Metabolic Syndrome Complicated with Chronic Kidney Disease and Health-Related Quality of Life among Older People

• Main Authors: NI, HUI-LING, 倪惠鈴
• Other Authors: Chang, Ming-Cheng
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/57378417465385659666

碩士 === 亞洲大學 === 健康產業管理學系長期照護組 === 101 === Backgrounds and Objective: Metabolic syndrome (MS) is an important risk factor that triggers chronic kidney disease (CKD). If a person more than 65 years old meets the criteria of metabolic syndrome, the risk of chronic kidney disease will increase, and risk of health related complications might also increase, thereby reducing their quality of life. The study objective is to discuss health-related quality of life of people aged 65 years and above, and whether the diagnosis of metabolic syndrome or chronic kidney disease and demographic characteristics will influence health-related quality of life. Methods: 855 people aged 65 years and more who participated in the 2004-2008 Nutrition and Health Survey in Taiwan were included. The criteria for MS were defined by Department of Health, Executive Yuan, R.O.C. (Taiwan). The criteria for CKD were defined by the National Kidney Foundation of the U.S.A. Short Form-36(SF-36) was used to assess HRQoL. Analyses were done with linear regression and adjusted for the main confounders. Results: Among the 855 people aged 65 years and more, factors which had negatively associated with the score of PCS (Physical Component Summary) were: the women, age, income, living in the mountains, decreased activities, metabolic syndrome complicated with chronic kidney disease, and history of a stroke and heart disease; factors which had positively associated with the score of MCS (Mental Component Summary) were: the low educated, decreased activity, metabolic syndrome complicated with chronic kidney disease, and history of heart disease; use of alcohol was negatively associated with the score of MCS. Distributions of some demographic characteristics in people aged 65 years, such as, gender, age, marriage, education, sodium intake, stroke, and heart disease were different in the groups of with the diagnosis of MS or CKD and without these diagnoses. People aged 65 and more who were diagnosed with MS and CKD had worse score of PCS than people who were not diagnosed with MS and CKD, yet their score of MCS was better. Conclusion: The groups of people aged 65 years and more with lower score of PCS were: the women, aged 80 years or more, low income, living in the mountains, decreased activities, metabolic syndrome complicated with chronic kidney disease, history of a stroke and heart disease. People aged 65 and more diagnosed with metabolic syndrome and chronic kidney disease had worse score of PCS than people who were not diagnosed with metabolic syndrome and chronic kidney disease. Therefore, the elderly population should strengthen the prevention and treatment of metabolic syndrome and chronic kidney disease.