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Factors Associated with Impaired Fasting Glucose by Obesity status of Non-diabetic Adults

당뇨병이 없는 성인의 비만 여부에 따른 공복혈당장애 관련 요인

  • Lee, Su-Jeong (School of Public Health, Kyungpook National University) ;
  • Kim, Keon-Yeop (School of Public Health, Kyungpook National University) ;
  • Kim, Myung-Gwan (School of Public Health, Kyungpook National University) ;
  • Nam, Hang-Me (Department of Medical Administration, Taegu Science University) ;
  • Bae, Sang-Geun (Regional Cardiocerebrovascular Center, Kyungpook National University Hospital)
  • 이수정 (경북대학교 보건대학원) ;
  • 김건엽 (경북대학교 보건대학원) ;
  • 김명관 (경북대학교 보건대학원) ;
  • 남행미 (대구과학대학교 의무행정과) ;
  • 배상근 (경북대학교병원 권역심뇌혈관질환센터)
  • Received : 2017.03.06
  • Accepted : 2017.06.09
  • Published : 2017.06.30

Abstract

This study examined the prevalence of an impaired fasting glucose and related factors in normal non-diabetic adults. This study used the raw data (general characteristics, health behavior, obesity, impaired fasting glucose etc.) from the 6th Korea National Health & Nutrition Examination Survey (NHANES) in the second year (2014), and out of all 7,550 survey participants, 1,341 were selected as the final research subjects. After stratifying according to obesity, a logistic regression model was used to analyze the factors related to an impaired fasting glucose level. The older subjects were more likely to have an impaired fasting glucose in both the obesity group and normal weight group (p<.001). The obesity group showed a higher impaired fasting glucose rate when they drank more alcohol (p<.05) and consumed less fruit (p<.05). Therefore, balanced nutrients and control of the blood sugar level through proper education and public health policies of fruit intake and alcohol are needed.

본 연구는 정상 성인을 대상으로 공복혈당 장애 정도와 공복혈당 장애율과 관련된 요인을 파악하여 향후 당뇨병으로 진행하는 것을 예방하는데 도움을 주고자 실시 하였다. 연구 대상은 2014년 국민건강영양조사 자료 대상자인 7,550명 중 당뇨병이 있거나 무응답자를 제외한 20~59세의 당뇨병이 없는 정상 성인 1,341명으로 하였다. 연구 방법은 대상자를 비만군과 정상 체중군으로 나누고, 인구학적 특성(성, 연령, 가구 소득, 교육 수준, 직업 등), 건강행태 특성(음주, 흡연, 걷기, 과일섭취 빈도 등), 비만도 및 공복혈당 장애 정도를 조사하였다. 연구결과 비만군 및 정상 체중군 모두 연령이 높은 경우 공복혈당 장애율이 유의하게 높았다 (p<0.001). 비만군에서는 과일섭취 빈도가 적은 경우와 음주를 많이 하는 경우 공복혈당 장애율이 유의하게 높았다 (p<0.05). 따라서 당뇨병이 없는 성인들의 경우 당뇨병으로 진행하는 것을 예방하기 위해 비만군과 정상 체중군에 따른 접근 전략을 달리해야 하며, 특히 비만 성인을 대상으로 적절한 과일 섭취와 절주를 위한 교육 프로그램과 보건의료 서비스 정책이 필요하다.

Keywords

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