Exploring the components of metabolic syndrome with respect to gender difference and its relationship to health-promoting lifestyle behaviour: a study in Taiwanese urban communities
Exploring the components of metabolic syndrome with respect to gender difference and its relationship to health-promoting lifestyle behaviour: a study in Taiwanese urban communities
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DOI：
10.1111/j.1365-2702.2010.03280.x
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发表时间：
2010-11-01
影响因子：
4.2
通讯作者：
Li, I-Chuan
中科院分区：
文献类型：
--
作者：
Chen, Yu-Chi;Wu, Hui-Ping;Li, I-Chuan
目的。目的是探讨代谢综合征五种成分在性别和促进健康的生活方式行为方面的患病率。背景。针对年龄和性别的策略可能有助于控制代谢综合征。预防或延缓代谢综合症的发作对于台湾的慢性病护理至关重要。设计。这是一项横断面研究。方法。参与者自行填写问卷并通过邮件回复。结果。代谢综合症的总体患病率为24中心点07%，男性的患病率高于女性。高血压是第一个异常成分。高血压、高甘油三酯血症和HDL-C降低的患病率在性别上存在显着差异。年龄也是一个重要的决定因素，并且与健康促进生活方式概况 II (HPLP II) 总分 (r = 0 中心点 11*)、营养 (r = 0 中心点 14**)、体力活动 (r = -0 中心点 16**) 和健康责任 (r = 0 中心点 12**) 呈正相关。结论。年轻、就业的成年男性最有可能患代谢综合征。看来控制血压和腹部肥胖对于预防代谢综合征至关重要；然而，通过尝试提高身体活动水平来实现这一目标似乎并不是一个可行的解决方案。此外，还建议使用针对性别、年龄和地点的干预措施来改变生活方式。护士不仅应该努力使用系统方法调查导致采取不健康生活方式行为的因素，还应该赋予人们参与设计健康计划的能力。与临床实践的相关性。通过了解代谢综合征的组成部分，将有可能制定更有效的预防策略。基于此，如果医疗保健提供者将精力集中在代谢综合征的特定组成部分以及最有可能患代谢综合征的个体上，将会有所帮助。
Aims.The aim was to explore the prevalence of five components of metabolic syndrome with respect to gender and health-promoting lifestyle behaviours.Background.Age- and gender-specific strategies might be useful as an approach to controlling metabolic syndrome. Prevention or delaying the onset of metabolic syndrome is of utmost importance in terms of chronic disease care in Taiwan.Design.This was a cross-sectional study.Method.Participants self-completed a questionnaire and replied via mail.Results.The overall prevalence rate of metabolic syndrome was 24 center dot 07%, with men showing a higher rate than women. High blood pressure was the first abnormal component. The genders were significantly different in the prevalence of high blood pressure, hypertriglyceridemia and decreased HDL-C. Age was also a significant determinant and positively correlated to the total Health-Promoting Lifestyle Profile II (HPLP II) scale score (r = 0 center dot 11*), nutrition (r = 0 center dot 14**), physical activity (r = -0 center dot 16**) and health responsibility (r = 0 center dot 12**).Conclusions.Young, employed adult men were most at risk for having metabolic syndrome. It would seem that it is essential to control blood pressure and abdominal obesity to prevent metabolic syndrome; however, accomplishing this by trying to improve the level of physical activity does not seem to be a viable solution. Moreover, lifestyle modification has been proposed using gender-, age- and location-specific interventions. Nurses should not only strive to investigate the factors that lead to the adoption of unhealthy lifestyle behaviours by using the system approach, but also to empower people to participate in designing health programmes.Relevance to clinical practice.By understanding the components of metabolic syndrome, it will be possible to develop more effective strategies for its prevention. Based on this, it will help if healthcare providers focus their efforts on the specific components of metabolic syndrome and on the individuals who are at the greatest risk of developing metabolic syndrome.