Factor Influencing Metabolic Syndromes among Older Adults with Non—Communicable Diseases Factor Influencing Metabolic Syndromes among Older Adults with Non—Communicable Diseases
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Abstract
Metabolic syndrome among the elderly is related to several factors. This cross-sectional analytical study aimed to examine the factors influencing metabolic syndromes among older adults with metabolic syndromes who received health care service at the NCD Clinic Plus, Suan Kluai Subdistrict Health Promoting Hospital, Ratchaburi Province. The participants consisted of 427 older adults who met the inclusion criteria of the study. These older adults were diagnosed with at least one disease - hypertension, diabetes mellitus, or dyslipidemia - and received health care services at the NCD Clinic Plus. Data were collected using a questionnaire for interviewing, and a data recording form was applied for collecting clinical symptoms from the medical records of OPD patients. The data were analyzed using descriptive and logistic regression statistics, presenting the odds ratio and 95% CI. The results of the study found that the prevalence of metabolic syndrome in older adults with chronic non-communicable diseases (NCDs) was 74.90%, and 78.50% of them were women. Metabolic syndrome was found in the youngest old group (60-69 years old) and the middle old group (70-79 years old) by 42.40% and 45.90%, respectively. Furthermore, metabolic syndrome was found in 51.50% of the elderly who take polypharmacy. Regarding the factors significantly influencing metabolic syndromes among the elderly, it was found that females, living in a three-generation family, and taking multiple medications could increase the chances of metabolic syndromes by 2.91 times (OR=2.91; 95%CI: 1.63-5.16), 1.79 times (OR=1.79; 95%CI: 1.09-2.95) and 9.71 times (OR=9.71; 95%CI: 5.40-17.40), respectively. Concerning the oldest old group (age 80 years old and over), this group showed a reduced chance of metabolic syndromes by 76.00% (OR=.24; 95%CI: .10-.54). Therefore, health care providers should pay attention to the risky groups for NCDs, including female older adults aged 60-79 years, living with various generations of family members, and taking polypharmacy in order to effectively prevent them from NCDs.
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บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
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