Characteristics and Health Behavior of Newly Developed Metabolic Syndrome Among Community-Dwelling Elderly in Taiwan

Background: Metabolic syndrome (MetS), associated with the risk of cardiovascular disease and stroke, resulted in subsequent functional decline among aging population. It would be of interest to investigate the characteristics and related health behaviors of MetS among community-dwelling elderly. Me...

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Main Authors: Yi-Hsuan Lin, Hsiao-Ting Chang, Yen-Han Tseng, Ming-Hwai Lin, Yi-Chun Chen, Hui-Wen Yang, Tzeng-Ji Chen, Shinn-Jang Hwang
Format: Article
Language:English
Published: Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) 2013-06-01
Series:International Journal of Gerontology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1873959812000993
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author Yi-Hsuan Lin
Hsiao-Ting Chang
Yen-Han Tseng
Ming-Hwai Lin
Yi-Chun Chen
Hui-Wen Yang
Tzeng-Ji Chen
Shinn-Jang Hwang
author_facet Yi-Hsuan Lin
Hsiao-Ting Chang
Yen-Han Tseng
Ming-Hwai Lin
Yi-Chun Chen
Hui-Wen Yang
Tzeng-Ji Chen
Shinn-Jang Hwang
author_sort Yi-Hsuan Lin
collection DOAJ
description Background: Metabolic syndrome (MetS), associated with the risk of cardiovascular disease and stroke, resulted in subsequent functional decline among aging population. It would be of interest to investigate the characteristics and related health behaviors of MetS among community-dwelling elderly. Methods: During 2007–2010, we selected the elderly who underwent the annual health checkup and screen in Taipei Veterans General Hospital and did not have MetS in their first year of participation as the study population. After a mean of 2.8 years' follow-up, the elderly were categorized into new-developed MetS patients and non-MetS patients according to Adult Treatment Panel III diagnostic criteria of MetS. Health behaviors were collected using a questionnaire and the laboratory data were analyzed. Results: A total of 888 community-dwelling elderly were enrolled. Of those participants, 206 (23.2%) developed MetS (new-developed MetS group) and 682 (76.8%) did not develop MetS (non-MetS group). Presence of higher initial MetS score, hyperuricemia, and proteinuria, and lack of exercise were associated with new-developed MetS in the elderly. Proteinuria and initial MetS score of two patients were significantly related to the development of MetS in the Cox regression analysis (hazard ratio 2.530 and 4.728, respectively). Other health behaviors such as smoking, alcohol drinking, teeth brushing, vegetable intake, and milk intake were not correlated significantly with the development of MetS. Conclusion: For the community-dwelling elderly, proteinuria and initial MetS score of two participants were correlated to the occurrence of MetS. A stricter control of risk factors of MetS in these elderly is necessary.
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spelling doaj.art-a17eb81e2c0244e2a1fb699509fb6fda2022-12-21T19:09:34ZengTaiwan Society of Geriatric Emergency and Critical Medicine (TSGECM)International Journal of Gerontology1873-95982013-06-0172909610.1016/j.ijge.2012.07.003Characteristics and Health Behavior of Newly Developed Metabolic Syndrome Among Community-Dwelling Elderly in TaiwanYi-Hsuan Lin0Hsiao-Ting Chang1Yen-Han Tseng2Ming-Hwai Lin3Yi-Chun Chen4Hui-Wen Yang5Tzeng-Ji Chen6Shinn-Jang Hwang7Department of Family Medicine, Kaohsiung Veterans General Hospital Pingtung Branch, Pingtung, Taiwan, ROCDivision of Family Medicine, Taipei Hospital, Department of Health, Taipei, Taiwan, ROCRespiratory Therapy Department, Taipei Veterans General Hospital, Taipei, Taiwan, ROCNational Yang-Ming University, School of Medicine, Taipei, Taiwan, ROCDepartment of Family Medicine, Taitung Veterans Hospital, Taitung, Taiwan, ROCNational Yang-Ming University, School of Medicine, Taipei, Taiwan, ROCDepartment of Family Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROCNational Yang-Ming University, School of Medicine, Taipei, Taiwan, ROCBackground: Metabolic syndrome (MetS), associated with the risk of cardiovascular disease and stroke, resulted in subsequent functional decline among aging population. It would be of interest to investigate the characteristics and related health behaviors of MetS among community-dwelling elderly. Methods: During 2007–2010, we selected the elderly who underwent the annual health checkup and screen in Taipei Veterans General Hospital and did not have MetS in their first year of participation as the study population. After a mean of 2.8 years' follow-up, the elderly were categorized into new-developed MetS patients and non-MetS patients according to Adult Treatment Panel III diagnostic criteria of MetS. Health behaviors were collected using a questionnaire and the laboratory data were analyzed. Results: A total of 888 community-dwelling elderly were enrolled. Of those participants, 206 (23.2%) developed MetS (new-developed MetS group) and 682 (76.8%) did not develop MetS (non-MetS group). Presence of higher initial MetS score, hyperuricemia, and proteinuria, and lack of exercise were associated with new-developed MetS in the elderly. Proteinuria and initial MetS score of two patients were significantly related to the development of MetS in the Cox regression analysis (hazard ratio 2.530 and 4.728, respectively). Other health behaviors such as smoking, alcohol drinking, teeth brushing, vegetable intake, and milk intake were not correlated significantly with the development of MetS. Conclusion: For the community-dwelling elderly, proteinuria and initial MetS score of two participants were correlated to the occurrence of MetS. A stricter control of risk factors of MetS in these elderly is necessary.http://www.sciencedirect.com/science/article/pii/S1873959812000993agedhealth behaviormetabolic syndromerisk factorsTaiwan
spellingShingle Yi-Hsuan Lin
Hsiao-Ting Chang
Yen-Han Tseng
Ming-Hwai Lin
Yi-Chun Chen
Hui-Wen Yang
Tzeng-Ji Chen
Shinn-Jang Hwang
Characteristics and Health Behavior of Newly Developed Metabolic Syndrome Among Community-Dwelling Elderly in Taiwan
International Journal of Gerontology
aged
health behavior
metabolic syndrome
risk factors
Taiwan
title Characteristics and Health Behavior of Newly Developed Metabolic Syndrome Among Community-Dwelling Elderly in Taiwan
title_full Characteristics and Health Behavior of Newly Developed Metabolic Syndrome Among Community-Dwelling Elderly in Taiwan
title_fullStr Characteristics and Health Behavior of Newly Developed Metabolic Syndrome Among Community-Dwelling Elderly in Taiwan
title_full_unstemmed Characteristics and Health Behavior of Newly Developed Metabolic Syndrome Among Community-Dwelling Elderly in Taiwan
title_short Characteristics and Health Behavior of Newly Developed Metabolic Syndrome Among Community-Dwelling Elderly in Taiwan
title_sort characteristics and health behavior of newly developed metabolic syndrome among community dwelling elderly in taiwan
topic aged
health behavior
metabolic syndrome
risk factors
Taiwan
url http://www.sciencedirect.com/science/article/pii/S1873959812000993
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