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Original Article

Health Behavior and Metabolic Syndrome.

Jeong Dae Oh, Sangyeoup Lee, Jeong Gyu Lee, Young Joo Kim, Yun Jin Kim, Byung Mann Cho
Korean Journal of Family Medicine 2009;30(2):120-128.
Published online: February 10, 2009
1Department of Family Medicine, Pusan National University Hospital, Busan, Korea. saylee@pnu.edu
2Medical Education Unit, Pusan National University School of Medicine, Busan, Korea.
3Department of Preventive Medicine, Pusan National University School of Medicine, Busan, Korea.
1부산대학교병원 가정의학과, 2부산대학교 의학전문대학원 의학교육실, 3부산대학교 의학전문대학원 예방의학교실
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Background
Life style has been shown to improve risk factor comprising the metabolic syndrome. Metabolic syndrome is prime candidate for lifestyle modification utilizing the tools of exercise, nutritional therapy so on. Therefore, we examined the prevalence of metabolic syndrome according to health behaviors. Methods: The 1,240 adults were recruited into this cross-sectional study. Subjects examined body mass index, waist circumference, blood pressure, lipid profile. Medical history was reviewed and daily calorie intake examined by food frequency questionnaire. Six healthy behavior-sleeping hours, smoking, drinking, exercise, calorie intake and boey weight of subjects were examined. Each heathy behaviors were categorized as a three groups. Metabolic syndrome were diagnosed by ATP III criteria. Results: The study subjects were consisted of 57.1% men and 42.9% women. The prevalence of metabolic syndrome was 14.3%. The prevalence of metabolic syndrome was lower in group with good healthy behaviors. Subjects with more good healthy behaviors had lower prevalence of metabolic syndrome than with less good healthy behaviors(0, 50.0%; 1, 41.0%; 2, 30.6%; 3, 13.8%; 4, 8.5%; 5, 5.3%; and 6, 4.3%). Relative to subjects with high good health behavior score, those with low good health behavior score were at significantly increased risk of metabolic syndrome (odds ratio=4.25, 95% CI 2.97-6.08). Conclusion: Subjects with greater good healthy behaviors had a substantially lower risk of being diagnosed with the metabolic syndrome compared those with lower good healthy behaviors. This finding suggests that lifestyle modification may be appropriate as a first-line intervention to metabolic syndrome.

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