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題名:南部某醫學中心健康檢查民眾高尿酸血症之分析
書刊名:長庚護理
作者:王慧卿曾泓富陳榮福陳英州王麗雲
作者(外文):Wang, Hui-chingTseng, Hung-fuChen, Jung-fuChen, Ying-chouWang, Lee-yun
出版日期:2004
卷期:15:4=48
頁次:頁361-368
主題關鍵詞:高尿酸血症健康檢查身體質量指數HyperuricemiaPhysical check-upBody mass indexBMI
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:0
  • 點閱點閱:5
     本研究目的主要探討健康檢查民眾血中尿酸檢查結果與身體質量指數、血壓、肝功能、腎功能、血中總膽固醇、血中三酸甘油脂、血糖之關係。本研究採橫斷式研究,以2002年1月至2002年6月,參加南部某醫學中心健康檢查的民眾為對象,總計樣本數為2345名,其中男性1345人(57.4%)、女性1000人(42.6%),平均年齡為49歲。資料收集後進行統計分析,研究結果顯示男性尿酸異常為35.6%較女性尿酸異常25.7%的比例為高。卡方檢定(Chi-square test)顯示尿酸檢查結果與性別、年齡、血壓、身體質量指數、肝功能、腎功能、血中總膽固醇、血中三酸甘油脂、飯前血糖有關,與飯後血糖無關。經邏輯式複迴歸分析發現性別、肥胖、肝功能異常、腎功能異常與血中三酸甘油脂異常與尿酸異常有獨立的正相關。本研究建議醫護人員能加強民眾對健康檢查的重視,有高尿酸血症之民眾應遵循健康生活型態,並且控制體重、血壓,以預防慢性病之發生及提昇生活品質。
     In this cross-sectional study, we examined the association between hyperuricemia and body mass index (BMI), blood pressure, blood sugar, total cholesterol, triglyceride, liver and kidney functions. Subjects were residents attending a physical check-up program in a medical center in southern Taiwan from January to June in 2002. A total of 2345 subjects, including 1345 (57.4%) male and 1000 (42.6%) female, with an average age of 49, were included in the analysis. The results showed that the prevalence of hyperuricemia among men was 35.6%, significantly higher than that of the women (25.7%). The results of chi-square analysis showed that hyperuricemia was associated with gender, age, blood pressure, BMI, liver function, kidney function, total cholesterol, triglyceride, and blood sugar before meal. The results of multiple logistic regression revealed that hyperuricemia was independently associated with sex, obesity, kidney and liver functions, and triglyceride level. We suggest healthcare providers emphasizing the importance of regular physical check-up to the public. For those with hyperuricemia, dietary modification and proper control of weight and blood pressure are advised to prevent the occurrence of chronic diseases.
期刊論文
1.金惠民、許惠恆、蘇秀月(1999)。肥胖者體重減輕血清尿酸、尿酸排泄以及胰島素抗性的影響。中華民國營養學會雜誌,24(2),167-177。  延伸查詢new window
2.黃建財、馮兆康、蔡崇弘、黃麗玲(20010100)。臺中和平鄉原住民老人血清尿酸濃度相關因子之研究。公共衛生,27(4),277-285。  延伸查詢new window
3.劉美媛、葉松鈴、陳維昭(19980800)。肥胖婦女減重對其與常見代謝疾病相關之血中指標之影響。中華民國營養學會雜誌,23(3),227-237。  延伸查詢new window
4.潘文涵、葉志嶸、陳保羅(1999)。凝血因子與血脂質、血脂前蛋白質、血糖、血中尿酸、及血壓之相關性研究。臺灣醫學會雜誌,98(8),543-549。  延伸查詢new window
5.Alderman, M. H.(2002)。Uric acid and cardiovascular risk。Current Opinion in Pharmacology,2(2),126-130。  new window
6.賴世偉、李采娟、李佳霙、陳志強、黃金財、賴明美、劉秋松、林正介(19991200)。Association between Serum Uric Acid and Cardiovascular Risk Factors among Elderly People in Taiwan。The Kaohsiung Journal of Medical Sciences,15(12),686-690。  延伸查詢new window
7.Allan, C.、Michael, J.、Lucy, A.、John, johniene D.、Pearson, A.、Marc, C.(1997)。Gout and Risk for Subsequent Coronary Heart Disease。Archives of Internal Medicine,157,1436-1440。  new window
8.Lu, P.、Hu, D.、Lu, J.、Wang, W.、Chen, B.(2002)。The association between uric acid and coronary heart disease。Chinese Journal of Internal Medicine,41(8),526-529。  new window
9.Matsubara, M.、Chiba, H.、Maruoka, S.、Katayose, S.(2002)。Elevated serum leptin concentrations in women with hyperuricemia。Journal of Atherosclerosis and Thrombosis,9(1),28-34。  new window
10.Sanchez-Lozada, L. G.、Tapia, E.、Avila-Casado, C.、Soto, V.、Franco, M.、Santamaria, J.、Nakagawa, T.、Rodriguez-Iturbe, B.、Johnson, R. J.、Herrera-Acosta, J.(2002)。Mild hyperuricemia induces glomerular hypertention in normal rate。American Journal of Physiology-Renal Fluid and Electrolyte Physiology,283(5),1105-1110。  new window
11.Tsutsumi, Z.、Yamamoto, T.、Takahashi, S.、Moriwaki, Y.、Higashino, K.(1996)。Gout and atheroscrelosis。Nippon Rinsho-Japanese Journal of Clinical Medicine,54(12),3297-3302。  new window
12.陳再晉、游伯村(19950600)。臺北市成年市民之血糖、血清膽固醇、尿酸及肌酸酐值調查報告。中華民國腎臟醫學會雜誌,9(2),109-118。  延伸查詢new window
13.Reeder, B.A、Senthilselvan, A、Despres, J.P、Angel, A、Liu, L.、Wang, H.、Rabkin, S.W.(1997)。The association of cardiovascular disease risk factors with abdominal obesity in Canada。Canadian Medical Association Journal,157(1),39-45。  new window
圖書
1.御巫清允、西岡久壽樹、楊鴻儒(1992)。痛風的診斷與保健。臺北市:書泉。  延伸查詢new window
2.陳清朗(1991)。痛風與高尿酸血症。臺北:臺灣新生報。  延伸查詢new window
3.論壇健康促進與疾病預防委員會(2001)。飮食方法對體重控制成效之影響。臺北:財團法人國家衛生研究院。  延伸查詢new window
圖書論文
1.Michael, G.、Bryan, T.(1994)。Crystal arthropathies: Gout。Rheumatology。London:Fiona。  new window
2.Robert, T.(1993)。Gout。Primer on the Rheumatic Disease。New York:Harry Abrahms Inc。  new window
 
 
 
 
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