Prevalence and Risk Factors of Metabolic Syndrome for employees working in a Liquid-Crystal-Display Factory at Central Taiwan Science Park

• Main Authors: Liang -Yin Liu, 劉亮吟
• Other Authors: Chih-Jaan Tai
• Format: Others
• Language: zh-TW
• Published: 2008
• Online Access: http://ndltd.ncl.edu.tw/handle/18043557132888328884

碩士 === 中國醫藥大學 === 醫務管理學研究所 === 96 === Background and Aims: Human living environment and human behaviors and attitudes of living had been changed dramatically during the past years. The prevalence of obesity, diabetes and cardiovascular diseases were also increasing steadily over years. This has become a main concern of human health in the twenty-first century. The Bureau of National Health in Taiwan reported a high number of outpatient numbers of about 4,822,000 people in 2004, with an expense of 38.42 billion dollars. It is estimated that the diabetic population will be more than 300 million worldwdie by 2025. It is also estimated that the cardiovascular disease will be the number one cause of death. Engineers in the Taiwan Science Park ntry is country''s important productivity source in age (mostly between 25 and 40 years of age). However, because they tend to have long working hours, high job pressure, and less exercise, they might be highly susceptible to metabolic syndrome. This study was aimed to (1) investigate the prevalence and risk factors of metabolic syndrome for employees working in a factory at the Central Taiwan Science Park, (2) determine the risk factors, and their relationships between these factors, of metabolic syndrome, and (3) provide evidence and suggestions for early diagnosis and intervention of metabolic syndrome. Methods: 1031 questionnaires were sent to employees in a liquid-crystal-display factory at National Taiwan Science Park who completed their Annual Health Examine. Questionnaires were adopted from reports published by National Health Administration, October, 2006. These questionnaires focus on diet behaviors and attitude, blood test results, and body mass index. A total of 898 questionnaires (87.1% return rate) were received at the end of this study. Descriptive analysis and logistic regression were used to quantify the influence and interaction of risk factors of metabolism syndrome. Results: Overall prevalence obtained from this study was 20.16％ (male: 21.40%, female: 8.23%) with a mean age of 30.58 years old. The prevalence is higher and the mean age is lower than those reported from other studies in our country. Chi-square tests were used for each two potential risk factors to evaluate the significance (X2 < 0.25) of each risk factor. Significant risk factors were then analyzed using a logistic regression model. When other risk factors were controlled, high body mass index was significantly correlated with the incidence of metabolic syndrome (p < 0.05) with an increased risk of 1.42 times per body mass index. Family history of cardiovascular disease on the father’s side increased the risk by 4.23 times than those without a family history. A diet habit of consuming soy beans increased the risk by 0.52 times than those do not have the habit. Exercises are required for about 50% of the time during their regular work hours increased the risk by 11.72 times than those whose position required almost no exercise. A job position that required exercise all the time increased the risk by 8.73 times than those no exercise is required. Conclusion: Risk factors of metabolic syndrome include gender, age, diet behavior, years of employment in a factory, gout , hyperlipidemia, hypertension, brain vascaular disease, and family history. The protection factors include exercising during work and a diet habit of consuming soy beans. Metabolic syndrome is a precursor and also a combination of diabetes and many risk factors of cardiovascular disorders, including obesity, hypertension, hyperglycemia, and hyperlipidemia. By reducing these risk, it is possible to prevent Metabolic Syndrome and the incidence and consequences of chronic diseases. Data obtained from this study indicates the importance of having a healthy diet habit, regular exercise, and most importantly, the implement of a solid and reliable health management policy.