Bo Gyeong Lee; Jae Yeon Lee; Sun Ah Kim; Dong Min Son; Ok Kyung Ham

doi:10.4040/jkan.2015.45.3.420

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Original Article
Factors associated with Self-Rated Health in Metabolic Syndrome and Relationship between Sleep Duration and Metabolic Syndrome Risk Factors: Bo Gyeong Lee, Jae Yeon Lee, Sun Ah Kim, Dong Min Son, Ok Kyung Ham; Journal of Korean Academy of Nursing 2015;45(3):420-428.
DOI: https://doi.org/10.4040/jkan.2015.45.3.420
Published online: June 30, 2015

Department of Nursing, Inha University, Incheon, Korea.

Address reprint requests to: Lee, Bo Gyeong. Department of Nursing, Inha University, 100 Inha-ro, Nam-gu, Incheon 402-751, Korea. Tel: +82-32-860-8200, Fax: +82-32-874-5880, leebbo03@hanmail.net

• Received: November 24, 2014 • Revised: December 8, 2014 • Accepted: April 15, 2015

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
REFERENCES

Abstract

Purpose
Purpose was to explore associations between sleep duration and metabolic syndrome (MS) risks, and to determine factors associated with self-rated health (SRH) of adults with MS compared to other adults.
Methods
This is a secondary data analysis based on the Fifth Korea National Health and Nutrition Examination Survey KNHANES V (N=12662). Study instruments included sleep duration, MS risk factors, SRH and health-related quality of life (HRQoL).
Results
Mean age of participants was 43.68±12.26 years. Fifty-eight percent were women, and 18.3% were identified as having MS. Systolic blood pressure (SBP), diastolic blood pressure (DBP), and SRH were significantly different according to sleep duration (p<.05) among all participants. In the non MS group, male gender, younger age (19~30 and 41~50 age brackets) upper income level, sufficient sleep duration, and high density lipoprotein (HDL) were positively associated with SRH, whereas, lower education levels (≤ middle school), glucose level, and waist circumference were negatively associated with SRH (p<.05). In the MS group, lower income, lower education levels (≤ middle school), glucose level, and waist circumference were negatively associated with SRH, whereas, having an occupation was positively associated with SRH (p<.05).
Conclusion
Results suggest that tailored approaches are required for prevention and control of MS and sleep duration of each individual should be considered rather than applying standardized guidelines. However, as sleep quality was not included in the analysis, further investigations regarding influence of sleep quality on MS and SRH and controlling for other lifestyle and health behavior factors are required.
Keywords: Metabolic syndrome; Sleep; Health

REFERENCES

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Table 1

Differences in General Characteristics, Self-rated Health Status, EQ-5D, and Sleep Duration between the Metabolic Syndrome and Normal Group

^*Sleep duration ≤ 6 hours: Insufficient; ^†Sleep duration 6~9 hours: Sufficient; ^‡Sleep duration ≥ 9 hours; EQ-5D=EuroQol-5Dimension; EQ VAS=EuroQol Visual Analogue Scale.

Table 2

Factors associated with Self-rated Health among the Metabolic Syndrome and Normal Group

^*Sleep duration ≤ 6 hours: Insufficient; ^†Sleep duration 6~9 hours: Sufficient; ^‡Sleep duration ≥ 9 hours; BP=Blood pressure; HDL=High density lipoprotein; WC=Waist circumference

Table 3

ANCOVA for Differences in Metabolic Syndrome Risk Factors and Self-rated Health according to Sleep Duration

^*Sleep duration ≤ 6 hours: Insufficient; ^†Sleep duration 6~9 hours: Sufficient; ^‡Sleep duration ≥ 9 hours; ^§ANCOVA with age and gender were included as covariates; ^∥Post hoc analysis was performed using Bonferroni correction; BP=Blood pressure; HDL=High density lipoprotein; WC=Waist circumference.

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Factors associated with Self-Rated Health in Metabolic Syndrome and Relationship between Sleep Duration and Metabolic Syndrome Risk Factors

J Korean Acad Nurs. 2015;45(3):420-428. Published online June 30, 2015

DOI: https://doi.org/10.4040/jkan.2015.45.3.420

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Factors associated with Self-Rated Health in Metabolic Syndrome and Relationship between Sleep Duration and Metabolic Syndrome Risk Factors

Table 1

Differences in General Characteristics, Self-rated Health Status, EQ-5D, and Sleep Duration between the Metabolic Syndrome and Normal Group

^*Sleep duration ≤ 6 hours: Insufficient; ^†Sleep duration 6~9 hours: Sufficient; ^‡Sleep duration ≥ 9 hours; EQ-5D=EuroQol-5Dimension; EQ VAS=EuroQol Visual Analogue Scale.

Table 2

Factors associated with Self-rated Health among the Metabolic Syndrome and Normal Group

^*Sleep duration ≤ 6 hours: Insufficient; ^†Sleep duration 6~9 hours: Sufficient; ^‡Sleep duration ≥ 9 hours; BP=Blood pressure; HDL=High density lipoprotein; WC=Waist circumference

Table 3

ANCOVA for Differences in Metabolic Syndrome Risk Factors and Self-rated Health according to Sleep Duration

Table 1 Differences in General Characteristics, Self-rated Health Status, EQ-5D, and Sleep Duration between the Metabolic Syndrome and Normal Group

^*Sleep duration ≤ 6 hours: Insufficient; ^†Sleep duration 6~9 hours: Sufficient; ^‡Sleep duration ≥ 9 hours; EQ-5D=EuroQol-5Dimension; EQ VAS=EuroQol Visual Analogue Scale.

Table 2 Factors associated with Self-rated Health among the Metabolic Syndrome and Normal Group

^*Sleep duration ≤ 6 hours: Insufficient; ^†Sleep duration 6~9 hours: Sufficient; ^‡Sleep duration ≥ 9 hours; BP=Blood pressure; HDL=High density lipoprotein; WC=Waist circumference

Table 3 ANCOVA for Differences in Metabolic Syndrome Risk Factors and Self-rated Health according to Sleep Duration