| Summary: | 碩士 === 亞洲大學 === 長期照護研究所 === 96 === Objective: The study aims to 3 categories: (1) to investigate the correlations of BHP, NCEP and IDF definition of metabolic syndrome and their prevalence respectively. (2) The relation between components of BHP definition and elderly people who suffered from it. (3) Whether traditional cardiovascular risk factors influence metabolic syndrome or not.
Methods: This is a cross sectional study, collected 387 aged individuals of health examination in one year from a community hospital, 197 were female and 190 male. They were all above 65 years old, functional independent and living in community. A complete history, life style questionnaire, physical examination and blood sample for biochemistry were done. The characteristics of study population were demonstrated with descriptive statistics, expressed by mean and standard deviation, distinguished the variation of sex with t-test. Components of metabolic syndrome were seen in percentile and the sex difference compared by chi-square (χ2). Cohen’s kappa coefficient (κ) was applied for agreement of three different kinds of metabolic syndrome definition. Logistic regression was used for factors evaluation for predicting metabolic syndrome. Odds ratio was also applied for comparing each other in the risk factors of cardiovascular disease. The goodness of fit in every model was examined.
Results: In Taiwan, Bureau of Health Promotion in Department of Health established a metabolic syndrome definition, which achieves the agreement with National Cholesterol Education Program and the International Diabetes Federation. The uniformities of them were nearly perfect. The prevalence rate in order is 33.3 %, 26.1 %, 25.3 % respectively. The highest rate was defined by Bureau of Health Promotion. Moreover, the female suffered from metabolic syndrome was higher than the male. Logistic regression appeared to discover that the blood pressure, blood sugar, triglyceride and waist circumference have strong correlation to metabolic syndrome. They served as the predictive operator quite well. But, the high density lipoprotein cholesterol is not actually ideal on the elders, the forecast potency is not so good. In the traditional cardiovascular risk factors, it was confirmed that sex, total cholesterol and blood pressure related with metabolic syndrome. As for the low density lipoprotein cholesterol, high density lipoprotein cholesterol and smoking has not reached in statistical significance.
Conclusion: The high density lipoprotein cholesterol in elderly people is not proper to take metabolic syndrome the predictive operator (p > .05). Adjusts its tangential point value or uses World Health Organization definition might help. If the components of metabolic syndrome definition by Bureau of Health Promotion applied to predict old person, the adaptive is worth discussing. Study a better parameter to get the diagnostic tool more accurate. It might be considered that the strong relativity with metabolic syndrome - total cholesterol and uric acid take the predictive operator with old people (p < .05).
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