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한국 성인의 고 위험 당뇨에 대한 스트레스와 체질량 지수의 성별 차이

Sex difference in the effect of Body Mass Index and stress on high-risk DM in Korean adults

Journal of Korean Biological Nursing Science 2019년 21권 3호 p.224 ~ 230
이혜순 ( Lee Hea-Shoon ) - 한남대학교 간호학과

Abstract


Purpose: This study aimed to investigate sex differences in the effect of body mass index (BMI) and stress on high-risk diabetes mellitus (DM).

Methods: Secondary analysis of data from 4,271 male and female adults participating in the Sixth Korea National Health and Nutrition Examination Survey 2015 was performed. The participants were evaluated using questionnaires and blood tests. Data were analyzed using descriptive statistics, t-test, χ2-test, and multiple logistic regression analysis (SPSS 24.0).

Results: To identify sex-specific effects, interaction variables were included. Hemoglobin A1c (HbA1c) level was higher in men than in women, and the risk of DM decreased 0.31 times in women compared to that in men. As age increased, the odds of risk DM increased 1.03. The risk of DM increased 1.99 times in overweight individuals and 2.79 times for obese individuals compared to that in individuals with normal weight. Stress levels were higher in women than in men, but stress is not an influential factor in high-risk DM. In age-sex interaction, the odds of risk DM increased 1.02 in women compared to that in men as age increased.

Conclusion: HbA1c level was affected by age-sex interaction, and age and sex should be considered in the application of HbA1c in the diagnosis of DM.

키워드

성인; 체질량지수; 성별; 당화혈색소; 스트레스
Adults; Body Mass Index; Sex; Hemoglobin A1c protein; human; Psychological Stress
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