국민건강영양조사에서 남자는 54세까지 대사증후군의 유 병률이 증가하고 그 이후는 증가하는 경향을 보이지 않고 오 히려 감소하는 반면, 여자는 25세에서 44세까지는 남자보다 유병률도 낮고 완만하게 증가하다가 45세부터는 남자보다 유 병률 자체도 높아지고 55세 이후는 갑자기 많이 증가하였다. 특히 50세 이상의 여성에서 50% 이상의 대사 증후군 유병률 을 보인다(Kim, Kim Choi, & Shin, 2004). 이는 폐경이 되 어 난소 부전상태가 오면 복부비만이 증가하고, 혈중지질이 동맥경화를 잘 일으키는 상태로 변하게 되며, 혈당과 인슐린 이 증가하는 것을 관찰할 수 있다(Lee et al., 2005). 폐경 후 여성은 폐경 전 여성보다 허리둘레, 수축기압, 맥압, 총 콜레 스테롤, 저밀도지단백콜레스테롤 및 중성지방이 높다(Kim, Park, Ryu, & Kim, 2007).
The purpose of this study was to assess the difference of metabolic syndrome (MS) risk factors according to the MS diagnosis in the age of fifties women. Methods: Forty-two subjects (non metabolic syndrome 30, metabolic syndrome 12) were recruited from the health promotion center of a tertiary care hospital in an urban city. MS was defined by 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) (ATP III), and abdominal obesity was determined by Asia- Pacific criteria in waist circumference. Results: The prevalence of MS by definition of NCEP-ATP III and Asia-Pacific criteria in waist circumference was 28.6% in the age of fifties women. The educational level and the median HDL-cholesterol were significantly lower in the MS patient group than in the Non-MS group. The median of weight, triglyceride, and fasting glucose were significantly higher in the MS patient group than in the Non-MS group. Conclusion: These results indicate that the nursing care should be focused on weight, triglyceride, HDL-cholesterol, and fasting glucose of the MS patients in the fifties women.
서 론 연구 방법 연구 결과 논 의 결론 및 제언
