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Association between Smoking and Metabolic Syndrome in Korean Adults: Korean National Health and Nutrition Examination Survey
Korean J Clin Geri 2018 Jun;19(1):38-43
Published online June 30, 2018;  https://doi.org/10.15656/kjcg.2018.19.1.38
Copyright © 2018 The Korean Academy of Clinical Geriatrics.

Jae-Seok Im1, Na-Rae Kim1, Jung-Eun Oh1, Sung-Ho Hong2, Choo-Yon Cho2, Yong-Jin Cho1, Byung-Wook Yoo2, Kyung-Suk Shin3, Hyun Joe2, Hwang-Sik Shin1, Doo-Yong Son3

1Department of Family Medicine, Soonchunhyang University College of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea; 2Department of Family Medicine, Soonchunhyang University College of Medicine, Soonchunhyang University Seoul Hospital, Seoul, Korea; 3Department of Family Medicine, Soonchunhyang University College of Medicine, Soonchunhyang University Gumi Hospital, Gumi, Korea
Received August 22, 2017; Revised October 16, 2017; Accepted October 16, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Background: Several studies suggest that smoking is a risk factor of metabolic syndrome. The objective of this study is to evaluate the association between smoking status and metabolic syndrome among Korean adults.
Methods: We assessed 4349 participants aged 19 years and older from the Korean National Health and Nutritional Examination Survey 2013. Smoking statuses were collected from self-reported questionnaires. Subjects were divided into three categories: non-smokers, former smokers, and current smokers. The diagnosis of metabolic syndrome was made using criteria modified NCEP-ATP III. Logistic regression analysis was used to calculate odds ratios between smoking status and metabolic syndrome.
Results: The overall prevalence of metabolic syndrome was 27.8% and former smokers had the highest prevalence of metabolic syndrome at 30.7%. After adjustment for age, sex, alcohol consumption, physical activity and body mass index, the odds ratio for high density lipoprotein cholesterol disorder, triglyceride disorder, abdominal obesity in current smokers was 1.25 (95% CI, 1.02∼1.54), 1.83 (95% CI, 1.48∼2.26), and 1.35 (95% CI, 1.00∼1.81) compared with non-smokers, respectively. For metabolic syndrome, the odds ratio in current smokers was 1.30 (95% CI, 1.02∼1.68) compared with non-smokers.
Conclusion: Current smokers showed increased risk for metabolic syndrome. Smoking status was associated with increased risk of metabolic syndrome in Korean adults.
Keywords : Metabolic syndrome, Smoking, Korea
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June 2018, 19 (1)