건강생활습관 및 대사증후군이 조기폐경에 미치는 영향:국민건강영양조사를 통하여

Other Titles
Effects of Health Related Lifestyles and Metabolic Syndrome on Early Menopause:The Korea National
Authors
유다래
Issue Date
2019-02
Abstract
The present study is a secondary data analysis aiming to examine the effects of health related lifestyles and metabolic syndrome on early menopause and to identify the differences of health related lifestyles and metabolic syndrome between early menopause women and non-early menopause women. In this study, 3,755 women in the 6th(2013–2015) and the first year of the 7th Korean National Health and Nutrition Examination Survey(KNHANES) were enrolled. Data were analyzed with complex samples descriptive statistics, complex samples chi-squared test, complex samples t-test and complex samples logistic regression analysis using the SPSS 23.0 program.The results were:1. There were significant differences of subjective health status(x²=36.79, p=<.001), periodic health examination(x²=9.88, p=.008), body mass index(x²=17.98, p=.004), smoking(x²=18.04, p=.001), metabolic syndrome(x²=34.64, p=<.001), and the following diagnostic criteria for metabolic syndrome: hypertension(x²=9.49, p=.010), hyperglycemia(x²=24.05, p=<.001), hyperlipoproteinemia(x²=7.16, p=.029), low high-density lipoprotein cholesterol(x²=42.21, p=<.001), and abdominal obesity(x²=14.17, p=.002) according to early menopause.2. Subjective health status(95% CI=1.54-62.10, OR=9.78), body mass index(95% CI=1.19-124.81, OR=12.18), (95% CI=1.36-139.21, OR=13.78), smoking(95% CI=1.29-6.91, OR=2.99), metabolic syndrome(95% CI=1.44-4.32, OR=2.49), and hypertriglyceridemia(95% CI=1.32-4.41, OR=2.42) had significant effects on early menopause.3. When health related lifestyles, metabolic syndrome, and all diagnostic criteria of metabolic syndrome were entered of independent variable, subjective health status(95% CI=1.29-67.50, OR=9.32), smoking(95% CI=1.18-5.60, OR=2.57), and hypertriglyceridemia(95% CI=1.05-5.09, OR=2.31) had significant effects on early menopause.The present study’s findings would be useful for understanding health problems that render premenopausal women to perceive themselves to be in poor health and for resolving and managing these health problems so as to improve their subjective health status, ultimately to prevent and manage early menopause. Further, our findings will also serve as foundational data unveil the need for hypertriglyceridemia management and smoking prevention education for adolescents.
본 연구는 건강생활습관 및 대사증후군이 조기폐경에 미치는 영향을 확인하고, 조기폐경 여성과 비조기폐경 여성의 건강생활습관 및 대사증후군 차이를 파악하기 위한 이차자료 분석연구이다. 연구대상자는 국민건강영양조사 제 6 기(2013-2015년)부터 제 7 기 1차 년도(2016년)까지 자료를 이용하여 여성 3,755명을 대상으로 실시하였다. 자료분석은 SPSS 23.0 프로그램을 이용하였으며, 복합표본 기술통계, 복합표본 카이제곱, 복합표본 t검정, 복합표본 로지스틱 회귀분석으로 분석하였다. 본 연구의 결과는 다음과 같다. 1. 조기폐경 유무에 따른 주관적 건강상태(x²=36.79, p=<.001), 건강검진 수진여부(x²=9.88, p=.008), 체질량지수(x²=17.98, p=.004), 흡연(x²=18.04, p=.001), 대사증후군(x²=34.64, p=<.001), 대사증후군 진단기준인 고혈압(x²=9.49, p=.010), 고혈당(x²=24.05, p=<.001), 고밀도지질단백혈증(x²=7.16, p=.029), 고중성지방혈증(x²=42.21, p=<.001), 복부비만(x²=14.17, p=.002) 모두에서 유의한 차이가 있었다. 2. 주관적 건강상태(95% CI=1.54-62.10, OR=9.78), 체질량지수(95% CI=1.19-124.81, OR=12.18), (95% CI=1.36-139.21, OR=13.78), 흡연(95% CI=1.29-6.91, OR=2.99), 대사증후군(95% CI=1.44-4.32, OR=2.49), 고중성지방혈증(95% CI=1.32-4.41, OR=2.42)은 조기폐경에 유의한 영향을 주었다. 3. 건강생활습관, 대사증후군, 대사증후군 진단기준 모든 변수를 대입하였을 경우, 주관적 건강상태(95% CI=1.29-67.50, OR=9.32), 흡연(95% CI=1.18-5.60, OR=2.57), 고중성지방혈증(95% CI=1.05-5.09, OR=2.31)은 조기폐경에 유의한 영향을 주었다. 조기폐경을 예방하고 관리하기 위해서 폐경 이전 여성의 주관적 건강상태를 나쁘게 인식시키는 건강문제를 파악하고, 해당 건강문제를 해결 및 관리함으로써 주관적 건강상태를 향상시키는 근거자료로 제시하고자 한다. 또한 청소년 대상의 흡연 예방 교육과 고중성지방혈증 관리의 필요성에 대한 기초자료로 제공하고자 한다.
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/41666
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3. Thesis (학위논문) > 2. College of Nursing (간호대학) > 석사
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http://dcollection.kmu.ac.kr/common/orgView/000000117732
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