Exploring the link between standard lifestyle questionnaires administered during specific medical check-ups and incidence of metabolic syndrome in Chiba Prefecture.
Exploring the link between standard lifestyle questionnaires administered during specific medical check-ups and incidence of metabolic syndrome in Chiba Prefecture.
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DOI：
10.11236/jph.61.4_176
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发表时间：
2014-01-01
期刊：
影响因子：
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通讯作者：
Eguchi, Hirohisa
中科院分区：
文献类型：
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作者：
Ashizawa, Eiichi;Katano, Sataro;Eguchi, Hirohisa
目的：本研究的目的是阐明标准生活方式问卷与代谢综合征（MetS）发展之间的关系。方法：对2008年和2009年连续进行体检的千叶县278,989人（男性111,524人，女性167,465人）的数据进行分析。在检查过程中，标准的生活方式问卷由10个项目组成，其中3个关于运动行为，4个关于饮食行为，饮酒、吸烟和睡眠行为各1个。如果一个人在2008年没有被诊断为MetS，那么他将被分配到“发展中的MetS”类别，随后在2009年被诊断为MetS或前期MetS。我们计算了经性别和年龄调整后发生met的优势比。发展中的MetS是用于检验其与生活方式问卷反应关系的多重逻辑回归分析的依赖因素。结果：在男性中，经常运动的参与者（“快走”，OR=0.88, 95% CI[0.83-0.93]；“高体力活动”，0.85,[0.80-0.90]）患met的几率明显较低，但饮食习惯和饮酒的参与者（“吃得快”，1.49,[1.40-1.59]；“有吃夜宵的习惯”，1.15,[1.05-1.27]；“吃夜宵”，1.15,[1.08-1.23]；“每天晚上喝酒”，1.08,[1.02-1.14]）患met的几率明显较高。在女性中，经常运动和饮酒的受试者患met的几率明显较低(“快走”，0.74,[0.70-0.78]；“高运动量”，0.92,[0.87-0.98]；“每天晚上喝酒”，0.80,[0.71-0.90])，但有“吃得快”（1.48,[1.39-1.58]）、“有吃夜宵的习惯”（1.15,[1.05-1.26]）、“吃夜宵”（1.19,[1.10-1.29]）和“不吃早餐”（1.21,[1.07-1.36]）等饮食行为的人的得分明显更高。结论：这些结果表明，由标准生活方式问卷确定的不良饮食或运动习惯与MetS的发生有关。
OBJECTIVES: The aim of this study was to clarify the relationship between standard lifestyle questionnaires and the development of metabolic syndrome (MetS).METHODS: We analyzed the data on 278,989 people (111,524 males and 167,465 females) living in Chiba Prefecture who underwent consecutive medical check-ups in 2008 and 2009. The standard lifestyle questionnaire administered during the check-ups consisted of 10 items, including three on exercise behaviors, four on dietary behaviors, and one each on drinking, smoking, and sleeping behaviors. An individual was assigned to the "developing MetS" category if there was no diagnosis of MetS in 2008, followed by a diagnosis of MetS or pre-MetS in 2009. We calculated the odds ratios for developing MetS adjusted for gender and age. Developing MetS was the dependent factor in a multiple logistic regression analysis used to examine its relationship to responses on the lifestyle questionnaire.RESULTS: In men, the odds of developing MetS were significantly lower for participants who exercised regularly ("walking fast," OR=0.88, 95% CI [0.83-0.93]; and "higher physical activity," 0.85, [0.80-0.90]), but were significantly higher for those who engaged in _ dietary behaviors and drinking ("eating fast," 1.49, [1.40-1.59]; "having a habit of eating late-night snacks," 1.15, [1.05-1.27]; "having a late night meal," 1.15, [1.08-1.23]; and "drinking every night," 1.08, [1.02-1.14]). In women, the odds of developing MetS were significantly lower for subjects who reported engaging in regular exercise and drinking ("walking fast," 0.74, [0.70-0.78]; "higher physical activity," 0.92, [0.87-0.98]; and "drinking every night," 0.80, [0.71-0.90]), but were significantly higher for those who had such dietary behaviors as "eating fast" (1.48, [1.39-1.58]), "having a habit of eating late-night snacks" (1.15, [1.05-1.26]), "having a late night meal" (1.19, [1.10-1.29]), and "not having breakfast" (1.21, [1.07-1.36]).CONCLUSION: These results show that poor dietary or exercise habits as determined by the standard lifestyle questionnaire were associated with the development of MetS.