대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지

농촌지역 대사증후군 위험집단의 질병에 대한 지식, 인지도 및 생활습관 관련 건강 행위

Knowledge, Perception and Health Behavior about Metabolic Syndrome for an at Risk Group in a Rural Community Area

  • 오의금 (연세대학교 간호대학, 간호정책연구소) ;
  • 방소연 (혜천대학 간호과) ;
  • 현사생 (연세대학교 대학원 간호학과) ;
  • 추상희 (연세대학교 간호대학, 간호정책연구소) ;
  • 전용관 (연세대학교 교육과학대학) ;
  • 강명숙 (국군사관학교)
  • 발행 : 2007.08.31
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초록

Purpose: This study was to identify knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area. Methods: A descriptive cross-sectional survey design was used. A total of 575 adults with hypertension, diabetes mellitus, dyslipidemia, and/or abdominal obesity were recruited from 11 rural community health care centers. A questionnaire was developed for this study. Anthropometric measures were measured and blood data was reviewed from the health record. Results: Knowledge about the metabolic syndrome was low as evidenced by only a 47% correct answer rate. Only 9% of the subjects ever heard about the disease, and 87% answered they do not know the disease at all. 87% of the subjects were not performing regular exercise, 31% drank alcohol more than once a month, 12.5% were current smokers, and 33.6% are did not have a regular health check-up. Conclusion: Development of systematic public health care programs are needed to prevent future increases in cardiovascular complications and to decrease health care costs. These might include educational programs for the primary health care provider and an at risk group, a therapeutic lifestyle modification program, and a health screening program to identify potential groups.

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참고문헌

  1. Aldana, S. G., Greenlaw, R. L., Diel, H. A., Salberg, A., Merrill, R. M., Ohmine, S., & Thomas, C. (2006). The behavioral and clinical effects of therapeutic lifestyle change on middle-aged adults. Prev Chronic Dis, 3(1), 1-16
  2. Conus, F., Allison, D. B., Rabasa-Lhoret, R., St-Onge, M., St-Pierre, D. H., Tremblay-Lebeau, A., & Poehlman, E. T. (2004). Metabolic and behavioral characteristics of metabolically obese but normal-weight women. J Clin Endocrinol Metab, 89, 5013-5020 https://doi.org/10.1210/jc.2004-0265
  3. Editorial department (2007). New-Korean dictionary. Seoul: Dusan Dong-A
  4. Ford, E. S. (2005). Prevalence of metabolic syndrome defined by the International Diabetes Federation among adults in the US. Diabetes Care, 28(11), 2745-2749 https://doi.org/10.2337/diacare.28.11.2745
  5. Ford, E. S., Giles, W. H., & Dietz, W. H. (2002). Prevalence of metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. American J Medicine, 287(3), 356-359
  6. Godsland, I. F., Leyva, F., Walton, C., Worthington, M., & Stevenson, J. C. (1998). Associations of smoking, alcohol and physical activity with risk factors for coronary heart disease and diabetes in the first follow-up cohort of the Heart Disease and Diabetes Risk Indicators in a Screened Cohort Study (HDDRIDSC-1). J Intern Med, 244, 33-41 https://doi.org/10.1046/j.1365-2796.1998.00312.x
  7. Hales, C. N., & Ozanne, S. E. (2003). For debate: fetal and early post natal growth restriction lead to diabetes, metabolic syndrome, and renal failure. Diabetologia, 46, 1013-1019 https://doi.org/10.1007/s00125-003-1131-7
  8. Jung, C. H., Park, J. S., Lee, W. Y., & Kim, S. W. (2002). Effects of smoking, alcohol, exercise, level of education, and family history on the metabolic syndrome in Korean adults. Korean J Intern Med, 63(6), 649-659
  9. Kim, E. S., Han, S. M., Kim, Y. I., Song, K. H., Kim, M. S., Kim, W. B., Park, Y. J., & Lee, K. U. (2004). Prevalence and clinical characteristics of metabolic syndrome in a rural population of south Korea. Diabet Med, 21, 1141-1143 https://doi.org/10.1111/j.1464-5491.2004.01398.x
  10. Kim, T. U. (2005). Effect of lifestyle change programs adoption on metabolic syndrome related factors and adiponectin in obese adolescent girls. Korean J Exer Nutr, 9(3), 281-289
  11. Korea Institute for Health and Social Affairs. (KIHASA, 2005). The Korean National Health and Nutrition Examination Survey. Retrieved May 13, 2007, from Korea Institute for Health and Social Affairs web site: http://www.kihasa.re.kr
  12. Korea National Statistics Office. (KNSO, 2006). Annual report on the cause of death statistics. Retrieved May 14, 2007, from the Korea National Statistics Office Web site: http://www.nso.or.kr
  13. Lim, S., Jang, H. C., Lee, H. K., Kim, K. C., Park, C., & Cho, N. H. (2006). A rural-urban comparison of the characteristics of the metabolic syndrome by gender in Korea: the Korea Health and Genome Study (KHGS). J Endocrinol Invest, 29(4), 313-319 https://doi.org/10.1007/BF03344102
  14. Lim, S., Park, K. S., Lee, H. K., & Cho, S. I. (2005). Korean National Health and Nutrition Examination Surveys: changes in the characteristics of metabolic syndrome in Korea over the period 1988-2001 as determined by Korean National Health and Nutrition Examination Survey. Diabetes Care, 28(7), 1810-1812 https://doi.org/10.2337/diacare.28.7.1810
  15. Ministry of Health Welfare. (MOHW, 2006). The guideline of major chronic disease management. Retrieved May 14, 2007, from the Ministry of Health Welfare Web site: http://www.mohw.go.kr
  16. National Institutes of Health (NIH): third report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation, and Treatment of high blood cholesterol in adults (NCEP-A TP III, 2001). Executive summary. Bethesda, Md: National Institute of Helath, National Heart, Lung, Blood Institute, (NIH Publication no. 01-3670)
  17. Orchard, T. J., Temprosa, M., Goldberg, R., Haffrner, R., Ratner, R., Marcovina, S., & Fowler, S. Diabetes Prevention program Research Group. (2005). The effect of Metformin and intensive lifestyle intervention on the metabolic syndrome: the diabetes prevention program randomised trial. Ann Intern Med, 142,611-619 https://doi.org/10.7326/0003-4819-142-8-200504190-00009
  18. Park, H. S., Shin, H. C., Kim, B. S., Lee, G. Y., Choi, H. S., Shin, J. A., Nam, Y. D., Bae, S. P., & Chon, K. S. (2003). Prevalence of associated factors of metabolic syndrome among adults in primary care. J Korean Soc for Study of Obesity, 12(2), 108-123
  19. Park, S. H., Lee, W. Y., & Kim, S. W. (2003). The relative risk of the metabolic syndrome defined by adult treatment pannel 3 according to insulin resistance in Korean population. Korean J Intern Med, 64(5), 552-560
  20. Park, H. S., Oh, S. W., Kang, J. H., Park, Y. W., Choi, J. M., Kim, Y. S., Choi, W. H., Yu, H. J., & Kim, Y. S. (2003). Prevalence and associated factors with metabolic syndrome in the South Korea from the Korean National Health and Nutrition Examination Survey, 1998. J Korean Society for Study of Obesity, 12(1), 1-14
  21. Smith, S. C., & Halsam, D. (2007). Multiple risk factors for cardiovascular disease and diabetes mellitus. Am J Med, 120(S Supple 1), S3-S11
  22. Son, K. P., Chae, Y. J., Lee, T. Y., Jeong, I. K., Hur, M. N., Jo, G. Y., Lee, Y., Lee, S. J., Park, C. Y., Oh, K. W., Hong, E. K., & Kim, H. K. (2004). The influence of metabolic syndrome on the intima-medial thickness and cardiocascular factors in type 2 diabetes. Diabetes, 28(5), 1-15 https://doi.org/10.2337/diabetes.28.1.1
  23. Suillivan, V. K. (2006). Prevention and tratment of the Metabolic Syndrome with Lifestyle Intervention: Where do we start? J Am Diet Assoc, 106(5), 668-670 https://doi.org/10.1016/j.jada.2006.03.027
  24. Trevisan, M., Liu, J., Bahsas, F. B., & Menotti, A. (1998). Syndrome X and mortality: A population-based study. Risk factor and life expectancy research group. Am J Epidemiol, 148(l0), 958-966 https://doi.org/10.1093/oxfordjournals.aje.a009572
  25. Wannamethee, S. G., Shaper, A. G., & Whincup, P. H. (2006). Modifiable Lifestyle Factors and the Metabolic Syndrome in Older Men: Effects on Lifestyle Changes. J Am Geriatr Soc, 54, 1909-1914 https://doi.org/10.1111/j.1532-5415.2006.00974.x
  26. Washburn, R. A., Smith, K. W., Jette, A. M., & Janney, C. A. (1993). The physical activity scale for the elderly (PASE): development and evaluation. J Clin Epidemiol, 46, 153-162 https://doi.org/10.1016/0895-4356(93)90053-4
  27. WHO Western Pacific Region (2000). International Association fir the Study of Obesity Task Force, The Asia-Pacific Perspective: Redefining Obesity and its treatment, Health Communications Australia, Sydney, Australia, 15-21
  28. Wilson, P. W., D'Agostino, R. B., Parise, H., Sullivan, L., & Meigs, J. B. (2005). Metabolic syndrome as a precusor of cardiovascular disease and type 2 diabetes mellitus. Circulation, 112(20), 3066-3072 https://doi.org/10.1161/CIRCULATIONAHA.105.539528
  29. Yoon, Y. S., Lee, E. S., Park, S., Lee, S., & Oh, S. W. (2007). The new definition of metabolic syndrome by the international diabetes federation is less likely to identify metabolically abnormal but non-obese individuals than the definition by the revised national cholesterol education program: the Korea NHANES study. Int J Obes, 31(3), 528-534 https://doi.org/10.1038/sj.ijo.0803442
  30. Yun, A. S., Kang, I. L., & Min, H. S. (2005). The effects of a combined aerobic and resistence training program on leptin, adiponectin and metabolic syndrome factors in obese women. Exer Sci, 14(4), 569-582
  31. Zhu, S., St-Onge, M. P., Heshka, S., & Heymsfield, S. B. (2004). Lifestyle Behaviors associated with low risk of having the Metabolic Syndrome. Metabolism, 53(11), 1503-1511 https://doi.org/10.1016/j.metabol.2004.04.017