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Psychosocial Factors Associated with Metabolic Syndrome among Korean Men and Women Aged over 40 Years

40세 이상 성인 남녀의 대사증후군 관련 심리사회적 요인

  • Ra, Jin Suk (College of Nursing, Chungnam National University) ;
  • Kim, Hye Sun (College of Nursing, Chungnam National University)
  • Received : 2018.10.30
  • Accepted : 2019.02.07
  • Published : 2019.04.29

Abstract

Objectives: This study identified biopsychosocial factors associated with metabolic syndrome among Korean men and women aged over 40 years. Methods: Secondary data from the 2010-2016 Korean National Health and Nutrition Examination Survey were used for this study. Based on the biopsychosocial model, psychosocial factors (stress, depression, smoking, binge alcohol consumption, physical activity) were assessed with control of biomedical (age, body mass index, family history of hypertension, dyslipidemia, type 2 diabetes mellitus, and cardiovascular disease) and biosocial factors (educational level and economic status). Data from 8,624 men and 7,321 women were analyzed by logistic regression analysis using a complex sample procedure. Results: Among men, current or past smoking habits (Adjusted Odds Ratio [AOR]: 1.349; 95% Confidence Interval [CI]: 1.155-1.575, p<.001) and binge alcohol consumption (AOR: 1.570, CI: 1.389-1.774, p<.001) were associated with metabolic syndrome. In addition, moderate (AOR: 1.205, CI: 1.038-1.400, p=.014) and low levels of physical activity (AOR: 1.296, CI: 1.109-1.514, p=.001) were associated with metabolic syndrome. Among women, low level of physical activity (AOR: 1.276, CI: 1.017-1.602, p=.036) was associated with metabolic syndrome. Conclusion: Gender specific interventions such as encouraging physical activity and prevention of smoking and excessive alcohol drinking are important to prevention of metabolic syndrome.

Keywords

Table 1. Biomedical, Biosocial, and Psychosocial Factors in Participants

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Table 3. Psychosocial Factors Associated with Metabolic Syndrome among the Middle Aged Men (N=15,945)

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Table 4. Psychosocial Factors Associated with Metabolic Syndrome among the Middle Aged Women (N=15,945)

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Table 2. Difference in Metabolic Development According to Biomedical, Biosocial, and Psychosocial Factors of Middle Aged Men and Women

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