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Gender- and age-specific prevalence of metabolic syndrome among Korean adults: analysis of the fifth Korean National Health and Nutrition Examination Survey.

Abstract

BACKGROUND

Despite the growing prevalence of metabolic syndrome (MetS) in Korea, information is lacking on gender- and age-specific patterns in prevalence of MetS among Korean adults.

AIMS

The aims of this study were to examine (1) gender-specific prevalence of MetS by its component abnormalities, (2) the prevalence of MetS and its component abnormalities by gender and 10-year age groups, and (3) gender-specific lifestyle risk factors for MetS presentation among Korean adults.

METHODS

A secondary data analysis was performed using the most recent national survey. A sample group of 5760 adults (mean age, 44.6 ± 0.46 years; 43.5% men) completed household interviews to provide blood (for high-density lipoprotein cholesterol, triglyceride, and glucose) and anthropometric measurements (ie, waist circumference, weight, and height) to define MetS, as well as data on lifestyle risk factors.

RESULTS

Approximately 1 in 4 Korean adults met the MetS diagnostic criteria. Given each component abnormality, MetS was the most prevalent in men with low high-density lipoprotein cholesterol (63.4%), followed by abdominal obesity (62.3%). In women, it was most prevalent in those with hypertriglyceridemia (73.2%), followed by hyperglycemia (69.7%). Metabolic syndrome showed an association with advanced age for both men and women (P < .001 for both), with greater prevalence of MetS in young and middle-aged men than in women (6.7%-39.9% vs 3.3%-36.4%); these patterns were reversed in people 60 years or older (34.0%-40.5% vs 55.2%-64.1%). Gender-specific lifestyle risk factors for MetS presentation showed a significant association with heavy alcohol drinking and obesity for both men (odds ratio, 1.65 and 5.26, respectively; P < .001 for both) and women (odds ratio, 1.96 and 5.94; P < .042 and < .001, respectively).

CONCLUSIONS

Metabolic syndrome is prevalent in a representative sample of Korean adults, with gender- and age-specific patterns. These results are helpful in identification of vulnerable subgroups at high risk for MetS, providing a basis for promotion of cardiovascular health and risk management of MetS.

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  • Publisher Full Text
  • Authors+Show Affiliations

    ,

    Eunok Park, PhD, RN Professor, College of Nursing, Jeju National University, South Korea. JinShil Kim, PhD, RN Associate Professor, College of Nursing, Gachon University, Incheon, South Korea.

    Source

    MeSH

    Adult
    Age Distribution
    Aged
    Aged, 80 and over
    Alcohol Drinking
    Asian Continental Ancestry Group
    Cholesterol, HDL
    Female
    Health Surveys
    Humans
    Hyperglycemia
    Hypertriglyceridemia
    Male
    Metabolic Syndrome
    Middle Aged
    Obesity
    Prevalence
    Republic of Korea
    Risk Factors
    Sex Distribution
    Young Adult

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    24695075

    Citation

    Park, Eunok, and JinShil Kim. "Gender- and Age-specific Prevalence of Metabolic Syndrome Among Korean Adults: Analysis of the Fifth Korean National Health and Nutrition Examination Survey." The Journal of Cardiovascular Nursing, vol. 30, no. 3, 2015, pp. 256-66.
    Park E, Kim J. Gender- and age-specific prevalence of metabolic syndrome among Korean adults: analysis of the fifth Korean National Health and Nutrition Examination Survey. J Cardiovasc Nurs. 2015;30(3):256-66.
    Park, E., & Kim, J. (2015). Gender- and age-specific prevalence of metabolic syndrome among Korean adults: analysis of the fifth Korean National Health and Nutrition Examination Survey. The Journal of Cardiovascular Nursing, 30(3), pp. 256-66. doi:10.1097/JCN.0000000000000142.
    Park E, Kim J. Gender- and Age-specific Prevalence of Metabolic Syndrome Among Korean Adults: Analysis of the Fifth Korean National Health and Nutrition Examination Survey. J Cardiovasc Nurs. 2015;30(3):256-66. PubMed PMID: 24695075.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Gender- and age-specific prevalence of metabolic syndrome among Korean adults: analysis of the fifth Korean National Health and Nutrition Examination Survey. AU - Park,Eunok, AU - Kim,JinShil, PY - 2014/4/4/entrez PY - 2014/4/4/pubmed PY - 2016/3/18/medline SP - 256 EP - 66 JF - The Journal of cardiovascular nursing JO - J Cardiovasc Nurs VL - 30 IS - 3 N2 - BACKGROUND: Despite the growing prevalence of metabolic syndrome (MetS) in Korea, information is lacking on gender- and age-specific patterns in prevalence of MetS among Korean adults. AIMS: The aims of this study were to examine (1) gender-specific prevalence of MetS by its component abnormalities, (2) the prevalence of MetS and its component abnormalities by gender and 10-year age groups, and (3) gender-specific lifestyle risk factors for MetS presentation among Korean adults. METHODS: A secondary data analysis was performed using the most recent national survey. A sample group of 5760 adults (mean age, 44.6 ± 0.46 years; 43.5% men) completed household interviews to provide blood (for high-density lipoprotein cholesterol, triglyceride, and glucose) and anthropometric measurements (ie, waist circumference, weight, and height) to define MetS, as well as data on lifestyle risk factors. RESULTS: Approximately 1 in 4 Korean adults met the MetS diagnostic criteria. Given each component abnormality, MetS was the most prevalent in men with low high-density lipoprotein cholesterol (63.4%), followed by abdominal obesity (62.3%). In women, it was most prevalent in those with hypertriglyceridemia (73.2%), followed by hyperglycemia (69.7%). Metabolic syndrome showed an association with advanced age for both men and women (P < .001 for both), with greater prevalence of MetS in young and middle-aged men than in women (6.7%-39.9% vs 3.3%-36.4%); these patterns were reversed in people 60 years or older (34.0%-40.5% vs 55.2%-64.1%). Gender-specific lifestyle risk factors for MetS presentation showed a significant association with heavy alcohol drinking and obesity for both men (odds ratio, 1.65 and 5.26, respectively; P < .001 for both) and women (odds ratio, 1.96 and 5.94; P < .042 and < .001, respectively). CONCLUSIONS: Metabolic syndrome is prevalent in a representative sample of Korean adults, with gender- and age-specific patterns. These results are helpful in identification of vulnerable subgroups at high risk for MetS, providing a basis for promotion of cardiovascular health and risk management of MetS. SN - 1550-5049 UR - https://www.unboundmedicine.com/medline/citation/24695075/Gender__and_age_specific_prevalence_of_metabolic_syndrome_among_Korean_adults:_analysis_of_the_fifth_Korean_National_Health_and_Nutrition_Examination_Survey_ L2 - http://Insights.ovid.com/pubmed?pmid=24695075 DB - PRIME DP - Unbound Medicine ER -