代謝症候群之盛行率健檢資料分析

Prevalence of the Metabolic Syndrome in Individuals Seeking for Health Examination

目的：評估代謝症候群的盛行率。方法：從2004年4月到2005年7月，以橫斷面研究，分析876位到台中某區域醫院做全身健康檢查民眾，平均年齡爲48.6±12.20歲，男性佔60.3％，女性佔39.7％。代謝症候群以美國國家膽固醇教育計劃成人治療第三次小組之報告（NCEP ATP III；亞洲－－太平洋修訂版）爲診斷標準。結果：代謝症候群盛行率爲23.1％，女性代謝症候群盛行率爲22.7％、男性爲23.3％。在女性，年齡越大則盛行率越高，但男性在50～59歲前，年齡效應較不明顯。在50～59歲年齡層前，男性之盛行率比女性高，但之後則以女性有明顯較高之趨勢。結論：在健康檢查民眾之代謝症候群盛行率很高，且隨年齡越大，盛行率亦越高，在預防醫學角度，家庭醫學科醫師應重視此主題。

Objective: To assess the prevalence of the metabolic syndrome. Method: The author conducted a cross-section study from April 2004 to July 2005. A total of 876 men and women (mean [SD] age, 48.6[12.20] years) with 60.3% male were enrolled. The prevalence of the metabolic syndrome by the National Cholesterol Education Program's Adult Treatment Panel III Report (NECP ATPIII; Asia-Pacific guidelines) criteria was analyzed in individuals seeking for health examination at Cheng Ching Hospital in Taiwan. Results: The metabolic syndrome was presented in 22.7% of the women, in 23.3% of the men and in 23.1% of total subjects. For the women, the prevalence of the metabolic syndrome increased with age for a linear trend, but it was not significant in men before the age of 50-59 years. The prevalence in men was higher than that in women before the age of 50-59 years, but that in women was much higher than that in men after the age group. Conclusions: The metabolic syndrome is highly prevalent and age-dependent in individuals seeking for health examination. The family physicians should care about this issue for prevention.