Relationship of Metabolic Syndrome with Lifestyle and Weight Change in Japanese Adults

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  • メタボリックシンドロームと生活習慣および体重変化の関連の検討
  • メタボリックシンドローム ト セイカツ シュウカン オヨビ タイジュウ ヘンカ ノ カンレン ノ ケントウ

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Abstract

Objective: To examine the relationship between metabolic syndrome (MetS) with lifestyle and weight change among Japanese adults.<br>Methods: We used data on 3,342 participants (1,614 male, 1,728 female), obtained from specific medical checkups and a self-administered questionnaire survey conducted by a health insurance society between April 2009 and March 2010. The questionnaire included questions on sex, age, lifestyle (physical activity, 3 items; eating behavior, 6 items; smoking behavior, 1 item; and rest, 1 item), and weight change (long-term weight increase and short-term weight change, 1 each item). On the basis of the medical checkup results and the presence of a combination of risk factors, the subjects were divided into 3 groups: MetS, at the risk of MetS, and non-MetS groups, in accordance with MetS criteria. Single and multiple logistic analyses were performed to examine the relationship of lifestyle and weight change with the MetS/at the risk of MetS groups and the non-MetS group, which were independent factors.<br>Results: The MetS group comprised 275 subjects (8.2%; 236 men [14.6%], 39 women [2.3%]), and the at the risk of MetS group, 335 (10.0%). Subjects with the risk of high blood pressure (n = 752, 22.5%) were seen primarily in the at the risk of MetS group. In men, the lifestyle and weight change factors associated with MetS were walking speed (odds ratio [OR], 1.56; 95% confidence interval [95%CI], 1.20~2.02), eating speed (OR, 1.46; 95%CI, 1.12~1.91), and long-term weight increase (OR, 7.91; 95%CI, 6.05~10.34). In women, these factors were walking speed (OR, 1.66; 95%CI, 1.02~2.72), long-term weight increase (OR, 11.94; 95%CI, 6.93~20.67), and short-time weight change (OR, 2.04; 95%CI, 1.25~3.34).<br>Conclusion: Long-term weight increase and walking speed were associated with MetS in both men and women. Further, MetS was associated with eating speed in men and short-term weight change in women.

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