Browse > Article
http://dx.doi.org/10.5932/JKPHN.2019.33.1.20

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

Ra, Jin Suk (College of Nursing, Chungnam National University)
Kim, Hye Sun (College of Nursing, Chungnam National University)
Publication Information
Journal of Korean Public Health Nursing / v.33, no.1, 2019 , pp. 20-32 More about this Journal
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
Metabolic syndrome X; Motor activity; Smoking; Ethanol;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Hattori, T., Konno, S., & Munakata, M. (2017). Gender differences in lifestyle factors associated with metabolic syndrome and preliminary metabolic syndrome in the general population: the Watari study. Internal Medicine, 56(17), 2253-2259. https://doi.org/10.2169/internalmedicine.8578-16   DOI
2 Hoffman, M. A., & Driscoll, J. M. (2000). Health promotion and disease prevention: A concentric biopsychosocial model of health status. In S. D. Brown & R. W. Lent(Eds.), Handbook of counseling psychology(pp. 532-570). New York: John Wiley & Sons, Inc.
3 International Physical Activity Questionnaire Research Committee. (2005, November). Guidelines for the data processing and analysis of the International Physical Activity Questionnaire. Retrieved May 23, 2018. from https://sites.google.com/site/theipaq/scoring-protocol
4 Jang, J. E., & Koh, E. H. (2012). The impacts of alcohol consumption on glucose metabolism. The Journal of Korean Diabetes, 13(2), 81-84. https://doi.org/10.4093/jkd.2012.13.2.81   DOI
5 Jeoung, B. J., & Shin, C. (2005). Relationship between physical activity, obesity and metabolic syndrome. Journal of Korean Physical Education Association for Girls and Women, 19(5), 45-53.
6 Kelley, G. A., & Kelley, K. S. (2006). Effects of aerobic exercise on C-reactive protein, body composition, and maximum oxygen consumption in adults: a meta-analysis of randomized controlled trials. Metabolism, 55(11), 1500-1507. https://doi.org/10.1016/j.metabol.2006.06.021   DOI
7 Kim, M. K., Lee, W. Y., Kang, J. H., Kang, J. H., Kim, B. T., Kim, S. M., ... & Lee, K. Y. (2014). 2014 clinical practice guidelines for overweight and obesity in Korea. Endocrinology and Metabolism, 29(4), 405-409. http://dx.doi.org/10.3803/EnM.2014.29.4.405   DOI
8 Korean Society of Lipidology and Atherosclerosis. (2015, September). Dyslipidemia fact sheet in korea 2015 [Fact sheet]. Retrieved August 3, 2018, from http://www.lipid.or.kr/file/Dyslipidemia%20fact%20sheet_kor_Final.pdf
9 Kim, B. J., Kim, B. S., & Kang, J. H. (2012). Alcohol consumption and incidence of metabolic syndrome in Korean men. Circulation Journal, 76(10), 2363-2371. https://doi.org/10.1253/circj.CJ-12-0315   DOI
10 Kim, I. H. (2010). The effect of walking exercise and detraining on body composition, blood lipids and stress hormones in middle aged obese women. Journal of Korean Living Environment System 17(6), 731-739.
11 Krishnadath, I. S., Toelsie, J. R., Hofman, A., & Jaddoe, V. W. (2016). Ethnic disparities in the prevalence of metabolic syndrome and its risk factors in the Suriname Health Study: a cross-sectional population study. BMJ Open, 6(12), e013183. http://doi.org/10.1136/bmjopen-2016-013183   DOI
12 Park, E., Choi, S. J., & Lee, H. Y. (2013). The prevalence of metabolic syndrome and related risk factors based on the KNHANES V 2010. Journal of Agricultural Medicine and Community Health, 38(1), 1-13. http://doi.org/10.5393/JAMCH.2013.38.1.001   DOI
13 Liu, Y., Ozodiegwu, I. D., Nickel, J. C., Wang, K., & Iwasaki, L. R. (2017). Self-reported health and behavioral factors are associated with metabolic syndrome in Americans aged 40 and over. Preventive Medicine Reports, 7, 193-197. https://doi.org/10.1016/j.pmedr.2017.06.010   DOI
14 Marchi, R. D., Dell'Agnolo, C. M., Lopes, T. C. R., Gravena, A. A. F., Demitto, M. D. O., Brischiliari, S. C. R., ... & Pelloso, S. M. (2017). Prevalence of metabolic syndrome in pre-and postmenopausal women. Archives of Endocrinology and Metabolism, 61(2), 160-166. http://dx.doi.org/10.1590/2359-3997000000253   DOI
15 Oh, J. E. (2014). Association between smoking status and metabolic syndrome in men. The Korean Journal of Obesity, 23(2), 99-105. http://doi.org/10.7570/kjo.2014.23.2.99   DOI
16 Ra, J. S., & Kim, H. S. (2017). Sex-based association between depression and metabolic syndrome in Korean middle-aged and older adults. Osong Public Health and Research Perspectives, 8(2), 130-137. https://doi.org/10.24171/j.phrp.2017.8.2.05   DOI
17 Ra, J. S., & Kim, H. S. (2018). Influence of physical activity on metabolic syndrome according to smoking intensity. Journal of Korean Public Health Nursing, 32(2), 319-330. http://dx.doi.org/10.5932/JKPHN.2018.32.2.319   DOI
18 Reaven, G., & Tsao, P. S. (2003). Insulin resistance and compensatory hyperinsulinemia: the key player between cigarette smoking and cardiovascular disease?. Journal of the American College of Cardiology, 41(6), 1044-1047. https://doi.org/10.1016/S0735-1097(02)02982-0   DOI
19 Schmidt, C., & Bergstrom, G. M. (2012). The metabolic syndrome predicts cardiovascular events: results of a 13-year follow-up in initially healthy 58-year-old men. Metabolic Syndrome and Related Disorders, 10(6), 394-399. https://doi.org/10.1089/met.2012.0048   DOI
20 Saylor, J., & Friedmann, E. (2015). Biopsychosocial contributors to metabolic syndrome: a secondary analysis of 2007-2010 National Health and Nutrition Examination Survey Data. Nursing Research, 64(6), 434-443. https://doi.org/10.1097/NNR.0000000000000121   DOI
21 Seong, J. H., Lee, C. H., Do, H. J., Oh, S. W., Lym, Y. L., Choi, J. K., ... & Cho, D. Y. (2009). Performance of the AUDIT Alcohol Consumption Questions (AUDIT-C) and AUDIT-K question 3 alone in screening for problem drinking. Korean Journal of Family Medicine, 30(9), 695-702. https://doi.org/10.4082/kjfm.2009.30.9.695   DOI
22 Stranges, S., Wu, T., Dorn, J. M., Freudenheim, J. L., Muti, P., Farinaro, E., ... & Trevisan, M. (2004). Relationship of alcohol drinking pattern to risk of hypertension: a population-based study. Hypertension, 44(6), 813-819. https://doi.org/10.1161/01.HYP.0000146537.03103.f2   DOI
23 Thomas, G. N., Schooling, C. M., McGhee, S. M., Ho, S. Y., Cheung, B. M., Wat, N. M., ... & Lam, T, H. (2007). Metabolic syndrome increases all-cause and vascular mortality: the Hong Kong Cardiovascular Risk Factor Study. Clinical Endocrinology, 66(5), 666-671. https://doi.org/10.1111/j.1365-2265.2007.02798.x   DOI
24 Vari, R., Scazzocchio, B., D'Amore, A., Giovannini, C., Gessani, S., & Masella, R. (2016). Gender-related differences in lifestyle may affect health status. Annali dell'Istituto Superiore di Sanita,, 52(2), 158-166. https://doi.org/10.4415/ANN_16_02_06
25 Garbarino, S., & Magnavita, N. (2015). Work stress and metabolic syndrome in police officers. A prospective study. PLoS One, 10(12), e0144318. https://doi.org/10.1371/journal.pone.0144318   DOI
26 Aguilar, M., Bhuket, T., Torres, S., Liu, B., & Wong, R. J. (2015). Prevalence of the metabolic syndrome in the United States, 2003-2012. The Journal of the American Medical Associaion, 313(19), 1973-1974. http://doi.org/10.1001/jama.2015.4260   DOI
27 An, B. M., & Son, J. H. (2018). Analysis of Metabolic Syndrome in Korean Adult One-Person Households. Jounal of Korean Public Health Nursing. 32(1) 30-43.
28 Calo, W. A., Ortiz, A. P., Suarez, E., Guzman, M., Perez, C. M., & Perez, C. M. (2013). Association of cigarette smoking and metabolic syndrome in a Puerto Rican adult population. Journal of Immigrant and Minority Health, 15(4), 810-816. https://doi.org/10.1007/s10903-012-9660-0   DOI
29 Ha, C. H., Ha, S., & So, W. Y. (2012). Effects of a 12-week combined exercise training program on the body composition, physical fitness levels, and metabolic syndrome profiles of obese women. Journal of Korean Public Health Nursing, 26(3), 417-427. http://doi.org/10.5932/JKPHN.2012.26.3.417   DOI
30 Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., ... & Spertus, J. A. (2005). Diagnosis and management of the metabolic syndrome. Circulation, 112(17), 2735-2752. http://dx.doi.org/10.1161/CIRCULATIONAHA.105.169404   DOI