Metabolic Syndrome Risk Factors and All Cause Mortality among The Elderly in Taiwan

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Title:	Metabolic Syndrome Risk Factors and All Cause Mortality among The Elderly in Taiwan
Authors:	CHEN, TING-HSUAN
Contributors:	健康產業管理學系長期照護組
Keywords:	Taiwan;elderly;metabolic syndrome risk factors;all-cause mortality
Date:	2016
Issue Date:	2016-08-16 05:26:09 (UTC+0)
Publisher:	亞洲大學
Abstract:	As a result of improvement in living standards, nutrition, and food abundance, more and more people have become obese and physically inactive, which lead to increases in the prevalence of metabolic syndrome. Metabolic syndrome doesn’t constitute a disease, but it describes the aggregation of the risk factors for cardiovascular diseases, diabetes and kidney diseases. However, most of the studies on metabolic syndrome have focused on the relationship between thes risk factors and its related diseases. Few studies investigate the associations between the risk factors of metabolic syndrome and the mortality . This study uses data taken from the Social Environment and Biomarkers of Aging Study, a nationally representative survey in Taiwan to examine the association between the risk factors of metabolic syndrome and mortality among a sample of Taiwanese elders over a six-year period . Methods: Data were taken from the Social Environment and Biomarkers of Aging Study(SEBAS), conducted in 2000. After excluding participants with missing values, there were 976 cases were available for analysis. Chi-square test and Logistic regression models were employed to examine the associations between the MS risk factors and their survival status 6 years later. We also conducted analyses separated by gender. Results: Logistic regression results showed that the all-cause mortality of underweight people (body mass index is less than 18.5) is 3.06 times higher than that of the normal weight. Participants who had an impaired glucose tolerance (diabetic or higher fasting glucose or glycated hemoglobin) were 2.23 times more likely to die over the six-year period. Participants with low high-density lipoprotein cholesterol were 1.57 times more likely to die, when compared to the elders with a normal glucose level over the six years. Other significant predictors of mortality included a higher age, less educated, single, had Activity of daily living disability, and smokers. Conclusion: Among the risk factors of metabolic syndrome, impaired glucose tolerance, obesity, and cholesterol were stronger predictors of the survival status among the older Taiwanese over the study period.
Appears in Collections:	[Long-term Care Division] Theses & dissertations

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