Abstract
Background: This study aims to explore the prevalence of and factors associated with cardiometabolic risks and lung function impairment among middle-aged women. Methods: A nurse-led community health development and cross-sectional study design was applied in Yunlin County, Taiwan. Lung function test was performed by a certified technician using a valid spirometer, during annual community health checkups conducted by a collaborating local hospital. Lung function impairment and cardiometabolic risks were measured and defined, based on the medical diagnosis and the national standard, by the hospital. Results: From a total of 439 middle-aged women, the prevalence of lung function impairment and metabolic syndrome were 26% and 47.2%, respectively. Many women adopted few health habits, e.g., only 30.5% engaged in regular exercise. A significant association between lung function impairment and four cardiometabolic risk factors (p < 0.05) was found. The multivariate logistic regression analysis showed that adopting few exercises (OR = 0.56, 95% CI 0.36–0.87) and lung function impairment (OR = 2.12, 95% CI 1.34–3.35) were independently associated with metabolic syndrome, after adjusting for confounding factors, such as age and education. Conclusions: The findings revealed that middle-aged women have a high prevalence of cardiometabolic risks and lung function impairment. Lung function impairment and physical inactivity were independently associated with an increased risk of having metabolic syndrome.
Highlights
Literature indicated that middle-age is used to describe the transition between early and late adulthood; most of the ages ranged from 40 to 64 years [1]
This study was a series of reports from a nurse-led community health development program in adults living in rural areas of western coastal, Yunlin County, Taiwan
The present findings of this study indicated that rural middle-aged women had a higher prevalence of hypertension, low high-density lipoprotein-cholesterol (HDL-C), triglyceride, and metabolic syndrome than the general population in Taiwan
Summary
Literature indicated that middle-age is used to describe the transition between early and late adulthood; most of the ages ranged from 40 to 64 years [1]. Previous studies indicated the increasing prevalence of cardiometabolic diseases; for example, hypertension, diabetes, and metabolic syndrome were found in middle-aged adults [4,5,6]. This study aims to explore the prevalence of and factors associated with cardiometabolic risks and lung function impairment among middle-aged women. Results: From a total of 439 middle-aged women, the prevalence of lung function impairment and metabolic syndrome were 26% and 47.2%, respectively. The multivariate logistic regression analysis showed that adopting few exercises (OR = 0.56, 95% CI 0.36–0.87) and lung function impairment (OR = 2.12, 95% CI 1.34–3.35) were independently associated with metabolic syndrome, after adjusting for confounding factors, such as age and education. Lung function impairment and physical inactivity were independently associated with an increased risk of having metabolic syndrome
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