Study on Pattern of Metabolic Syndrome about Stroke Patients in Oriental Hospital

대전지역 한방병원 중풍환자의 대사증후군 분포에 대한 연구

  • Moon, Seung-Hee (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Kang, Byung-Gab (Department of Medical Research, Korea Institute of Oriental Medicine) ;
  • Kang, Ji-Sun (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Kim, Min-Ji (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • An, Joung-Jo (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Jo, Hyun-Kyung (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Yoo, Ho-Rhyong (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Seol, In-Chan (Department of Internal Medicine, College of Oriental Medicine, Daejeon University) ;
  • Kim, Yoon-Sik (Department of Internal Medicine, College of Oriental Medicine, Daejeon University)
  • 문승희 (대전대학교 한의과대학 심계내과학교실) ;
  • 강병갑 (한국한의학연구원 의료연구부) ;
  • 강지선 (대전대학교 한의과대학 심계내과학교실) ;
  • 김민지 (대전대학교 한의과대학 심계내과학교실) ;
  • 안정조 (대전대학교 한의과대학 심계내과학교실) ;
  • 조현경 (대전대학교 한의과대학 심계내과학교실) ;
  • 유호룡 (대전대학교 한의과대학 심계내과학교실) ;
  • 설인찬 (대전대학교 한의과대학 심계내과학교실) ;
  • 김윤식 (대전대학교 한의과대학 심계내과학교실)
  • Published : 2009.08.25

Abstract

The purpose of this study is to investigate the pattern of metabolic syndrome(Mets) in stroke patients who were hospitalized in Daejeon oriental hospital. The present study was done over 445 hospitalized patient with stroke in the Daejeon University Oriental Medical Hospital in the period of November 2006 to December 2008. Stroke patients had been interviewed by residents and specialists who studied standard operation procedures in Fundamental study for Standardization and Objectification of Differentiation and Pattern Identification of Syndrome of Oriental Medicine for Stroke. We analyzed all registered data and evaluated the prevalence of Mets and specific components of Mets. The distribution of Mets in stroke patients according to American Heart Association/National Heart Lung and Blood Institute(AHA/NHLBI) criteria is 65.63%. The distribution of Mets in stroke patients according to International Diabetes Federation(IDF) criteria is 48.05%. The distribution of female patients is higher than that of male patients. The distribution of central obesity, low HDL cholesterol and hypertension is higher in female patients. There is no significant relationship between Mets and stroke type in AHA/NHLBI criteria.. But, there is significant relationship between Mets and stroke type in IDF criteria.

Keywords

References

  1. Reaven, G.M. Role of insulin resistance in human disease. Diabetes 37: 1595, 1988 https://doi.org/10.2337/diabetes.37.12.1595
  2. Alberti, K.G., Zimmet, P.Z. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1. Diagnosis and classification of diabetes mellitus provisional report of a WHO consultation. Diabet. 15: 539-553, 1998 https://doi.org/10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S
  3. Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA 285: 2486-2497, 2001 https://doi.org/10.1001/jama.285.19.2486
  4. Zimmet, P.Z., Alberti, K.G., Shaw, J. International Diabetes Federation. the IDF consensus worldwide definition of the metabolic syndrome. Diabetes voice 50: 31-33, 2005
  5. Grundy, S.M. A constellation of complications: the metabolic syndrome. Clin Cornerstone. 7: 36-45, 2005 https://doi.org/10.1016/S1098-3597(05)80066-3
  6. 임 수, 이은정, 구보경, 조성일, 박경수, 장학철 등. 국민건강영양조사에 근거한 한국인의 대사증후군의 증가 양상. 당뇨병, 29(5):432-439, 2005
  7. 임동미, 박근용, 고관표. 제2형 당뇨병환자에서 각 대사증후군의 정의(WHO, NCEP-ATP III, IDF)에 따른 심혈관질환의 예측능 비교. 한국당뇨병학회지 32: 157-164, 2008
  8. Hanley, A.J., Festa, A., D'Agostino, R.B.Jr., Wagenknecht, L.E., Savage, P.J., Tracy, R.P., Saad, M.F., Haffner, S.M. Metabolic and inflammation variable clusters and prediction of type 2 diabetes:factor analysis using directly measured insulin sensitivity. Diabetes. 53: 1773-1781, 2004 https://doi.org/10.2337/diabetes.53.7.1773
  9. Alberti, K.G., Zimmet, P., Shaw, J. IDF Epidemiology Task Force Consensus Group. The metabolic syndrome- a new worldwide definition. Lancet 366: 1059-1062, 2005 https://doi.org/10.1016/S0140-6736(05)67402-8
  10. Western Pacific Regional Office of the World Health Organization. The International Obesity Task Force. The Asia-Pacific perspective: redefining obesity and its treatment 2000
  11. Lakka, H.M., Laaksonen, D.E., Lakka, T.A., Niskanen, L.K., Kumpusalo, E., Tuomilehto, J., Salonen, J.T. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA. 288: 2709-2716, 2002 https://doi.org/10.1001/jama.288.21.2709
  12. 보건복지부 국민건강영양조사, 2005
  13. Carr, M.C. The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab 88(6):2404-2411, 2003 https://doi.org/10.1210/jc.2003-030242