ABSTRACT
BACKGROUND: This study investigates the predictive risk factors which cause metabolic syndrome and raise morbidity within the first two years by analyzing the Korea Health Examinee Cohort (KOEX) data. The study provides the basis for emphasis on the need of lifestyle modification and regular health examinations. METHODS: This prospective cohort study was conducted by analyzing data from the Health survey and examination section of Korea Health Examinee Cohort (KOEX) data. Total of 1,893 subjects were involved in basic assessments and follow up surveys conducted from years 2005 to 2010. Object of the study was to detect the predictive risk factors of metabolic syndrome within two years, by placing morbidity as the dependent variable. The severity of risk factors was compared by classifying age into decades and body mass index (BMI) into groups of either underweight, normal weight, or obese. RESULTS: The predictive risk factors of metabolic syndrome were revealed as age and BMI. The risk of metabolic syndrome increased by 1.05 fold and by 1.36 fold in correlation with increase in age and BMI, respectively. CONCLUSION: Age and BMI were shown to be the main predictive risk factors of metabolic syndrome within the first two years according to this study. Well systematized weight control programs seem inevitable for preventing metabolic disorder.
Subject(s)
Body Mass Index , Cohort Studies , Follow-Up Studies , Health Surveys , Korea , Life Style , Prospective Studies , Risk Factors , ThinnessABSTRACT
La conducta de atracón, el incremento en su frecuencia que incide en el riesgo asociado a trastorno alimentario, así como su relación con sobrepeso y obesidad constituyen un problema de salud vigente a nivel nacional e internacional. El objetivo de la investigación fue explorar, identificar y describir los factores de riesgo que se interrelacionan y explican la Conducta de Atracón, poniendo especial interés en las similitudes y diferencias inherentes a muestras de tres diferentes países de habla hispana (México, España y Argentina). La muestra agrupó N = 258 mujeres: mexicanas (n = 85, Medad = 16.18, DE = 0.99); argentinas (n = 75, Medad = 17.00, DE = 1.24) y españolas (n = 98, Medad = 17.00, DE = 1.36). Se utilizaron instrumentos psicométricamente adecuados. Entre los resultados de mayor interés se encontró que el factor comer por compensación psicológica obtiene el peso β más alto en cada grupo y el análisis de senderos confirma su importancia intercultural. El carácter emocional de dicho factor, su aportación a la prevención y su poder predictivo forman parte de la discusión.
The increased frequency of binge eating behavior, and its relationship to overweight and obesity, expressed a national and international real health problem. The objective of this study was to explore, identify and describe the risk factors that interrelate and explain Binge Eating Behavior, paying special attention to the similarities and differences inherent to samples from three different Spanish-speaking countries (Mexico, Spain and Argentina). The total sample consisted of N = 258 women: Mexican (n = 85, Mage = 16.18, SD = 0.99); Argentine (n = 75, Mage = 17.00, SD = 1.24) and Spanish (n = 98, Mage = 17.00, SD = 1.36). The instruments used showed a good psychometrical properties. The eating for psychological compensation factor gets the highest β weight in the three groups and its intercultural relevance is confirmed by the Path Analysis. It is discussed the emotional nature of the eating for psychological compensation factor, its contribution to prevention, and its predictive power.
ABSTRACT
The purpose of this study was to compare the perioperative complication rates of reconstructive pelvic surgery and general gynecologic surgery, and to identify the predictive risk factors for perioperative complications in reconstructive pelvic surgery. The medical records of 148 reconstructive pelvic surgery patients and 146 general gynecologic surgery patients were reviewed, and the types of complications, along with their rates and predictive risk factors were examined. The statistical analysis included descriptive statistics and logistic regression. There was no difference in the type of complications between reconstructive pelvic surgery and general gynecologic surgery. The prevalences of perioperative complications were 34.4% in the reconstructive pelvic surgery group and 26.7% in the general gynecologic surgery group. Intraoperative blood loss (p= 0.006) and the duration of surgery (p=0.014) were independent risk factors for perioperative complications in the reconstructive pelvic surgery group. The perioperative complication rates for the patients undergoing reconstructive pelvic surgery were not higher than those of the patients undergoing general gynecologic surgery, even though more procedures were performed and a longer duration of surgery was needed in the former cases. Since the duration of surgery and the amount of blood loss are the major factors affecting the complication rate, decreasing these two factors would be the key to improving the outcomes of patients undergoing reconstructive pelvic surgery