Portal de Periódicos da CAPES

Effects of smoking, alcohol, exercise, education, and family history on the metabolic syndrome as defined by the ATP III

2004; Elsevier BV; Volume: 67; Issue: 1 Linguagem: Inglês

10.1016/j.diabres.2004.05.006

1872-8227

Won‐Young Lee, Chan‐Hee Jung, Jeong‐Sik Park, Eun‐Jung Rhee, Sun-Woo Kim,

Diet, Metabolism, and Disease

Introduction: Although several environmental factors are known to have diverse effects on the development of the metabolic syndrome, few studies have examined their relevance to Asians. Methods: We gathered data from 4341 subjects on smoking, alcohol drinking, exercise, family history and education level by a self-administered questionnaire. The components of the metabolic syndrome as defined by the ATP III report were examined. Results: The multivariate-adjusted odds ratio of hypertriglyceridemia was 1.4 (95% CI 1.0–1.8) and of low HDL-C was 1.9 (95% CI 1.3–2.6) in subjects who smoked more than 20 pack-years compared to nonsmokers. The relative risk of developing the metabolic syndrome in smokers (more than 20 pack-years) was 1.9 (95% CI 1.1–3.7) compared to nonsmokers. Alcohol consumption had a protective effect against low HDL-C (adjusted OR 0.6–0.2). The relative risk of the metabolic syndrome was 1.7 (95% CI 0.9–2.8) for lack of exercise, 1.5 (95% CI 1.1–2.1) for a positive family history and 2.0 (95% CI 1.2–3.4) in those with no or an elementary school education versus university graduation. Conclusion: Since subjects with a low education level and a family history had an elevated risk for the metabolic syndrome and thus for developing cardiovascular disease, particular attention should be paid to these subjects.