Relationship between Marital Status and Metabolic Syndrome in Korean Middle-Aged Women: The Sixth Korea National Health and Nutrition Examination Survey (2013–2014).
- Author:
Young Ah JUNG
1
;
Li Ly KANG
;
Ha Nui KIM
;
Hoon Ki PARK
;
Hwan Sik HWANG
;
Kye Yeung PARK
Author Information
- Publication Type:Original Article
- Keywords: Metabolic Syndrome; Marital Status; Middle Aged; Women; Health Behavior
- MeSH: Divorce; Education; Female; Health Behavior; Humans; Incidence; Korea*; Leisure Activities; Logistic Models; Marital Status*; Menopause; Middle Aged; Motor Activity; Nutrition Surveys*; Odds Ratio; Single Person; Smoke; Smoking; Socioeconomic Factors; Widowhood
- From:Korean Journal of Family Medicine 2018;39(5):307-312
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: This study aimed to investigate the relationship between marital status and the incidence of metabolic syndrome in Korean middle-aged women. METHODS: Based on data from the sixth Korea National Health and Nutrition Examination Survey (2013–2014), 3,225 women aged 40–69 years were subjected to the analysis. Marital status was categorized as married, unmarried, separated, widowed, or divorced. The odds ratios (ORs) for metabolic syndrome were calculated based on marital status. After adjustment for age, income level, education level, alcohol intake, smoking status, leisure physical activity, menopause status, daily calories, and fat intake, changes in the OR for metabolic syndrome based on marital status were examined by multivariate logistic regression analysis. RESULTS: The OR for metabolic syndrome in the widowed group to the married group was 4.818 (95% confidence interval [CI], 3.861–6.002; P < 0.001) and that after adjustment of age, economic level, education level, alcohol intake, smoking status, physical activity, menopause status, total daily calories, and fat intake was 2.141 (CI, 1.432–3.199; P < 0.001), both of which were statistically significant. The OR for metabolic syndrome in the unmarried group to the married group was 0.246 (CI, 0.141–0.431; P < 0.001) after adjustment of all components. On the contrary, the ORs of the separated group and the divorced group to the married group were not significant. CONCLUSION: In comparison with the married middle-aged group, the widowed middle-aged group tended to have a higher risk of metabolic syndrome, which is speculated to be related to socioeconomic factors and health behavior.