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首页> 外文期刊>BMJ Open >Metabolic syndrome and health-related behaviours associated with pre-oral cancerous lesions among adults aged 20–80 years in Yunlin County, Taiwan: a cross-sectional study
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Metabolic syndrome and health-related behaviours associated with pre-oral cancerous lesions among adults aged 20–80 years in Yunlin County, Taiwan: a cross-sectional study

机译：台湾云林县20-80岁成年人代谢综合征和与口腔癌前病变相关的健康相关行为的横断面研究

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Objectives To explore the associations of health-related behaviours, metabolic syndrome and risk factors in adults with pre-oral cancerous (POC) lesions in rural, disadvantaged communities with a high prevalence of oral cancer. Design A cross-sectional observational study. Setting Community-based health survey in the western coastal area of Yunlin County, Taiwan. Participants 5161 adult residents participated in this study. Outcome measures Assessed parameters included oral leukoplakia, oral submucous fibrosis, fasting blood glucose, triglycerides, high-density lipoprotein cholesterol, blood pressure and waist circumference. Statistical analyses included descriptive statistics, χ2 tests and multivariate binary logistic regression. Results A high percentage of participants were found to have metabolic syndrome (40%) and POC lesions (7.3%). Participants with POC lesions tended to be male (p0.001), betel nut chewers (p0.001) and cigarette smokers (p0.001); have a low level of education (p0.001); seldom undergo dental check-ups (p0.01); irregularly participate in physical activity (p0.01) and have metabolic syndrome (p0.01). Conclusions Although male sex and disadvantaged socioeconomic status are non-modifiable factors associated with POC and metabolic syndrome in adults, several factors, notably health behaviours, are modifiable. Clinicians can reduce the incidence and consequences of POC by developing programmes for early detection, encouraging regular dental check-ups, and initiating individualised, health-promoting behaviour modification programmes for reducing risky behaviours associated with oral cancer.
机译：目的探讨在口腔癌患病率较高的农村，弱势社区中成年人口腔内癌前病变（POC）的健康相关行为，代谢综合征和危险因素的相关性。设计横断面观察研究。在台湾云林县西部沿海地区开展基于社区的健康调查。参与者5161名成年居民参加了这项研究。评估指标评估参数包括口腔白斑，口腔粘膜下纤维化，空腹血糖，甘油三酸酯，高密度脂蛋白胆固醇，血压和腰围。统计分析包括描述统计，χ 2 检验和多元二元逻辑回归。结果发现高比例的参与者患有代谢综合征（40％）和POC病变（7.3％）。患有POC病变的参与者倾向于男性（p <0.001），槟榔咀嚼（p <0.001）和吸烟者（p <0.001）。受教育程度低（p <0.001）;很少进行牙齿检查（p <0.01）;不规律地参加体育活动（p <0.01）并患有代谢综合症（p <0.01）。结论尽管男性和不利的社会经济地位是与成人POC和代谢综合征相关的不可改变的因素，但可以改变一些因素，尤其是健康行为。临床医生可以通过制定早期发现计划，鼓励定期进行牙齿检查以及发起个性化的，健康促进行为改变计划来减少与口腔癌相关的危险行为，从而降低POC的发生率和后果。

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