七十歲以上老年人新陳代謝症候群的相關指標及盛行狀況—健檢資料分析

Health Examination Report of the Elderly (older than 70 years old)-Analyzing Related Markers of Metabolic Syndrome and Their Prevalent Condition

10.7023/TJFM.200412.0184

謝俊德(Chun-Der Hsieh)；林雅芬(Ya-Fen Ling)；陳民虹(Min-Hong Chen)；楊日昇(Jin-Sheng Yang)

Elderly ； metabolics syndrome ； prevalence

台灣家庭醫學雜誌

14卷4期（2004 / 12 / 01）

184 - 192

繁體中文

新陳代謝症候群是心血管疾病的危險因子。本研究取90年4月至11月間，參加台中市某區域教學醫院70歲以上老人免費健康檢查，共598位老人為研究對象，因此項健康檢查不包括腰圍及高密度脂蛋白膽固醇，故本研究改以身體質量指數及總膽固醇取代，將身體質量指數大於子於24.2，總膽固醇超過200 mg/dL歸為異常，另外三酸甘油酯、血壓及空腹血糖三項指標的診斷標準則與ATPⅢ定義相同；因本研究的五項指標與新陳代謝症候群ATPⅢ診斷指標不完全相同，故改稱為新陳代謝症候群相關指標。分析的結果顯示男性有三種或三種以上新陳代謝症候群相關指標異常共73人(l9.3%) ，女性有三種或三種以上新陳代謝症候群相關指標異常共63人(28.6%)。統計檢定的結果指出性別與三酸甘油酯、有三種或三種以上新陳代謝症候群相關指標異常皆達到統計上的顯著差異；而身體質量指數屬過重及肥胖之老年人佔總數之41.7%，且與有三種或三種以上新陳代謝症候群相關指標異常呈顯著相關。

Metabolic syndrome is one of the risk factors of cardiovascular diseases. We defined body mass index, systolic and diastolic blood pressure, fasting glucose, total cholesterol and triglyceride concentrations as the five metabolic syndrome related markers. Our study aimed to evaluate the prevalent condition of metabolic syndrome related markers in a Taichung elderly group of 70 years old and older. We collected data on 378 males and 220 females who attended the free health examination supported by the Bureau of National Health Insurance in one of the regional teaching hospitals between April 2001 and September 2001. 19.3% males and 28.6% females were noted to have three or more metabolic syndrome related markers. There was significant difference in the prevalence of abnormal total cholesterol, abnormal triglyceride and having three or more metabolic syndrome related markers between male and female groups. 41.7% patients were overweight (20.6%) and obese (21.1%), and they had a significantly higher percentage of three or more metabolic syndrome related markers than non-overweight group.

1. (2001).Executive summary of the third report of the National Cholesterol Education Program Panel on detection, Evaluation, and Treatment of High Blood Cholesterol in adults (Adult Treatment Panel 111).JAMA,285,2486-2496.
2. Ford ES,Giles WH,Dietz WH(2002).Prevalence of the metabolic syndrome among US adults.JAMA,287,356-359.
3. Friendlander JS,Rhoads JG(1982).Patterns of adult weight and fat change in six solomon islands societies: a semi-longitudinal study.Soc Sci Med,15,205-215.
4. Isomaa B,Almgren P,Tuomi T(2001).Cardiovascular morbidity and mortality associated with the metabolic syndrome.Diabetes Care,24,683-689.
5. Lakka HM,Laaksonen DE,Lakka TA(2002).The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men.JAMA,288,2709-2716.
6. Maison P,Day NE,Byrne CD(2001).Do different dimensions of the metabolic syndrome change together over time?.Diabetes Care,24,1758-1763.
7. National Diabetes Data Group,Harris M (ed.)(1995).Diabetes in America.Bethesda, Md., National Institutes of Health.
8. Olsson AG,Kaijser L,Waildium G(1979).Risk factor for ischaemic heart disease, with emphasis on nutrition and exercise.Bibl Nutr Dicta,27,18-24.
9. Ota T,Takamura T,Hirai N(2002).Preobesity in world health organization classification involves the metabolic syndrome in Japanese.Diabetes Care,25,1252-1253.
10. Park YW,Zhu S,Palaniappan L(2003).The metabolic syndrome.Arch Inter Med,163,427-436.
11. Reusch Jane EB(2002).Current concepts in insulin resistance, type 2 diabetes mellitus, and the metabolic syndrnme.Am J Cardiol,90,19-26.
12. Siscovick DS,Laporte RE,Newman JM(1985).The disease-specific benefits and risks of physical activity and exercise.Public Health Rep,100,180-188.
13. Whelton PK(1994).Epidemiology of hypertension.Lancet,344,101-106.
14. 行政院內政部統計處(2000)。臺閩地區老人狀況調查。台北:行政院內政部。
15. 李源德、蘇大成、陳佩容(1995)。別怕膽固醇。台北:聯經出版社。
16. 邱敔潤、李淑婷(1998)。高雄市四十歲以上民眾中老年病防治概況調查。高雄醫學大學護理系。
17. 唐億淨、李孟智、王玉潯(1999)。老年人自覺健康狀態及其影響因素。台灣家醫誌，9，31-42。
18. 張娟娟(1993)。博士論文(博士論文)。國立台灣大學公共衛生學研究所。
19. 張薰文、李源德、林瑞雄(1999)。活動量與高血壓及高血脂症的相關探討－金山成年居民的研究。台灣衛誌，18，413-422。
20. 傅振宗、陳仲達、陳鵬升(2002)。第二型糖尿病患之成年子女的冠心症危險因子與其父母親疾病史的相關性。慈濟醫學，14，7-12。
21. 葉宏明、戴芳梓、顏裕庭(2001)。老年人的糖尿病。台灣醫界，44(3)，27-28。

1. 蔡崇煌、黃素雲、林高德(2006)。代謝症候群與其相關因子之研究—健檢資料分析。臺灣家庭醫學雜誌，16(2)，112-122。
2. 鍾雨純、陳竑廷、吳慧君、江界山(2012)。身體質量指數與代謝症候群指標關係之性別差異研究。運動生理暨體能學報，15，39-47。
3. (2009)。高齡化及少子女化衝擊下的健康照護。社區發展季刊，125，75-90。