代謝症候群之相關性。方法：本橫斷研究之樣本來自臺灣人體生物資料庫，由2008－2014年，年齡介於30至75歲共5,000位民眾組成。透過問卷的方式收集基本人口學資料及暴露室內汙染物的時間，理學檢查量測身高、體重、腰圍、血壓及抽血檢驗空腹血糖、高密度膽固醇及三酸甘油酯。將暴露族群分為短暴露組（暴露時間未達每週6小時）及長暴露組（暴露時間為每週6小時以上）。以Stata v.16.0進行多變項邏輯迴歸檢定。結果：在本研究中，共1,004受試者屬於暴露組，其中733位為短暴露組，271位為長暴露組。與未暴露組相比，暴露組較年輕，較高比例為女性、吸菸者、二手菸的暴露，有較差的飲食習慣且沒有規律運動的習慣；共1,043位受試者具代謝症候群（盛行率：20.86%），在控制相關變項後，長暴露組與未暴露組相比，有較高代謝症候群的風險（aOR 1.47, 95%CI 1.06-2.04）。進一步分析代謝症候群的五項指標，在控制相關變項後，長暴露組與未暴露組相比，有較高的高三酸甘油酯風險（aOR 1.37, 95% CI 1.03-1.82），而短暴露組與未暴露組相比，在代謝症候群及高三酸甘油酯的風險，均未達到統計上顯著差異。結論：本研究顯示暴露於常見室內汙染物每週達6小時以上，與代謝症候群呈現正相關性。

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