Prevalence of Obesity and Self-rated Health among Korean Adults with Metabolic Syndrome using Complex Samples Analysis

복합표본분석을 활용한 한국성인 대사증후군 환자들의 비만과 주관적 건강인식

Purposes: This study aimed to investigate the differences in the prevalence of obesity according to sex and age and self-rated health in adults with metabolic syndrome according to sex, age, and the presence or absence of metabolic syndrome. Methods: The study subjects were 5,674 adults, who completed all three components of the KNHANES VI-2. The subjects were categorized, using life transition periods, into young adults, middle-aged adults, and older adults. Research methods were selected based on the research objectives of the KNHANES VI-2. IBM SPSS 23.0 was used for complex samples cross-tabulation and a complex samples general linear model analysis. Results: Obesity was prevalent in 77.2% of young male adults, 66.2% of middle-aged male, and 52.3% of older male adults with metabolic syndrome, whereas it was prevalent in 72.4% of young female adults, 73.9% of middle-aged female adults, and 64.6% of older female adults with metabolic syndrome. Men had higher self-rated health than women. As age increased, self-rated health status decreased. Those with metabolic syndrome had lower self-rated health status than those without metabolic syndrome. Conclusion: The prevalence of obesity was found to be high in those with metabolic syndrome. This study found that based on sex, men had the highest self-rated health status, and based on age, young adults had the highest self-rated health status, whereas those with metabolic syndrome had low self-rated health status.

본 연구의 목적은 대사증후군을 가진 사람의 성별, 연령에 따른 비만과 성별과 연령, 대사증후군 유무에 따른 주관적 건강인식의 차이를 확인하는 것이다. 국민건강영양조사(NHANES VI-2)의 건강설문조사에 응답한 5,674명의 자료를 이용하여 대사증후군 판정을 하였으며, IBM SPSS STATISTICS 23.0의 복합표본 교차분석과 복합표본 일반선형모형분석을 사용하여 분석하였다. 대사증후군이 있는 경우에 높은 비율로 비만 유병률이 나타났다. 대사증후군을 가진 남성에서는 청장년(19~39세)이 77.2%의 비율로 가장 높은 비만 유병률을 나타냈고, 대사증후군을 가진 여성에서는 중년(40~65세)이 73.9% 비율로 가장 높은 비만 유병률을 나타냈다. 주관적 건강인식은 성별에서는 남성, 연령별로는 3개의 그룹 중 청장년이 가장 높았고, 대사증후군 유무로는 대사증후군을 가진 집단이 주관적 건강인지 정도가 낮은 것을 확인하였다. 추가적으로 사망률이 높게 나타나고 있는 다양한 질환과 주관적 건강인식의 관계에 관한 연구를 살펴볼 필요가 있다.