| Summary: | 碩士 === 國防醫學院 === 公共衛生學研究所 === 101 === Cardiovascular disease (including coronary heart disease and cerebrovascular disease) and diabetes are both important public health issues and as the major cause of death in Taiwan. People who have intake of high-calorie are usually with lack of regular exercise, resulting in exceeding the recommended weight and increasing amounts of people with obesity. Therefore, the people with diabetes, hypertension and high cholesterol are also increased in Taiwanese population. Unfortunately, the metabolic syndrome is an important cluster of cardiovascular disease risk factors, such as dyslipidemia, high blood pressure, diabetes, high blood sugar and abdominal obesity, which is not only increased incident rate of coronary heart disease but also mortality rate. Due to some cases of sudden death occurring among middle-level military officers particularly in aircrews who have the task of protecting national citizens and irreplaceable professions, we should enhance the management of self-health in the aircrews with metabolic syndrome.
This study is based on data from the Army's medical aircrew retrospective cohort study, and collected the Army Aircrew 2006-2012 annual examination results. Secondary data analyze showed the prevalence of metabolic syndrome among the Army Aircrew and others environmental factors.
Data collection was from 2006 to 2012 between (a total of 7 years) with total 3,829 records for aircrew medical examination, and 912 Army aircrews enrolled with continuous 7 years medical examination records including units, date of birth and blood biochemical values from North, Central, South of Taiwan (Taoyuan Lungtan, Taichung Xinshe, Tainan Kueijen). 830 aircrews had enrolled into the follow-up study, and the baseline information obtained from their first time medical examination which was matched the study criteria and for the further analysis. 62 participants reached the criteria for the definition of metabolic syndrome during the follow-up period.
The results showed that the prevalence of metabolic syndrome was 6.0-14.2% by years, and the overall prevalence was 7.5%. The prevalence was 11.1% in southern brigade which was statistically significant higher than northern brigade (6.0%) and central brigade (1.4%), which had a highly positive correlation with age and with a trend effect; besides, weight, BMI, blood pressure, triglycerides, total cholesterol, HDL and SGPT average were all statistically different in both the presence or absence of metabolic syndrome. In logistic regression analysis, all of the risk factors, abnormal BMI, blood pressure, fasting glucose, triglycerides, total cholesterol, HDL, uric acid and SGPT, were associated with metabolic syndrome after multivariable adjustments (age and working area). The ranking of all the factors (odds ratio(OR) > 10) were obesity index (OR=36.10), HDL (OR=14.45) ,triglycerides (OR=13.69) and fasting blood sugar(OR=10.61).
Army aircrews suffering from metabolic syndrome have a cluster of high risk factor for obesity, low high-density lipoprotein cholesterol, high triglycerides, high fasting blood glucose, and a high positive correlation with age. According to the results of this study, suggest that military officers and soldiers should maintain self-regulation of health management and dietary intake and with sufficient physical exercise in order to enhance the national army combat capability.
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