The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Gender Differences in the Association of Socioeconomic Status with Metabolic Syndrome in Middle-Aged Koreans

중년 한국인에서 사회경제적 수준과 대사증후군의 성별에 따른 연관성

  • Kang, Hye-Mi (Department of Internal Medicine, Inje University College of Medicine) ;
  • Kim, Dong-Jun (Department of Internal Medicine, Inje University College of Medicine)
  • 강혜미 (인제대학교 의과대학 일산백병원 내과) ;
  • 김동준 (인제대학교 의과대학 일산백병원 내과)
  • Published : 2012.05.01
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Abstract

Background/Aims: The association of socioeconomic status with metabolic syndrome could differ according to cultural and social background. This study examined the potential influence of gender. Methods: A total of 3,291 middle-aged Korean subjects who participated in the 2005 Korean National Health and Nutrition Examination Survey were included. Socioeconomic status was measured using educational background (no school or graduated elementary school, and graduated middle school, high school, or college). Results: The prevalence of metabolic syndrome was 34.5% in men and 29.8% in women. After adjusting for age, women with more education had a lower prevalence (no school or graduated elementary school, mean ${\pm}$ SEM, 35.5 ${\pm}$ 2.3%; middle school, 37.3 ${\pm}$ 2.4; high school, 26.0 ${\pm}$ 1.8; college, 21.5 ${\pm}$ 2.6; p for trend < 0.001). In contrast, in men, there was no difference in the prevalence of metabolic syndrome according to educational background. This result could not be explained by smoking, alcohol consumption, exercise, or diet. Conclusions: The data suggest that socioeconomic status is closely related to the prevalence of metabolic syndrome in Korean middle-aged women, but not in men.

목적: 대사 증후군과 사회경제적 수준의 관계는 사회 배경과 문화에 따라 달라질 수 있다. 우리는 중년 한국인에서 사회 경제적 수준과 대사 증후군의 관계에 있어 성별의 차이를 알아보고자 하였다. 방법: 2005년 국민건강영양조사에 참여한 3,291명의 중년 성인을 대상으로 하였으며, 사회경제적 수준은 교육 정도에 따라 무학 또는 초졸, 중졸, 고졸, 대졸로 분류하였다. 결과: 남성에서 대사 증후군의 유병률은 34.5%였으며, 여성에서는 29.8%였다. 연령을 보정한 후에 여성에서는 학력이 높을수록 대사 증후군의 유병률이 낮았다(무학 또는 초졸, mean ${\pm}$ SEM, 35.5 ${\pm}$ 2.3%; 중졸, 37.3 ${\pm}$ 2.4; 고졸, 26.0 ${\pm}$ 1.8; 대졸, 21.5 ${\pm}$ 2.6; p for trend < 0.001). 그러나 남성에서는 학력에 따른 대사 증후군의 유병률에 차이가 없었다. 이러한 결과는 흡연, 음주, 운동, 식이로 설명되지 않았다. 결론: 한국 중년 여성에서는 사회경제적 수준과 대사 증후군이 밀접한 연관성을 보였으나, 남성에서는 연관성이 나타나지 않았다.

Keywords

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