Browse > Article
http://dx.doi.org/10.7475/kjan.2014.26.2.244

Prevalence of Metabolic Syndrome and Its Predicting Factors among Small-sized Company Workers  

Choi, Soo Kyoung (Graduate School of Chosun University, Chosun Nursing College)
Jo, Jeong A (Kim Hospital)
Hwang, Seon Young (College of Nursing, Hanyang University)
Publication Information
Korean Journal of Adult Nursing / v.26, no.2, 2014 , pp. 244-252 More about this Journal
Abstract
Purpose: This study was aimed to examine the prevalence of metabolic syndrome (MetS) and cardiovascular risk factors among workers at small-sized companies having fewer than 50employees in Korea. Methods: A descriptive cross-sectional study was conducted using a secondary data analysis on workers' health examination data. Data from 21,784 employed workers were analyzed, including 16,488 males (mean age 38.7years)and 5,296 females (mean age 40.5 years). Participants were newly enrolled in annual health check-ups at a professional health clinic from 2009 to 2011. Logistic regression analysis was performed to identify age-adjusted gender specific predicting factors of MetS incidence. Results: The prevalence of MetS was 13.4% in male and 7.7% in female workers. Logistic regression analysis showed that, when age was adjusted for, family history of cardiovascular disease (CVD) was a predicting factor in both male and female workers. For male workers, heavy alcohol drinking and non-manual occupation (office workers/drivers) predicted MetS. Conclusion: Health care providers should screen for MetS periodically in small work places especially for those with a family history of CVD. Educational counseling needs to be given to male workers with sedentary occupations with an aim to reduce heavy drinking and encourage lifestyle modification.
Keywords
Cardiovascular disease; Metabolic syndrome; Work environment; Health promotion;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Boyko, E. J., de Courten, M., & Zimmet, P. Z. (2000). Features of the metabolic syndrome predict higher risk of diabetes and impaired glucose tolerance. Diabetes Care, 23 (9), 1242-1248.   DOI   ScienceOn
2 Allen, J. C., Lewis, J. B., & Tagliaferro, A. R. (2012). Cost-effectiveness of health risk reduction after lifestyle education in the small workplace. Preventing Chronic Disease, 9, E96. http://dx.doi.org/10.5888/pcd9.110169   DOI
3 Azadbakht, L., Mirmiran, P., Esmaillzadeh, A., Azizi, T., & Azizi, F. (2005). Beneficial effects of a dietary approaches to stop hypertension eating plan on features of the metabolic syndrome. Diabetes Care, 28 (12), 2823-2831. http://dx.doi:10.2337/diacare.28.12.2823   DOI   ScienceOn
4 Bamia, C., Trichopoulou, A., Lenas, D., & Trichopoulos, D. (2004). Tobacco smoking in relation to body fat mass and distribution in a general population sample. International Journal of Obesity and Related Metabolic Disorders, 28 , 1091-1096. http://dx.doi:10.1038/sj.ijo.0802697   DOI   ScienceOn
5 Davila, E. P., Florez, H., Fleming, L. E., Lee, D. J., Goodman, E., Leblanc. W. G. et al. (2010). Prevalence of the metabolic syndrome among US workers. Diabetes Care,33 (11), 2390-2395. http://dx.doi:10.2337/dc10-0681   DOI
6 Dunkley, A. J., Taub, N. A., Davies, M. J., Stone, M. A., & Khunti, K. (2009). Is having a familyhistory of type 2 diabetes or cardiovascular disease a predictive factor for metabolic syndrome? Primary Care Diabetes, 3 (1), 49-56. http://dx.doi:10.1016/j.pcd.2009.02.002   DOI   ScienceOn
7 Gami, A. S., Witt, B. J., Howard, D. E., Erwin, P. J., Gami, L. A., Somers, V. K., et al. (2007). Metabolic syndrome and risk of incident cardiovascular events and death: A systematic review and meta-analysis of longitudinal studies. Journal of American College of Cardiology, 49 (4),403-414. http://dx.doi:10.1016/j.jacc.2006.09.032   DOI   ScienceOn
8 Giugliano, D., Ceriello, A., & Esposito, K. (2006) The effects of diet on inflammation emphasis on the metabolic syndrome, Journal of American College of Cardiology, 48 (4), 677-685. http://dx.doi:10.1016/j.jacc.2006.03.052   DOI   ScienceOn
9 Grundy, S. M. (2008). Metabolic syndrome pandemic. Arteriosclerosis, Thrombosis, and Vascular Biology, 28 (4), 629-636. http://dx.doi:10.1161/ATVBAHA.107.151092   DOI   ScienceOn
10 Isomaa, B., Almgren, P., Tuomi, T., Forsen, B., Lahti, K., Nissen, M., et al. (2001). Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care, 24 (4), 683-689. http://dx.doi:10.2337/diacare.24.4.683   DOI   ScienceOn
11 Hwang, C. K., Koh, S. B., Chang, S. J., Park, C. Y., Cha, B. S., Hyun, S. J., et al. (2007). Occupational stress in relation to cerebrovascular and cardiovascular disease: Longitudinal analysis from the NSDSOS project. The Korean Society of Occupational Medicine, 19 (2), 105-114.   과학기술학회마을
12 Kanjilal, S., Gregg, E. W., Cheng, Y. J., Zhang, P., Nelson, D. E., Mensah, G., et al. (2006). Socioeconomic status and trends in disparities in 4 major risk factors for cardiovascular disease among US adults, 1971-2002. Archives Internal Medicine, 166 (21), 2348-2355.   DOI   ScienceOn
13 Hwang, W. J., & Hong, O. S. (2012). Work-related cardiovascular disease risk factors using a socioecological approach: implications for practice and research. European Journal of Cardiovascular Nursing, 11 (1), 114-126.   DOI
14 Hwang, W. J., Hong, O. S., & Kim, M. J. (2012). Factors associated with blue-collar workers' risk perception of cardiovascular disease. Journal of Korean Academy of Nursing, 42, 1095-1104.   DOI
15 Jekarl, J., Kim, K. K., & Lee, J. T. (2010). Structural relationship between drinker's characteristics, work environment, and alcohol problems among employee. Korean Association of Health and Medical Society, 28, 5-31.
16 Kim, H. C., & Kim, D. J. (2011). Causes of different estimates of the prevalence of metabolic syndrome in Korea. The Korean Journal of Internal Medicine, 26 , 440-448.   DOI   ScienceOn
17 Kim, Y. H., Park, R. J., Park, W. J., Kim, M. B., & Moon, J. D. (2009). Predictors of metabolic syndrome among shipyard workers and its prevalence. Korean Journal of Occupational Environmental Medicine, 21, 209-217   과학기술학회마을
18 Korea National Statistical Office. (2011). The cause of death in 2011. Retrieved April 30, 2013, from http://www.index.go.kr/egams/stts/jsp/potal/stts/PO_STTS_IdxMain.jsp? idx_cd=1012&bbs=INDX_001&clas_div=C&rootKey=1.48
19 Kim, D. S., & Kang, S. K. (2010). Work-related cerebro-cardiovascular diseases in Korea. Journal of Korean Medical Science, 25, 105-111.   DOI
20 Klein, B. E., Klein, R., & Lee, K. E. (2002). Components of the metabolic syndrome and risk of cardiovascular disease and diabetes in Beaver Dam. Diabetes Care, 25, 1790-1794.   DOI   ScienceOn
21 Korea Ministry Employment and Labor. (2013). Occupational safety and health act Article 16. Retrieved April 30, 2013, from http://www.moel.go.kr/english/topic/laborlaw_view.jsp?idx=264&tab=Occupational
22 Korea Occupational Safety and Health Agency. (2009). 2009 Annual report of health examination for employees. Retrieved April 30, 2013, from http://www.kosha.or.kr/www/boardView.do?contentId=338572&menuId=557&boardType=A2
23 Lee, W. Y., Jung, C. H., Park, J. S., Rhee, E. J., & Kim, S. W. (2005). Effects of smoking, alcohol, exercise, education, and family history on the metabolic syndrome as defined by the ATP III. Diabetes Research and Clinical Practice, 67, 70-77.   DOI   ScienceOn
24 Myong, J. P., Kim, H. R., Jung-Choi, K., Baker, D., & Choi, B. (2012). Disparities of metabolic syndrome prevalence by age, gender, and occupation among Korean adult workers. Industrial Health, 50, 115-122.   DOI
25 National Cholesterol Education Program. (2002). Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Final Report. Circulation, 106, 3143-3421.
26 Sanchez-Chaparro, M. A., Calvo-Bonacho, E., Gonzalez-Quintela, A., Fernandez-Labandera, C., Cabrera, M., Sainz, J. C., et al. (2008). Occupation-related differences in the prevalence of metabolic syndrome. Diabetes Care, 31 (9), 1884-1885.   DOI
27 Obunai, K., Jani, S., & Dangas, G. D. (2007). Cardiovascular morbidity and mortality of the metabolic syndrome. Medical Clinics of North America, 91 (6), 1169-1184.   DOI   ScienceOn
28 Shiwaku, K., Nogi, A., Kitajima, K., Anuurad, E., Enkhmaa, B., & Yamasaki, M. (2005). Prevalence of the metabolic syndrome using the modified ATP III definitions for workers in Japan, Korea and Mongolia. Journal of Occupational Health, 47, 123-135.
29 Park, H. S., Oh, S. W., Cho, S. I., Choi, W. H., & Kim, Y. S. (2004). The metabolic syndrome and associated lifestyle factors among South Korean adults. International Journal of Epidemiology, 33, 328-336.   DOI   ScienceOn
30 Real, J. T., Romero, P., Martinez-Hervas, S., Pedro, T., Carmena, R., & Ascaso, J. F. (2006) Role of atherogenic dyslipidemia in the development of metabolic syndrome. Medicina Clinica (Barc), 127, 321-324.   DOI   ScienceOn
31 Yoon, Y. S., Oh, S. W., Baik, H. W., Park, H. S., & Kim, W. Y. (2004). Alcohol consumption and the metabolic syndrome in Korean adults: The 1998 Korean National Health and Nutrition Examination Survey. American Journal of Clinical Nutrition, 80 (1), 217-224.
32 Yoon, J., Yi, K., Oh, J., & Lee, S. (2007). The relationship between metabolic syndrome and Korean cardiocerebrovascular risk assessment: For male researchers in a workplace. Journal of Preventive Medicine and Public Health, 40, 397-403.   과학기술학회마을   DOI
33 Ascaso, J. F., Millan, J., Mateo-Gallego, R., Ruiz, A., Suarez-Tembra, M., Borrallo, R. M., et al. (2011). Prevalence of metabolic syndrome and cardiovascular disease in a hypertriglyceridemic population. European Journal of Internal Medicine, 22 (2), 177-181. http://dx.doi:10.1016/j.ejim.2010.12.011   DOI