Comparison of Health-related Quality of Life Influencing Factors between Metabolic Syndrome and Osteoporotic Metabolic Syndrome in Korean Elderly People

Eunsook Kim
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Abstract

This study is a secondary data study that analyzes the factors affecting the quality of life of the elderly with metabolic syndrome and the elderly with metabolic syndrome with osteoporosis using data from the 7th year of the National Health and Nutrition Survey (2018). The subjects of this study were 639 patients with metabolic syndrome and 161 patients with metabolic syndrome with osteoporosis. For data analysis, the composite sample Rao-Scott χ² test, general linear model t-test, and regression model were used. As a result of the study, the factors that lowered the quality of life of metabolic syndrome were age, cohabitation, strength training, subjective health status, activity restriction, body mass index and depression, and the explanatory power was 50.4% (F=515.96, p<.001). In metabolic syndrome with osteoporosis, age, subjective health status, activity restriction, and stress were the factors that lowered the quality of life, and the explanatory power was 48.6% (F=10.42, p<.001). Based on these results, it is necessary to develop and provide an intensive multidisciplinary program for the elderly with metabolic syndrome accompanied by osteoporosis to solve the problem of activity restrictions and manage stress reduction through positive acceptance of health status, instrumental and social support, and caring support.
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韩国老年人代谢综合征与骨质疏松性代谢综合征健康相关生活质量影响因素的比较
本研究为二次数据研究,利用2018年全国健康与营养调查第七年数据,分析代谢综合征老年人和代谢综合征骨质疏松老年人生活质量的影响因素。研究对象为639例代谢综合征患者和161例代谢综合征合并骨质疏松患者。数据分析采用复合样本Rao-Scott χ 2检验、一般线性模型t检验和回归模型。研究结果显示,降低代谢综合征患者生活质量的因素为年龄、同居、力量训练、主观健康状况、活动限制、体重指数和抑郁,解释能力为50.4% (F=515.96, p< 0.001)。代谢综合征合并骨质疏松患者中,年龄、主观健康状况、活动受限、应激是降低生活质量的因素,解释能力为48.6% (F=10.42, p< 0.001)。基于这些结果,有必要为代谢综合征合并骨质疏松的老年人制定并提供一个强化的多学科方案,通过积极接受健康状况、工具和社会支持以及关怀支持来解决活动限制问题并管理压力减轻。
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