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김경애 ( Kim Kyung-Ae ) - Kyungdong University College of Nursing
심재란 ( Shim Jae-Lan ) - Dongguk University Department of Nursing
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Abstract
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Purpose: This study was conducted to identify the predictive factors for pre-diabetes in middle-aged Korean womenbased on the Korean National Health and Nutrition Examination Survey (KNHANES).
Methods: In this cross-sectionalstudy, data were extracted from the second year of the 6th KNHANES (2013~2015), conducted at 129 sites fromJanuary to December 2014. The 1,275 subjects were middle-aged women between 40 and 64 years of age characterizedas “pre-diabetic” (n=618) or “normal” (n=657) according to the American Diabetes Association (ADA)standard. Multivariate binary logistic regression was used to determine factors influencing pre-diabetes in middle-aged women.
Results: The significant factors for pre-diabetes were a Waist-to-Height Ratio (WHtR) > 0.53 (OddsRatio [OR]=1.71, 95% Confidence Interval [CI]=1.27~2.29), increasing prevalence of hypercholesterolemia (OR=2.02,95% CI=1.42~2.86), and low level of High-Density Lipoprotein (HDL) cholesterol (OR=1.89, 95% CI=1.18~3.02). In addition,as age increased after 50 years, the proportion of WHtR > 0.53 decreased in the normal group, but increasedwith age in the pre-diabetes group.
Conclusion: Education to raise awareness about diabetes including pre-diabetesis needed for effective management of hyperlipidemia and central obesity to ensure a healthy middle age.
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KeyWords
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Prediabetic state, Women, Hypercholesterolemia, Obesity, Abdomen
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원문 및 링크아웃 정보
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등재저널 정보
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