Korean J Adult Nurs.  2019 Dec;31(6):628-637. 10.7475/kjan.2019.31.6.628.

Factors Influencing Pre-Diabetes in Middle-aged Women based on the KNHANES

• Kim KA
• Shim JL

• KMID: 2466229
• DOI: http://doi.org/10.7475/kjan.2019.31.6.628

Abstract

PURPOSE
This study was conducted to identify the predictive factors for pre-diabetes in middle-aged Korean women based on the Korean National Health and Nutrition Examination Survey (KNHANES).
METHODS
In this cross-sectional study, data were extracted from the second year of the 6th KNHANES (2013~2015), conducted at 129 sites from January to December 2014. The 1,275 subjects were middle-aged women between 40 and 64 years of age characterized as "pre-diabetic" (n=618) or "normal" (n=657) according to the American Diabetes Association (ADA) standard. Multivariate binary logistic regression was used to determine factors influencing pre-diabetes in middle-aged women.
RESULTS
The significant factors for pre-diabetes were a Waist-to-Height Ratio (WHtR) > 0.53 (Odds Ratio [OR]=1.71, 95% Confidence Interval [CI]=1.27~2.29), increasing prevalence of hypercholesterolemia (OR=2.02, 95% CI=1.42~2.86), and low level of High-Density Lipoprotein (HDL) cholesterol (OR=1.89, 95% CI=1.18~3.02). In addition, as age increased after 50 years, the proportion of WHtR > 0.53 decreased in the normal group, but increased with age in the pre-diabetes group.
CONCLUSION
Education to raise awareness about diabetes including pre-diabetes is needed for effective management of hyperlipidemia and central obesity to ensure a healthy middle age.

MeSH Terms

Abdomen
Cholesterol
Cross-Sectional Studies
Education
Female
Humans
Hypercholesterolemia
Hyperlipidemias
Lipoproteins
Logistic Models
Middle Aged
Nutrition Surveys
Obesity
Obesity, Abdominal
Prediabetic State
Prevalence
Cholesterol
Lipoproteins

Figure

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  Figure 1 Flow chart of the study population.

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  Figure 2 Distribution of waist-to-height ratio classified by age groups.

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