| Summary: | 碩士 === 國立雲林科技大學 === 工業工程與管理研究所碩士班 === 93 === According to the literature, the prevalence of Hyperuriemia and Metabolic Syndrome of adult male is 2.3 to 17.6% in western nation and 17.3 to 25.8% in Taiwan. The trend reveals the gradually increasing of prevalence and the decreasing of age range nowadays. It is predicting that gouty complication of Hyperuriemia And Metabolic Syndrome will become the second metabolism disease which next to Diabetes in Taiwan while stepping to the 21st century. Hyperuriemia and Metabolic Syndrome is the most common metabolism abnormal which usually occurs with Obesity, Hyperlipemia, Hypertension, Hyperglycemia that will provoke cardiovascular disease which means coronary heart disease, stroke and peripheral cardiovascular disease.
Metabolic Syndrome is also called Insulin Resistance Syndrome which is the aggregative phenomenon of several risk factors such as Hypertension, Hyperglycemia, Triglycerides, High Density Lipoprotein, Obesity. The definition of abnormal is strict which indicates the poor health if the abnormal items exceed 3 items. Thus they can used to alarm the health, to improve the efficiency of early prevention and treatment of cardiovascular disease. This research took the standard of Metabolic Syndrome of National Cholesterol Education Program( NCEP ATPⅢ), to survey the correlative factors of Hyperuriemia and Metabolic Syndrome that may contribute to the prevention and treatment of disease.
This research took the official soldier who accepted the annual health examination in 2004 as the objectives, the total amount who accepted examination was 1983, and we collected the data of 520 soldiers. The research goal was for understanding the risk factors of Hyperuriemia and Metabolic Syndrome from each level of soldiers in Yunlin, Chiayi and Tainan. We hope that we can submit the objective methods of prevention disease according to the result of research.
The result revealed that uric acid has significant positive relationship with ALT, BMI and gender. The risk factors which resulted in Hyperuriemia were ALT, BMI and gender which meant the prevalence will be higher in the case of abnormal ALT, obese figure and male. The prevalence of Hyperuriemia in the research objectives was 41.2%, 45.3% of them were male, the prevalence of Hyperuriemia was higher in those who under 30 years old, single, sergeant level. They have to control their BMI and abnormal ALT for improving the treatment effectiveness of Hyperuriemia. The result also revealed that Metabolic Syndrome has statistical deviation with age range, Systolic Blood Pressure, Diastolic Blood Pressure，blood sugar, AST, ALT, Triglycerides, High Density Lipoprotein, BMI and uric acid. The research found the risk factors of Metabolic Syndrome are Hypertension(Systolic blood pressure, Diastolic blood pressure), age range, blood sugar, AST,ALT, Triglycerides, High Density Lipoprotein, BMI and uric acid. There will be a higher prevalence if the above factors were abnormal. The prevalence of Metabolic Syndrome in objectives is 9.8%, those who over 39 years old, married, colonel level, male soldier, uric acid value abnormal, BMI>27, obese figure have the higher prevalence of Metabolic Syndrome.
Key words: Hyperuriemia, Metabolic Syndrome, BMI
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