Article Text
Abstract
Introduction Metabolic syndrome is a cluster of cardiovascular risk factors. From the viewpoint of preventive medicine, it is essential for early diagnosis and appropriate treatment to subjects with metabolic syndrome. The objective in this study is to explore the prevalence and associated risk factors of metabolic syndrome among hospital staff based on the health examination.
Methods Based on the cross-sectional study design, the database of the health examination of the workers in a medical center on the northern Taiwan is analysed. The definition of metabolic syndrome is according to the criteria proposed by Department of Health in 2007, Taiwan. Due to the limitation of the examination, the total cholesterol is used to replace the HDL-C value.
Results The prevalence of metabolic syndrome is 16.3% (24.8% in male and 11.7% in female) among 1203 screened subjects. The highest proportion of abnormal index of metabolic syndrome is central obesity combined with higher blood pressure and total cholesterol. Based on the multinomial logistic regression, the significant factors related to 1–2 abnormal index of metabolic syndrome include gender (male vs female, OR 1.85, 95% CI 1.31 to 1.47), age (OR 1.04, 95% CI 1.02 to 1.06) and obesity (OR=1.39, 95% CI 1.31 to 1.47). In addition, the significant factors related to 3–5 abnormal index of metabolic syndrome also include gender (male vs female, OR 2.08, 95% CI 1.28 to 3.45), age (OR 1.12, 95% CI 1.09 to 1.14) and obesity (OR 1.73, 95% CI 1.60 to 1.87).
Conclusion To promote the health promoting hospital, the priority of metabolic syndrome prevention is controlled waist circumference and body weight.