Abstract
Purpose: The purpose of this study was to explore the factors affecting the metabolic syndrome depending on the obesity. Methods: This study was a secondary analysis and 144,399 military workers'' health check-up data for 2017 was retrieved from the National Health Insurance Service. Results: 53.4% of military workers was metabolically healthy non-obese (MHNO); Metabolically healthy obese (MHO) 35.0%, Metabolically unhealthy obese (MUO) 10.1%, and 1.5% were Metabolically unhealthy non-obese (MUNO). High risk drinking and smoking rates were the highest in the MUO, and the MUNO had the lowest level of physical activity. In the obese group, sex, age, drinking, smoking, and high and moderate intensity exercise were significantly associated with increased odds of being metabolic syndrome. On the other hand, in the normal weight group, sex, age, drinking, smoking, and high and low intensity exercise were significantly associated. Conclusion: The affecting factors of the metabolic syndrome were different depending on the obesity. It is needed for nurses to consider tailored interventions based on the group classification. This study is expected to contribute to develop the health promotion program to prevent metabolic syndrome in the military.
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