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研究生:劉安倫
研究生(外文):Liu, An-Lun
論文名稱:臺灣南部地區代謝症候群與慢性腎臟病關聯性之探討 -以某醫院體檢對象為例
論文名稱(外文):Assessing the Relationship Between Metabolic Syndrome and Chronic Kidney Disease in Southern Taiwan Hospital.
指導教授:林富宮林富宮引用關係周雨青周雨青引用關係
指導教授(外文):Lin, Fu-GongChou, Yu-Ching
口試委員:林富宮周雨青董和銳
口試委員(外文):Lin, Fu-GongChou, Yu-ChingTung, Ho-Jui
口試日期:2012-05-18
學位類別:碩士
校院名稱:國防醫學院
系所名稱:公共衛生學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:151
中文關鍵詞:慢性腎臟病代謝症候群MDRD公式健康檢查
外文關鍵詞:Chronic kidney disease (CKD)Metabolic syndromeLife styleHealth examination
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慢性腎臟病是世界的流行疾病之一,因為飲食、生活習慣、藥物使用以及醫療健保的實施,台灣慢性腎臟病的盛行率以及發生率一直是全球最高的國家,加以慢性疾病如高血壓、高血糖亦會併發慢性腎臟病的發生。透過國民健康局調查指出台灣地區慢性腎臟病盛行率縣市多為南部地區。故本研究探討台灣南部地區慢性腎臟病以及探討可能的危險因子及其風險性。
本研究為一橫斷性研究,收案人員於100年至南部地區醫院的健檢中心收集1171位參與健康檢查民眾之問卷以及體檢資料,其變項內容包含基本人口學、職業暴露、生活飲食習慣、以及生化檢驗值,在控制過其他干擾因子後,探討可能之危險因子對於慢性腎臟病之風險。本研究採用的統計軟體為SPSS19.0 套裝統計軟體,使用敘述統計法闡明一般數據,採取平均值與標準差描述研究對象之基本資料,並且採用 t 檢定比較慢性腎臟病有無之間的差異;職業、生活飲食等相關因子則用百分比表示,使用卡方檢定來考驗代謝症候群、慢性腎臟病有無之間的關係, p 值小於 0.05 判定為有統計學上的顯著意義。並且使用多項式邏輯斯迴歸分析 (Multiple logistic regression) 檢定一般特質、生活飲食型態與慢性腎臟病之間的關聯性。進一步驗證代謝症候群各組成因素對於慢性腎臟病的勝算比,以及探討危險因子用以作預測南部地區民眾慢性腎臟病的可行性。
本研究共有661位男性、340位女性,平均年齡為36.43±11.07歲,慢性腎臟病盛行率為13.1%,整體的腎絲球過濾率為91.34±15.29 ml/min/1.73m2,代謝症候群之盛行率為12.9%,工作型態、抽菸習慣、運動強度、飲食習慣如烹調肉類、魚類及蛋、進食另外加調味料、BMI、高密度脂蛋白膽固醇在慢性腎臟病與否之間都有達到統計上的顯著差異。在迴歸分析研究中,代謝症候群異常與否對於慢性腎臟病的風險有BMI肥胖之風險性為1.584 (95% CI 1.008-2.488)、高密度脂蛋白膽固醇過低的風險性為2.027 (95% CI 1.228-3.345),而在多項式邏輯斯迴歸分析當中,抽菸習慣、飲食習慣以及生化值尿酸、肝功能都有道統計上的顯著風險。
南部地區參與健康檢查民眾之慢性腎臟病危險因子多為工作型態、生活習慣以及飲食習慣造成體檢生化值異常,根據本研究結果,建議南部地區民眾應調整日常生活不良習慣以及飲食的調控,來預防慢性腎臟病的發生。

Chronic kidney disease is one of the predominant chronic epidemic diseases in the world. Diet, life style, medication abuse, and over-implementation of Health Insurance are referred to be the causes of the high incidence of ESRD in Taiwan. As shown from the data of United States Renal Date System in 2009, CKD prevalence in Taiwan was highest in the World. In the end of 2004, there were 38,709 patients in Taiwan receiving dialysis medication. Chronic diseases such as hypertension, hyperglycemia were also reported to contribute to high incidence of chronic kidney disease. Through the reports of Bureau of Health Promotion, high prevalent areas of chronic kidney disease in Taiwan most located in southern Taiwan. This study is mainly aimed to investigate the risk factors of the chronic kidney disease in Southern Taiwan.
In this cross-sectional survey, 1,171 adult cases were collected from annual health examination in one Southern hospital center in 2011. Data collection form the medical history, possible material exposure in occupation, life style and diet questionnaires were done; physical and biochemical examination data were also collected. SPSS statistical software 19.0 version was used to examine the relationship between CKD and related variables. Multiple logistic regression method was adopted for evaluation the odds of risk factors for chronic kidney disease and metabolic syndrome.
In the results, there are 661 males and 340 females included in this study and the mean age was 36.43 . The prevalence of chronic kidney disease of the sample is 13.1% with mean eGFR 91.34 ml/min/1.73m2. The prevalence of metabolic syndrome of the sample is 12.9%. Variables of occupation, smoking, exercise strength, diet, BMI and HDL are found to be significant for occurrence of CKD. In the multiple-variable analysis model, BMI over 27 kg/m2 accompanies with the higher risk of suffering from CKD (OR =1.584), and HDL lower than standard gets higher risks of CKD (OR =2.027). Also, variables of smoking, improper diet, higher uric acid, and liver mal-function are showed significance in the model.
According to our result, risk factors of CKD in Southern Taiwan are mostly correlated to occupation type, life style, and diet. And in conclusion, improvement of life style and diet quality for people lived in Southern Taiwan are suggested to prevent the incidence of the CKD.

目錄 I
表目錄 II
圖目錄 III
附錄目錄 IV
中文摘要 V
英文摘要 I
第一章 緒論 - 1 -
第一節 研究背景與重要性 - 1 -
第二節 研究動機 - 3 -
第三節 研究目的 - 4 -
第二章 文獻探討 - 5 -
第一節 慢性腎臟病之危險因子之盛行率 - 5 -
第二節 代謝症候群之危險因子及其盛行率 - 17 -
第三節 慢性腎臟病與代謝症候群之相關 - 27 -
第三章 研究方法與研究設計 - 29 -
第一節 研究架構與假設 - 29 -
第二節 研究對象與資料收集情形 - 32 -
第三節 研究工具 - 34 -
第四節 研究變項操作型定義 - 36 -
第五節 統計分析 - 40 -
第四章 研究結果 - 41 -
第一節 慢性腎臟病之盛行率 - 41 -
第二節 受訪者基本特性描述 - 42 -
第三節 南部地區健康檢查民眾於代謝症候群之分佈情形 - 60 -
第四節 基本特性與慢性腎臟病等構面之迴歸分析 - 71 -
第五章 討論 - 85 -
第六章 結論與建議 - 100 -
第一節 結論 - 100 -
第二節 建議 - 102 -
第七章 參考文獻 - 103 -

Anand, S. S., Q. Yi, et al. (2003). "Relationship of metabolic syndrome and fibrinolytic dysfunction to cardiovascular disease." Circulation 108(4): 420-425.
Astor, B. C., S. I. Hallan, et al. (2008). "Glomerular filtration rate, albuminuria, and risk of cardiovascular and all-cause mortality in the US population." Am J Epidemiol 167(10): 1226-1234.
Baggio, B., A. Budakovic, et al. (2002). "Effects of cigarette smoking on glomerular structure and function in type 2 diabetic patients." J Am Soc Nephrol 13(11): 2730-2736.
Bergman, S., B. O. Key, et al. (1996). "Kidney disease in the first-degree relatives of African-Americans with hypertensive end-stage renal disease." Am J Kidney Dis 27(3): 341-346.
Boucher, B. J. and N. Mannan (2002). "Metabolic effects of the consumption of Areca catechu." Addict Biol 7(1): 103-110.
Brown, W. W., R. M. Peters, et al. (2003). "Early detection of kidney disease in community settings: the Kidney Early Evaluation Program (KEEP)." Am J Kidney Dis 42(1): 22-35.
Buck, K. and J. Feehally (1997). "Diabetes and renal failure in Indo-Asians in the UK--a paradigm for the study of disease susceptibility." Nephrol Dial Transplant 12(8): 1555-1557.
Carnethon, M. R., C. M. Loria, et al. (2004). "Risk factors for the metabolic syndrome: the Coronary Artery Risk Development in Young Adults (CARDIA) study, 1985-2001." Diabetes Care 27(11): 2707-2715.
Carrero, J. J. (2010). "Gender differences in chronic kidney disease: underpinnings and therapeutic implications." Kidney Blood Press Res 33(5): 383-392.
Case, C. C., P. H. Jones, et al. (2002). "Impact of weight loss on the metabolic syndrome." Diabetes Obes Metab 4(6): 407-414.
Chadban, S. J., E. M. Briganti, et al. (2003). "Prevalence of kidney damage in Australian adults: The AusDiab kidney study." J Am Soc Nephrol 14(7 Suppl 2): S131-138.
Chagnac, A., T. Weinstein, et al. (2000). "Glomerular hemodynamics in severe obesity." Am J Physiol Renal Physiol 278(5): F817-822.
Chen, C. C., T. C. Li, et al. (2008). "Association among cigarette smoking, metabolic syndrome, and its individual components: the metabolic syndrome study in Taiwan." Metabolism 57(4): 544-548.
Chen, F. P., T. J. Chen, et al. (2007). "Use frequency of traditional Chinese medicine in Taiwan." BMC Health Serv Res 7: 26.
Chen, J., P. Muntner, et al. (2004). "The metabolic syndrome and chronic kidney disease in U.S. adults." Ann Intern Med 140(3): 167-174.
Chiang, S. S., C. W. Tai, et al. (2010). "Micronutrients and lifestyles in Taiwanese patients with stage 3 to 5 chronic kidney disease." Nutrition 26(3): 276-282.
Chou, C. Y., S. Y. Cheng, et al. (2009). "Association between betel-nut chewing and chronic kidney disease in men." Public Health Nutr 12(5): 723-727.
Cirillo, M., M. Laurenzi, et al. (2006). "Low glomerular filtration in the population: prevalence, associated disorders, and awareness." Kidney Int 70(4): 800-806.
Cockcroft, D. W. and M. H. Gault (1976). "Prediction of creatinine clearance from serum creatinine." Nephron 16(1): 31-41.
Collins, A. J., B. Kasiske, et al. (2003). "Excerpts from the United States Renal Data System 2003 Annual Data Report: atlas of end-stage renal disease in the United States." Am J Kidney Dis 42(6 Suppl 5): A5-7, S1-230.
Coresh, J., D. Byrd-Holt, et al. (2005). "Chronic kidney disease awareness, prevalence, and trends among U.S. adults, 1999 to 2000." J Am Soc Nephrol 16(1): 180-188.
Coresh, J., E. Selvin, et al. (2007). "Prevalence of chronic kidney disease in the United States." JAMA 298(17): 2038-2047.
de Francisco, A. L., G. F. Fresnedo, et al. (2005). "The renal benefits of a healthy lifestyle." Kidney Int Suppl(99): S2-6.
Deen, D. (2004). "Metabolic syndrome: time for action." Am Fam Physician 69(12): 2875-2882.
Fan, A. Z., M. Russell, et al. (2008). "Patterns of alcohol consumption and the metabolic syndrome." J Clin Endocrinol Metab 93(10): 3833-3838.
Ford, E. S., W. H. Giles, et al. (2002). "Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey." JAMA 287(3): 356-359.
Ford, E. S., H. W. Kohl, 3rd, et al. (2005). "Sedentary behavior, physical activity, and the metabolic syndrome among U.S. adults." Obes Res 13(3): 608-614.
Freiberg, M. S., H. J. Cabral, et al. (2004). "Alcohol consumption and the prevalence of the Metabolic Syndrome in the US.: a cross-sectional analysis of data from the Third National Health and Nutrition Examination Survey." Diabetes Care 27(12): 2954-2959.
Guh, J. Y., H. C. Chen, et al. (2007). "Herbal therapy is associated with the risk of CKD in adults not using analgesics in Taiwan." Am J Kidney Dis 49(5): 626-633.
Haroun, M. K., B. G. Jaar, et al. (2003). "Risk factors for chronic kidney disease: a prospective study of 23,534 men and women in Washington County, Maryland." J Am Soc Nephrol 14(11): 2934-2941.
Hsu, C. C., S. J. Hwang, et al. (2006). "High prevalence and low awareness of CKD in Taiwan: a study on the relationship between serum creatinine and awareness from a nationally representative survey." Am J Kidney Dis 48(5): 727-738.
Hwang, L. C., C. H. Bai, et al. (2007). "Gender difference on the development of metabolic syndrome: a population-based study in Taiwan." Eur J Epidemiol 22(12): 899-906.
IARC (2004). "Betel-quid and Areca-nut Chewing and Some Areca-nut-derived Nitrosamines."
Imai, E., M. Horio, et al. (2009). "Prevalence of chronic kidney disease in the Japanese general population." Clin Exp Nephrol 13(6): 621-630.
Iseki, K., K. Kohagura, et al. (2007). "Changes in the demographics and prevalence of chronic kidney disease in Okinawa, Japan (1993 to 2003)." Hypertens Res 30(1): 55-62.
Jang, S. Y., I. H. Kim, et al. (2010). "Chronic kidney disease and metabolic syndrome in a general Korean population: the Third Korea National Health and Nutrition Examination Survey (KNHANES III) Study." J Public Health (Oxf) 32(4): 538-546.
Kawamoto, R., K. Kohara, et al. (2008). "An association between metabolic syndrome and the estimated glomerular filtration rate." Intern Med 47(15): 1399-1406.
Kelishadi, R., R. Derakhshan, et al. (2005). "The metabolic syndrome in hypertensive and normotensive subjects: the Isfahan Healthy Heart Programme." Ann Acad Med Singapore 34(3): 243-249.
Kim, E. S., S. M. Han, et al. (2004). "Prevalence and clinical characteristics of metabolic syndrome in a rural population of South Korea." Diabet Med 21(10): 1141-1143.
Kitiyakara, C., S. Yamwong, et al. (2007). "The metabolic syndrome and chronic kidney disease in a Southeast Asian cohort." Kidney Int 71(7): 693-700.
Konta, T., Z. Hao, et al. (2006). "Prevalence and risk factor analysis of microalbuminuria in Japanese general population: the Takahata study." Kidney Int 70(4): 751-756.
Kuo, H. W., S. S. Tsai, et al. (2007). "Epidemiological features of CKD in Taiwan." Am J Kidney Dis 49(1): 46-55.
Kurella, M., J. C. Lo, et al. (2005). "Metabolic syndrome and the risk for chronic kidney disease among nondiabetic adults." J Am Soc Nephrol 16(7): 2134-2140.
Kwasniewska, M., D. Kaleta, et al. (2009). "Healthy behaviours, lifestyle patterns and sociodemographic determinants of the metabolic syndrome." Cent Eur J Public Health 17(1): 14-19.
Lee, J. E., Y. G. Kim, et al. (2006). "Serum uric acid is associated with microalbuminuria in prehypertension." Hypertension 47(5): 962-967.
Lee, S. W., Y. C. Kim, et al. (2011). "Trends in the prevalence of chronic kidney disease, other chronic diseases and health-related behaviors in an adult Korean population: data from the Korean National Health and Nutrition Examination Survey (KNHANES)." Nephrol Dial Transplant 26(12): 3975-3980.
Lerma, E. V. (2008). "Approach to the patient with renal disease." Prim Care 35(2): 183-194, v.
Lin, W. Y., T. Y. Chiu, et al. (2008). "Betel nut chewing is associated with increased risk of cardiovascular disease and all-cause mortality in Taiwanese men." Am J Clin Nutr 87(5): 1204-1211.
Mannan, N., B. J. Boucher, et al. (2000). "Increased waist size and weight in relation to consumption of Areca catechu (betel-nut); a risk factor for increased glycaemia in Asians in east London." Br J Nutr 83(3): 267-275.
McClellan, W., D. G. Warnock, et al. (2006). "Racial differences in the prevalence of chronic kidney disease among participants in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Cohort Study." J Am Soc Nephrol 17(6): 1710-1715.
McFarlane, S. I., S. C. Chen, et al. (2008). "Prevalence and associations of anemia of CKD: Kidney Early Evaluation Program (KEEP) and National Health and Nutrition Examination Survey (NHANES) 1999-2004." Am J Kidney Dis 51(4 Suppl 2): S46-55.
Mendez-Hernandez, P., Y. Flores, et al. (2009). "Physical activity and risk of metabolic syndrome in an urban Mexican cohort." BMC Public Health 9: 276.
Nagata, M., T. Ninomiya, et al. (2010). "Trends in the prevalence of chronic kidney disease and its risk factors in a general Japanese population: the Hisayama Study." Nephrol Dial Transplant 25(8): 2557-2564.
NKF-KOQI (2002). "美國 NKF-KOQI 慢性腎臟病定義準則."
NKF-KOQI (2002). "美國 NKF-KOQI 慢性腎臟病定義準則對慢性腎臟病的分期定義."
Nzerue, C. M., H. Demissochew, et al. (2002). "Race and kidney disease: role of social and environmental factors." J Natl Med Assoc 94(8 Suppl): 28S-38S.
Orth, S. R. (2002). "Smoking and the kidney." J Am Soc Nephrol 13(6): 1663-1672.
Orth, S. R. and S. I. Hallan (2008). "Smoking: a risk factor for progression of chronic kidney disease and for cardiovascular morbidity and mortality in renal patients--absence of evidence or evidence of absence?" Clin J Am Soc Nephrol 3(1): 226-236.
Panagiotakos, D. B., C. Pitsavos, et al. (2004). "Impact of lifestyle habits on the prevalence of the metabolic syndrome among Greek adults from the ATTICA study." Am Heart J 147(1): 106-112.
Panichi, V., S. Paoletti, et al. (2006). "In vivo and in vitro effects of simvastatin on inflammatory markers in pre-dialysis patients." Nephrol Dial Transplant 21(2): 337-344.
Park, H. S., S. W. Oh, et al. (2004). "The metabolic syndrome and associated lifestyle factors among South Korean adults." Int J Epidemiol 33(2): 328-336.
Park, Y. W., S. Zhu, et al. (2003). "The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994." Arch Intern Med 163(4): 427-436.
Parker, L., D. W. Lamont, et al. (2003). "A lifecourse study of risk for hyperinsulinaemia, dyslipidaemia and obesity (the central metabolic syndrome) at age 49-51 years." Diabet Med 20(5): 406-415.
Perkovic, V., A. Cass, et al. (2008). "High prevalence of chronic kidney disease in Thailand." Kidney Int 73(4): 473-479.
Ritz, E. and V. Schwenger (2005). "Lifestyle modification and progressive renal failure." Nephrology (Carlton) 10(4): 387-392.
Robinson, T. N. (1999). "Reducing children's television viewing to prevent obesity: a randomized controlled trial." JAMA 282(16): 1561-1567.
Robinson, T. N., J. D. Killen, et al. (2003). "Dance and reducing television viewing to prevent weight gain in African-American girls: the Stanford GEMS pilot study." Ethn Dis 13(1 Suppl 1): S65-77.
Rojas, R., C. A. Aguilar-Salinas, et al. (2010). "Metabolic syndrome in Mexican adults: results from the National Health and Nutrition Survey 2006." Salud Publica Mex 52 Suppl 1: S11-18.
Rosolowsky, E. T., L. H. Ficociello, et al. (2008). "High-normal serum uric acid is associated with impaired glomerular filtration rate in nonproteinuric patients with type 1 diabetes." Clin J Am Soc Nephrol 3(3): 706-713.
Shankar, A., R. Klein, et al. (2006). "The association among smoking, heavy drinking, and chronic kidney disease." Am J Epidemiol 164(3): 263-271.
Stengel, B., M. E. Tarver-Carr, et al. (2003). "Lifestyle factors, obesity and the risk of chronic kidney disease." Epidemiology 14(4): 479-487.
Taal, M. W. and B. M. Brenner (2006). "Predicting initiation and progression of chronic kidney disease: Developing renal risk scores." Kidney Int 70(10): 1694-1705.
Takamatsu, N., H. Abe, et al. (2009). "Risk factors for chronic kidney disease in Japan: a community-based study." BMC Nephrol 10: 34.
Tanchoco, C. C., A. J. Cruz, et al. (2003). "Prevalence of metabolic syndrome among Filipino adults aged 20 years and over." Asia Pac J Clin Nutr 12(3): 271-276.
Tozawa, M., K. Iseki, et al. (2002). "Influence of smoking and obesity on the development of proteinuria." Kidney Int 62(3): 956-962.
V, R., I. JP, et al. (2003). "Prevalence of the metabolic syndrome in Middle-aged Men and Women." Diabetes Care 26: 3198-3199.
Viktorsdottir, O., R. Palsson, et al. (2005). "Prevalence of chronic kidney disease based on estimated glomerular filtration rate and proteinuria in Icelandic adults." Nephrol Dial Transplant 20(9): 1799-1807.
Wang, Y., X. Chen, et al. (2008). "Association between obesity and kidney disease: a systematic review and meta-analysis." Kidney Int 73(1): 19-33.
Warnock, D. G., W. McClellan, et al. (2005). "Prevalence of chronic kidney disease and anemia among participants in the Reasons for Geographic and Racial Differences in Stroke (REGARDS) Cohort Study: baseline results." Kidney Int 68(4): 1427-1431.
Weiner, D. E., H. Tighiouart, et al. (2008). "Uric acid and incident kidney disease in the community." J Am Soc Nephrol 19(6): 1204-1211.
Wen, C. P., T. Y. Cheng, et al. (2008). "All-cause mortality attributable to chronic kidney disease: a prospective cohort study based on 462 293 adults in Taiwan." Lancet 371(9631): 2173-2182.
Williams, D. E., A. T. Prevost, et al. (2000). "A cross-sectional study of dietary patterns with glucose intolerance and other features of the metabolic syndrome." Br J Nutr 83(3): 257-266.
Yen, A. M., Y. H. Chiu, et al. (2006). "A population-based study of the association between betel-quid chewing and the metabolic syndrome in men." Am J Clin Nutr 83(5): 1153-1160.
Zhang, L., L. Zuo, et al. (2007). "Metabolic syndrome and chronic kidney disease in a Chinese population aged 40 years and older." Mayo Clin Proc 82(7): 822-827.
行政院衛生署 (2011). "台灣十大死因 衛生署統計資料."

行政院衛生署國民衛生局。台灣地區各縣市97至99年18歲以上過重及肥胖盛行率(肥胖地圖)。http://www.bhp.doh.gov.tw/bhpnet/portal/file/ThemeDocFile/201110190119389152/台灣地區各縣市97至99年18歲以上過重及肥胖盛行率.JPG
祝年豐 (2007)。腹部肥胖與代謝症候群。http://www.dmcare.org.tw/up3/2007-1-%E7%A5%9D%E5%B9%B4%E8%B1%90.pdf
行政院衛生署國民健康局 (2011)。2005-2008國民營養健康狀況變遷調查。http://nahsit.nhri.org.tw/node/15
行政院衛生署 (2011)。99年死因統計結果 衛生署統計資料。行政院衛生署國民健康局。
臺灣腎臟病學會 (2010)。慢性腎臟病防治手冊。行政院衛生署國民健康局。
卓仲彥(2005)。社經地位、飲食型態與慢性病。未發表碩士論文,亞洲大學健康管理研究所碩士班。
張冠群 (2011)。國軍特殊作業人員慢性腎臟病盛行率及相關因子之探討。未發表碩士論文,國防醫學院公共衛生學研究所。
邱瓊玉 (2010)。飲食習慣與慢性腎臟病之關係探討。未發表碩士論文,國防醫學院公共衛生學研究所。
毛鴻忠、郭弘典 (2007)。慢性腎臟疾病與血脂異常。腎臟與透析,第十九卷,第一期,頁29-35。
吳至行、楊宜青、張瑞泰、陳淑慧、姚維仁、馬瀰嘉(2007)。檳榔嚼食習慣在四組份模式身體組成上的劑量反應變化之世代追蹤研究---對代謝症候群及骨質密度的影響(I)。行政院國家科學委員會計畫。計畫編號 NSC96-2314-B006-071-MY2。
林昭庚 (2004)。含馬兜鈴酸中藥與中草藥腎病變之相關文獻探討。中醫藥年報,第二十二卷 第八期,頁1-86。
林文元、劉秋松、林正介、陳慶餘、李龍騰、黃國晉(2005)。停經婦女代謝症候群之研究。台灣老年醫學雜誌,第一卷,第一期,頁26-33。
沈峰志、陳敕因、蘇聖棋、劉瑞川 (2009)。The Prevalence and Risk Factors of DiabeticNephropathy in Taiwanese Type 2 Diabetes--A Hospital-Based Study. 臺灣腎臟醫學會雜誌,第二十三卷,第二期,頁90-95。.
莊紹源、陳震寰、蔡世澤、周碧瑟 (2002)。Clinical identification of the metabolic syndrome in Kimen。Acta Cardiol Sin,第18卷,頁16-23。
楊宜青、張智仁 (2007)。代謝症候群、肥胖和糖尿病。臺灣醫學,第十一卷,第四期,頁370-380
葉俊東、唐德成、黃東坡 (2005)。末期腎病變之貧血探討。腎臟與透析,第十七卷,第一期,頁1-10。
蔡兆勳、陳慶餘(2006)。代謝症候群的相關基因及其表現。基層醫學,第二十一卷,第十一期,頁338-340。
馮祥華(2002)。慢性腎功能不全的整體性醫療照顧之前景。內科學誌,第十三卷,第三期,頁99-105。
董萃英、陳進陽、楊雀戀、章樂綺 (2009)。腎臟病與肥胖。台灣膳食營養學雜誌,第一卷,第一期,頁23-26。
葉俊東、唐德成、黃東波 (2009)。末期腎病變之貧血探討。腎臟與透析,第十七卷,第一期,頁1-10。
黃志芳 (2012)。臺灣南部中老年人代謝症候群盛行率及其相關因子。慈濟護理,第十一卷 第一期,頁72-84。

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