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研究生:謝雅儀
研究生(外文):Ya-Yi Hiesh
論文名稱:台灣成年人口中高血壓、高血脂及糖尿病前期盛行率及其相關因素探討
論文名稱(外文):Prevalence and Associated Factors Investigation of Prehypertension, Prehyperlipidemia and Prediabetes in Taiwan Adult Population
指導教授:董和銳董和銳引用關係
指導教授(外文):Ho-Jui Tung
口試委員:徐尚為林富宮董和銳
口試委員(外文):Shang-Wei HsuFu-Gong LinHo-Jui Tung
口試日期:2013-06-04
學位類別:碩士
校院名稱:亞洲大學
系所名稱:健康產業管理學系長期照護組
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:62
中文關鍵詞:高血壓前期高血脂前期糖尿病前期身體質量指數空腹血糖總膽固醇血壓三酸甘油脂
外文關鍵詞:prehypertensionprehyperlipidemiaprediabetesimpaired fasting glucosecholesteroltriglyceridelow density lipoproteinBMI
相關次數:
  • 被引用被引用:4
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目的:高血壓、高血脂、糖尿病是心血管疾病的主要危險因子,不僅影響國人健康,對慢性病在醫療成本上也是沉重的負擔。因此,若能在高血壓、高血脂、糖尿病的發病前期就對其進行相關預防以減少疾病發生率。藉由分析代表台灣成年人的血液樣本檢查結果及生理測量數據,於高血壓、高血脂、高血糖前期對於生活型態是否影響高血壓、高血脂、高血糖的發生之相關因素之探討。
方法:資料來源為中央研究院學術調查研究資料庫長期追蹤調查中台灣2004-2008國民營養健康狀況變遷調查的資料庫。根據人口學特質、生活型態和生理測量數據,以描述性分析及邏輯式迴歸分析與高血壓前期、高血脂前期、高血糖前期有關的相關因素。
結果:本研究樣本數高血壓前期692人、高血脂前期1012人、糖尿病前期共1027人;高血壓前期、高血脂前期、糖尿病前期盛行率分別為34.5%、41.3%、42.2%,平均年齡為54.8±16.3歲、56.3±15.7歲、56.6±15.9歲。在邏輯式迴歸分析中,發現以男性、教育程度在國中以下、喪偶者、有抽菸、喝酒及BMI值過重及肥胖者位在三高前期者勝算較大,若伴隨已確診是高血壓、高血脂、高血糖者罹病勝算也較高。
結論:在台灣高血壓、高血脂、糖尿病前期者盛行率偏高,這些人都不知道已處於高危險群且罹患高血壓、高血脂及糖尿病的機率可能高出正常者,多數三高前期者認為自己健康狀況是跟一般人同年齡者好的,對於這些尚未達到疾病的診斷標準而容易忽略三高對健康所帶來威脅性的三高前期者,若能及早給予預防性衛教,將可以減少疾病發生率及健保醫療費用的支出。
Objective:High blood pressure, Hyperlipidemia, and High blood sugar are major risk factors for the leading causes of death in Taiwan, such as diabetes and cardiovascular diseases. The increasing burden of these diseases will impose substantial cost on Taiwan’s health care systems in the years to come. Studies point out that efforts should be directed to those who have not yet had the disease in order to be more cost-effective in terms of disease prevention. In this study, we investigate the prevalence of pre-stage Hypertension, hyperlipidemia, and diabetes among a representative sample of adults in Taiwan.
Methods: Data were taken from the 2005-2008 Nutrition and Health Survey in Taiwan (NAHSIT). Both the questionnaire information and biochemistry data from the 8-hour fasting blood samples were used to determine the participant’s pre-stage status for Hypertension (120-139/80-89mmHg), Hyperlipidemia (cholesterol 200-239mg/dl, triglyceride 150-199mg/dl, low density lipoprotein 130-159mg/dl), and Diabetes (impaired fasting glucose 100-125mg/dl) and their related factors.
Results:After excluding participants who reported that they had Hypertension, Hyperlipidemia, or Diabetes, there were 692 cases with a Pre-stage hypertension,1012 cases with a Pre-stage Hyperlipidemia and 1027 cases with a Pre-diabetic status. The prevalence rates for the 3 pre-stage conditions were 34.5%, 41.3%, and 42.2%, respectively.
Conclusions:Our results suggested that significant proportions of the adults in Taiwan did not know that they were already in pre-stage conditions for Hypertension, Hyperlipidemia and Diabetes. Future primary prevention programs should pay more attention to people who are unaware of their high-risk status for these chronic diseases.

中文摘要
英文摘要
目錄 I
表目錄 III
圖目錄 IV
第一章 緒論
第一節 研究背景與動機 1
第二節 研究目的 4
第二章 文獻查證
第一節 高血壓的定義及分類標準 5
第二節 高血脂定義及分類標準 7
第三節 糖尿病的定義及分類標準 10
第四節 高血壓前期、高血脂前期、糖尿病前期盛行率及其相關因素 12
第三章 研究方法
第一節 研究材料及研究樣本 21
第二節 研究架構 24
第三節 變項定義 25
第四節 統計分析 28
第四章 研究結果
第一節 高血壓、高血脂、高血糖前期者盛行率 29
第二節 敘述性分析 30
第三節 邏輯式迴歸分析 41
第五章 討論與限制
第一節 針對高血壓前期、高血脂前期、高血糖前期個別做討論 51
第二節 研究限制 54
第六章 結論與建議 55
中文參考文獻 57
英文參考文獻 59
表 目 錄
表 1 高血壓前期基本人口學資料之描述性分析(n=692) 32
表 2 高血脂前期基本人口學特質之描述性分析(n=1012) 33
表 3 高血糖前期基本人口學資料之描述性分析(n=1027) 34
表 4 高血壓前期相關因素之描述性分析(n=692) 35
表 5 高血脂前期相關因素之描述性分析(n=1012) 37
表 6 高血糖前期相關因素之描述性分析(n=1027) 39
表 7 有無高血壓前期相關因素之二元邏輯式迴歸分析(n=2005) 45
表 8 有無高血脂前期相關因素之二元邏輯式迴歸分析(n=2452) 47
表 9 有無糖尿病前期相關因素之二元邏輯式迴歸分析(n=2432) 49
圖 目 錄
圖 1 樣本篩選流程 23
圖 2 高血壓高血糖高血脂前期盛行率 29




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