HEALTH_Vol34No2_06

∫ ∑ «‘ ∑ ¬ “ ° “ √

∫ ∑ «‘ ∑ ¬ “ ° “ √ ¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’

«—≈≈’ ∏’√“π—πµ™—‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’

欓∫“≈«‘™“™’æ √–¥—∫™”π“≠°“√

∫∑§—¥¬àÕ °“√»÷°…“§√—ßÈ π’¡È «’ µ— ∂ÿª√– ߧå‡æ◊ÕË »÷°…“¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥ √“™∫ÿ√’ ‡ªìπ°“√»÷°…“‡™‘ßæ√√≥π“ ‚¥¬»÷°…“®“°º≈°“√µ√«® ÿ¢¿“æª√–®”ªï 2552 °≈ÿࡵ—«Õ¬à“ß∑’Ë„™â „π°“√»÷°…“ §◊Õ ∫ÿ§≈“°√∑ÿ°√–¥—∫∑’˪ؑ∫—µ‘ß“π„π‚√ß欓∫“≈‚æ∏“√“¡ ·≈–√—∫°“√µ√«® ÿ¢¿“æª√–®”ªï ®”π«π 717 §π ‡§√◊ËÕß ¡◊Õ∑’Ë„™â„π°“√‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈ §◊Õ·∫∫∫—π∑÷°°“√µ√«® ÿ¢¿“æª√–®”ªï ¢Õß°≈ÿà¡ß“πÕ“™’«‡«™°√√¡ ‚√ß欓∫“≈ ‚æ∏“√“¡ «‘‡§√“–Àå¢âÕ¡Ÿ≈‚¥¬„™â ∂‘µ‘‡™‘ßæ√√≥π“ ‰¥â·°à §«“¡∂’Ë √âÕ¬≈– §à“‡©≈’ˬ‡≈¢§≥‘µ ·≈–§à“‡∫’ˬ߇∫π¡“µ√∞“π º≈°“√»÷°…“æ∫«à“ °≈ÿࡵ—«Õ¬à“ß∑’ˉ¥â√—∫°“√µ√«® ÿ¢¿“æ®”π«π¡“°∑’Ë ÿ¥ §◊Õ Àπà«¬ß“π »Ÿπ¬å√—°…凧À– ‡ªìπ‡æ»À≠‘ß ¡“°°«à“‡æ»™“¬ à«π„À≠à ¡’Õ“¬ÿ 35 ªï¢÷Èπ‰ª ‚√§ª√–®”µ—«∑’Ëæ∫¡“°∑’Ë ÿ¥ §◊Õ‚√§¿Ÿ¡‘·æâ °≈ÿࡵ—«Õ¬à“ß à«π„À≠à¡’ ¥—™π’¡«≈°“¬(BMI) Õ¬Ÿà„π√–¥—∫ª°µ‘ √Õ∫‡Õ«ª°µ‘ §«“¡¥—π‚≈À‘µµË”°«à“ 130/85 mm.Hg º≈µ√«®∑“ßÀâÕߪؑ∫—µ‘ °“√ æ∫«à“°≈ÿࡵ—«Õ¬à“ß à«π„À≠à ¡’‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ ‰µ√°≈’‡´Õ‰√¥å ·≈–√–¥—∫πÈ”µ“≈¢≥–Õ¥Õ“À“√Õ¬Ÿà„π √–¥—∫ª°µ‘ ‡¡◊ËÕæ‘®“√≥“ ¿“«– Metabolic Syndrome µ“¡‡°≥±å Àæ—π∏å‡∫“À«“π‚≈° ´÷Ëßæ‘®“√≥“¿“«–Õâ«π≈ßæÿß ∑ÿ°√“¬ √à«¡°—∫§«“¡º‘¥ª°µ‘∑“ß Metabolism Õ’°Õ¬à“ßπâÕ¬ ÕߢâÕ„π ’Ë¢âÕ ®“°°“√»÷°…“æ∫«à“ °≈ÿࡵ—«Õ¬à“ß à«π„À≠à‰¡àæ∫¿“«– Metabolic Syndrome ·≈–æ∫¿“«– Metabolic Syndrome √âÕ¬≈– 12.3 ‡¡◊ËÕæ‘®“√≥“ ¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√ 43 §π ´÷Ëß¡’√Õ∫‡Õ«‡°‘π§à“∑’Ë°”Àπ¥ æ∫«à“°≈ÿࡵ—«Õ¬à“ß à«π„À≠à ªØ‘∫—µ‘ß“π „πÀπ૬ߓπ√—°…凧À– °“√‡ß‘π·≈–æ— ¥ÿ ‡ªìπ‡æ»À≠‘ß¡“°°«à“‡æ»™“¬ ¡’Õ“¬ÿ 35 ªï¢÷Èπ‰ª ·≈– à«π„À≠à ¡’ª√–«—µ‘ §«“¡¥—π‚≈À‘µ Ÿß ¡’√–¥—∫¥—™π’¡«≈°“¬µ—Èß·µà 25.00 ¢÷Èπ‰ª ¡’§«“¡¥—π‚≈À‘µµË”°«à“ 130/85 mm.Hg ‚¥¬√—∫ ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ√à«¡¥â«¬ ”À√—∫º≈µ√«®∑“ßÀâÕߪؑ∫—µ‘°“√ °≈ÿࡵ—«Õ¬à“ß à«π„À≠à ¡’‡Õ™-¥’-·Õ≈ ‚§ ‡≈ ‡µÕ√Õ≈ Õ¬Ÿ„à π√–¥—∫µË”°«à“√–¥—∫ª°µ‘ ‰µ√°≈’‡´Õ‰√¥å Õ¬Ÿ„à π√–¥—∫ Ÿß°«à“√–¥—∫ª°µ‘ ·≈– √–¥—∫πÈ”µ“≈¢≥–Õ¥Õ“À“√ (FBS) Ÿß°«à“√–¥—∫ª°µ‘ ®“°°“√»÷°…“§≥–ºŸâ«‘®—¬¡’¢âÕ‡ πÕ·π–∫“ߪ√–°“√ ‡™à𠧫√∑”°“√»÷°…“¿“«– ÿ¢¿“æ ·≈–¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‡ªìπª√–®”∑ÿ°ªï ‡æ◊ËÕ‡ª√’¬∫‡∑’¬∫º≈·≈–‡ªìπ°“√°√–µÿâπ„Àâµ√–Àπ—° ∂÷ߧ«“¡ ”§—≠¢Õß¿“«– ÿ¢¿“æ ∑—Èߧ«√‡πâπ°≈ÿà¡∑’Ë¡’º≈°“√µ√«®„π√–¥—∫‰¡àª°µ‘ §«√®—¥°‘®°√√¡ à߇ √‘¡ ‡º¬·æ√à §«“¡√Ÿâ·≈–„Àâ∫ÿ§≈“°√¡’§«“¡µ√–Àπ—°„π°“√ª√—∫‡ª≈’ˬπ惵‘°√√¡ ∑’Ë Õ¥§≈âÕß°—∫«‘∂’°“√¥”‡π‘π™’«‘µ ‡™àπ °“√ÕÕ° °”≈—ß°“¬∑’‡Ë À¡“– ¡°—∫·µà≈–∫ÿ§§≈ °“√‡≈◊Õ°∫√‘‚¿§Õ“À“√‡æ◊ÕË ÿ¢¿“æ °“√·¢àߢ—π°’Ó∑—ßÈ ¿“¬„π·≈–¿“¬πÕ°Õߧå°√ Õ¬à“ßµàÕ‡π◊ËÕß ´÷Ëß ‘Ëßµà“ßÊ ‡À≈à“π’È πà“®–π”¡“´÷Ëß°“√æ—≤π“∫ÿ§≈“°√·≈–∑”„Àâ∫ÿ§≈“°√„πÕߧå°√ ¡’¿“«– ÿ¢¿“æ∑’Ë¥’ ¢÷Èπ ·≈–≈¥¿“«–‡ ’ˬߵàÕ Metabolic Syndrome

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‡¡…“¬π - ¡‘∂ÿπ“¬π 2554

°√¡Õπ“¡—¬ à߇ √‘¡„Àâ§π‰∑¬ ÿ¢¿“楒

¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’

Metabolic Syndrome of Health Personnel in Photharam Hospital,Ratchaburi Province Wanlee Theeranantachai Photharam Hospital Ratchaburi Province

Registered Nurse

Abstract The objective of this research was to study the metabolic syndrome among health personnel in Photharam Hospital, Ratchaburi Province. This descriptive research use data from the result of annual health examination in 2009. The sample group includes 717 health personnel who were working in Photharam Hospital and underwent annual health examination. Data analysis was obtained by means of percentage, mean and standard deviation. It was found that most of the sample group received annual health examination was from the Household Hygiene Center, there were more female than male, aged over 35 years and the abnormality mostly found was allergy. Moreover, most of this group had normal BMI, waist size and normal blood pressure level. While, in terms of the laboratory result, it was also found that they had normal HDLc, TG and FBS. When considered the metabolic syndrome in 43 health personnel who had a waist size more than the standard criteria, it was found that the majority of the sample group were working in the Household Hygiene Center and Financial Unit, more female than male, aged over 35 years and they had a history of hypertension, BMI over 25.00, blood pressure level less than 130/85 mm.Hg controlled by anti-hypertension drugs. In terms of the laboratory result, it was found that the majority of the sample group had abnormal HDLc, TG and FBS. Annual study of health and metabolic syndrome in personnel should be conducted so as to compare health status and increase health awareness; particularly in the group of abnormal results. Various activities should be performed in harmony of individual lifestyle to improve good health and decrease metabolic syndrome.

∫∑π” ¿“«– Metabolic Syndrome °”≈—߇ªìπ ‚√§√–∫“¥‰ª∑—«Ë ‚≈° ‡ªìπ‚√§∑’‰Ë ¥â√∫— ¡≠“«à“ çπ—° ¶à “ ‡ß’ ¬ ∫é‡æ√“–‡ªì 𠧫“¡‡ ’Ë ¬ ß ”§— ≠ ¢Õß‚√§ À≈Õ¥‡≈◊Õ¥À—«„®·≈–‡∫“À«“π·≈–¬—ß√«¡‰ª∂÷ß ªí≠À“ ÿ¢¿“æÕ◊ËπÊ Õ’°¡“°¡“¬√«¡∑—Èߧ«“¡®”

‡ ◊ËÕ¡·≈–¡–‡√Áß∫“ß™π‘¥1 ®“°√“¬ß“π∑“ß°“√ ·æ∑¬å Õ“∑‘ √“¬ß“π¢Õß Berenson ·≈–§≥–„π °“√»÷°…“ Bogalusa Heart Study ·≈–√“¬ß“π Õ◊ËπÊ √ÿª‰¥â«à“ ‡¥Á°∑’ËÕâ«π¡’·π«‚πâ¡®–‡µ‘∫‚µ ‡ªì π ºŸâ „ À≠à ∑’Ë Õâ « π·≈–§πÕâ « π¡’ § «“¡‡ ’Ë ¬ ß Ÿ ß µà Õ °“√‡ªìπ‚√§§«“¡¥—π‡≈◊Õ¥ Ÿß ‚√§À—«„®·≈–À≈Õ¥

THAILAND JOURNAL OF HEALTH PROMOTION AND ENVIRONMENTAL HEALTH A p r i l - J u n e 2 0 1 1

59

∫ ∑ «‘ ∑ ¬ “ ° “ √ ‡≈◊Õ¥ ‚√§‡∫“À«“π·≈–‚√§¡–‡√Áß2 ®“°°“√»÷°…“ „πª√–‡∑» À√—∞Õ‡¡√‘°“ æ∫«à“§«“¡™ÿ°¢Õß‚√§π’È æ∫‰¥âª√–¡“≥√âÕ¬≈– 25 ¢Õߪ√–™“°√∑—ßÈ ª√–‡∑»3 ¢≥–∑’Ë¢âÕ¡Ÿ≈¢Õߪ√–‡∑» ‘ߧ‚ª√å ‚¥¬‡°≥±å¢Õß NCEP ATPIII ·≈–‡ âπ√Õ∫‡Õ«¢Õߧπ‡Õ‡™’¬ æ∫ Metabolic Syndrome √âÕ¬≈– 17.94 ªí≠À“‚√§ Õâ«π„πª√–‡∑»‰∑¬¡’·π«‚πâ¡ Ÿß¢÷Èπ∑—Èß„π‡¥Á°·≈– ºŸâ„À≠à ´÷Ëß “‡Àµÿ¢Õß‚√§Õâ«π¡’À≈“¬ªí®®—¬ ‡™àπ æ—π∏ÿ°√√¡ ‘Ëß·«¥≈âÕ¡ «‘∂’™’«‘µ °“√‡≈’ȬߥŸ ·≈– 惵‘°√√¡ ÿ¢¿“æ1 ”À√—∫¢âÕ¡Ÿ≈§«“¡™ÿ°¢Õß ° ≈ÿà ¡ ‚ √ § π’È „ π ª √ – ‡ ∑ » ‰ ∑ ¬ ® “ ° ° “ √ »÷ ° … “ Interasia5 ‚¥¬»÷°…“„πª√–™“°√‰∑¬∑—Ë«ª√–‡∑» ∑’ËÕ“¬ÿµ—Èß·µà 35 ªï¢÷Èπ‰ª®”π«π 5,091 √“¬ æ∫ §«“¡™ÿ°√âÕ¬≈– 29.3 ‚¥¬„™â‡°≥±å¢Õß NCEP ATPIII ·≈–‡ âπ√Õ∫‡Õ«¢Õߧπ‡Õ‡™’¬ ‡æ»À≠‘ß æ∫¡“°°«à“‡æ»™“¬ ‚¥¬‡©æ“–„πºŸâ ŸßÕ“¬ÿ §«“¡ º‘¥ª°µ‘„π·µà≈–¢âÕ¢Õß Metabolic Syndrome ∑’Ë æ∫‰¥â∫àÕ¬¡“°∑’Ë ÿ¥§◊Õ ¿“«–∑’Ë√–¥—∫‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈µË” ´÷Ëßæ∫‰¥â¡“°°«à“√âÕ¬≈– 50 πÕ°®“°π’È√“¬ß“π°“√«‘®—¬‡√◊ËÕß‚√§Õâ«π≈ßæÿß„π ºŸ¡â “√—∫∫√‘°“√µ√«® ÿ¢¿“æª√–®”ªï ≥ ‚√ß欓∫“≈ à߇ √‘¡ ÿ¢¿“滟π¬åÕπ“¡—¬∑’Ë 9 æ‘…≥ÿ‚≈° æ.».

2551 ®”π«π 206 √“¬ ¡’ºŸâ‰¥â√—∫°“√«‘π‘®©—¬‚√§ Õâ«π≈ßæÿß √âÕ¬≈– 32.16 µ“¡‡°≥±å¢Õß NCEP ATPIII ·≈–®“°°“√»÷°…“°≈ÿࡪ√–™“°√æπ—° ß“π°“√‰øøÑ“ΩÉ“¬º≈‘µ„π°√ÿ߇∑æœ ‡¡◊ËÕªï æ.».

2538 Õ“¬ÿ√–À«à“ß 35 - 54 ªï ®”π«π 3,499 √“æ∫§«“¡™ÿ°¢Õß Metabolic Syndrome √âÕ¬≈– 21.5 µ“¡‡°≥±å ¢Õß NCEP ATPIII ·≈–‡ âπ √Õ∫‡Õ«¢Õߧπ‡Õ‡™’¬ 5 ‚√ß欓∫“≈‚æ∏“√“¡‡ªìπÀπ÷Ëß„πÕߧå°√ ¢Õß√—∞ ∑’˵√–Àπ—°∂÷ߪí≠À“¥—ß°≈à“« √«¡∑—È߉¥â ¥”‡π‘π°“√µ“¡ Õ¥√—∫°—∫π‚¬∫“¬¢Õß°√–∑√«ß “∏“√≥ ÿ¢ ®÷߉¥â¡π’ ‚¬∫“¬·≈–°≈¬ÿ∑∏嵓à ßÊ ‡æ◊ÕË 60

‡¡…“¬π - ¡‘∂ÿπ“¬π 2554

°√¡Õπ“¡—¬ à߇ √‘¡„Àâ§π‰∑¬ ÿ¢¿“楒

√â “ ߇ √‘ ¡ ¿“«– ÿ ¢ ¿“æ„π√Ÿ ª ·∫∫µà “ ßÊ Õ“∑‘ °‘®°√√¡§à“¬§π‰∑¬‰√âæÿß ‚§√ß°“√ª√—∫‡ª≈’ˬπ 惵‘ ° √√¡∫ÿ § ≈“°√ ·≈–®“°¢â Õ ¡Ÿ ≈ °“√µ√«® ÿ¢¿“æ¢Õ߇®â“Àπâ“∑’‚Ë √ß欓∫“≈‚æ∏“√“¡ª√–®”ªï 2551 ®”π«π 668 §π æ∫¥—™π’¡«≈°“¬µ—ßÈ ·µà 25.0 ¢÷πÈ ‰ª√âÕ¬≈– 26.5 √Õ∫‡Õ«‡°‘π √âÕ¬≈– 28.9 §«“¡ ¥—π‚≈À‘µ130/85 mm.Hg ¢÷πÈ ‰ª √âÕ¬≈– 10.3 ‡Õ™¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ µË”°«à“√–¥—∫ª°µ‘ √âÕ¬≈– 19.8 ‰µ√°≈’‡´Õ‰√¥å ߟ °«à“√–¥—∫ª°µ‘ √âÕ¬≈– 13.8 πÈ”µ“≈¢≥–Õ¥Õ“À“√ Ÿß°«à“√–¥—∫ª°µ‘ √âÕ¬≈– 13.0 ´÷Ë߇ªìπ®”π«π‰¡àπâÕ¬∑’‡¥’¬«∑’Ë∂◊Õ«à“‡ ’ˬߵàÕ ¿“«– Metabolic Syndrome ¥—ßπ—Èπ§≥–ºŸâ«‘®—®÷ß π„®∑’Ë®–»÷°…“¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’ æ.». 2552 ‡æ◊ËÕ‡ªìπ°“√∑√“∫¢âÕ¡Ÿ≈¿“«– Metabolic Syndrome ¢Õß∫ÿ § ≈“°√‚√ß欓∫“≈ ‚æ∏“√“¡ ∑—ßÈ ¬—߇ªìπ·π«∑“ß„π°“√ª√—∫°≈¬ÿ∑∏å ‡æ◊ÕË ≈¥¿“«–‡ ’ˬߵàÕ Metabolic Syndrome ¢Õß ∫ÿ§≈“°√ „Àâ Õ¥§≈âÕß·≈–‡À¡“– ¡µàÕ‰ª

«—µ∂ÿª√– ߧ尓√»÷°…“ ‡æ◊ËÕ»÷°…“¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’ æ.». 2552

¢Õ∫‡¢µ·≈–√–¬–‡«≈“∑’Ë „™â „π °“√»÷°…“ °“√»÷°…“§√—ßÈ π’‡È ªìπ°“√»÷°…“¿“«– Metabolic Syndrome ¢Õß∫ÿ § ≈“°√‚√ß欓∫“≈ ‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’ „π ¿“æªí®®ÿ∫—π ‚¥»÷°…“®“°º≈°“√µ√«® ÿ¢¿“æª√–®”ªï 2552 ¢Õß ∫ÿ § ≈“°√∑ÿ ° √–¥— ∫ ∑’Ë ª Ø‘ ∫— µ‘ ß “π„π‚√ß欓∫“≈ ‚æ∏“√“¡ √–¬–‡«≈“∑’Ë„™â„π°“√»÷°…“ µ—Èß·µà‡¥◊Õπ °√°Æ“§¡ ∂÷߇¥◊Õπ ∏—𫓧¡ æ.». 2552

¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’

«‘∏’°“√»÷°…“ °“√»÷°…“§√—Èßπ’È¡ÿàß»÷°…“¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’ „π ¿“æªí®®ÿ∫—𠇪ìπ°“√»÷°…“ ‡™‘ßæ√√≥π“ ´÷Ëß¡’«‘∏’°“√¥”‡π‘π°“√¥—ßµàÕ‰ªπ’È °≈ÿࡵ—«Õ¬à“ß∑’Ë„™â„π°“√»÷°…“ ª√–™“°√‡ªÑ“À¡“¬∑’Ë„™â„π°“√¥”‡π‘π°“√ »÷°…“§√—Èßπ’È §◊Õ ∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’ ∑’√Ë ∫— °“√µ√«® ÿ¢¿“æª√–®”ªï 2552 ®”π«π 717 §π ‡§√◊ËÕß¡◊Õ∑’Ë„™â„π°“√»÷°…“ ·∫∫∫—π∑÷°°“√µ√«® ÿ¢¿“æª√–®”ªï (FROCC-002) ¢Õß°≈ÿà¡ß“πÕ“™’«‡«™°√√¡ ‚√ß æ¬“∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’ ´÷Ëß √â“ߢ÷Èπ®“° ºŸâ‡™’ˬ«™“≠¥â“πÕ“™’«Õπ“¡—¬ ª√–°Õ∫¥â«¬ ¢âÕ¡Ÿ≈ à«π∫ÿ§§≈ ·≈–º≈°“√µ√«® ÿ¢¿“æª√–®”ªï 2552 «‘∏’¥”‡π‘π°“√‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈ °“√‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈ ¥”‡π‘π°“√‡ªìπ¢—Èπ µÕπ ¥—ßπ’È 1. ∑”Àπ— ß ◊ Õ ‡ πÕ ºŸâ Õ”π«¬°“√‚√ß æ¬“∫“≈‚æ∏“√“¡ „π°“√¥”‡π‘ π °“√µ√«® ÿ¢¿“æª√–®”ªï 2552 ‡«’¬π·®âß·°à‡®â“Àπâ“∑’Ë∑ÿ° Àπ૬ߓπ∑’˪ؑ∫—µ‘ß“π„π‚√ß欓∫“≈‚æ∏“√“¡ 2. ª√–™ÿ¡∑’¡ß“πµà“ßÊ ∑’ˇ°’ˬ«¢âÕß„π°“√ ¥”‡π‘π°“√µ√«® ÿ¢¿“æ ‡æ◊ËÕ∑”§«“¡‡¢â“„®¢—Èπ µÕπ°“√ªØ‘∫—µ‘ß“π√à«¡°—π ‰¥â·°à °≈ÿà¡ß“πÕ“™’« ‡«™°√√¡ °≈ÿ¡à ß“π欓∏‘«∑‘ ¬“§≈‘π°‘ ß“πºŸªâ «É ¬πÕ° ß“π‡«™√–‡∫’¬π ‡ªìπµâπ 3. ¥”‡π‘π°“√µ√«® ÿ¢¿“æ∑—«Ë ‰ª ‰¥â·°à «—¥ §«“¡¥—π‚≈À‘µ ™—ËßπÈ”Àπ—° «—¥ à«π Ÿß «—¥√Õ∫‡Õ« ·≈–°“√µ√«®æ‘ ‡ »…∑“ßÀâ Õ ßªØ‘ ∫— µ‘ ° “√ µ“¡ µ“√“ß∑’Ë·®â߇«’¬πÀπ૬ߓπ∑√“∫ °“√«‘‡§√“–Àå¢Õâ ¡Ÿ≈ π”º≈°“√µ√«® ÿ¢¿“æ ®“°·∫∫∫—π∑÷°

°“√µ√«® ÿ¢¿“æª√–®”ªï (FR-OCC-002) ·≈– º≈°“√µ√«®æ‘‡»…∑“ßÀâÕߪؑ∫—µ‘°“√ ¡“µ√«® Õ∫§«“¡∂Ÿ°µâÕß ¡∫Ÿ√≥å¢ÕߢâÕ¡Ÿ≈∑—ÈßÀ¡¥π”‰ª ≈ß√À— µ“¡§Ÿà¡◊Õ≈ß√À— ∑’Ë √â“ߢ÷Èπ ®“°π—Èπ®÷ßπ” ¢â Õ ¡Ÿ ≈ ‰ª«‘ ‡ §√“–Àå ª √–¡«≈º≈¥â « ¬‚ª√·°√¡ §Õ¡æ‘ « ‡µÕ√å ¥â « ¬µ— « ·ª√µ“¡‡°≥±å ¿“«– Metabolic Syndrome ¢Õß Àæ—π∏å‡∫“À«“π‚≈° (International Diabetes Federation) ·≈– ¢âÕ¡Ÿ≈ à«π∫ÿ§§≈ ∂‘µ‘∑’Ë„™â„π°“√«‘‡§√“–Àå «‘‡§√“–Àå¢Õâ ¡Ÿ≈‚¥¬„™â ∂‘µ‡‘ ™‘ßæ√√≥π“ ‰¥â·°à §«“¡∂’Ë √âÕ¬≈– (Percentage) §à“‡©≈’ˇ≈¢§≥‘µ (Mean) ·≈–§à“‡∫’ˬ߇∫π¡“µ√∞“π (Standard Deviation)

º≈°“√»÷°…“ à « π∑’Ë 1 ≈— ° …≥– à « π∫ÿ § §≈¢Õß°≈ÿà ¡ µ—«Õ¬à“ß ª√–°Õ∫¥â«¬ Àπ૬ߓπ ª√–«—µ‘‚√§ ª√–®”µ—« ‡æ» ·≈–Õ“¬ÿ ‚¥¬„™â ∂‘µ‘‡™‘ßæ√√≥π“ ‰¥â·°à §«“¡∂’Ë Õ—µ√“ à«π√âÕ¬≈– (Percentage) §à“ ‡©≈’¬Ë ‡≈¢§≥‘µ (Mean) ·≈–§à“‡∫’¬Ë ߇∫π¡“µ√∞“π (Standard deviation) à«π∑’Ë 2 º≈°“√µ√«® ÿ¢¿“æª√–®”ªï 2552 ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ª√–°Õ∫ ¥â«¬¥—™π’¡«≈°“¬ (BMI) √Õ∫‡Õ« §«“¡¥—π‚≈À‘µ √–¥—∫‰µ√°≈’‡´Õ‰√¥å √–¥—∫ ‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ √–¥—∫πÈ”µ“≈¢≥–Õ¥Õ“À“√ ‚¥¬„™â ∂‘µ‘ ‡™‘ßæ√√≥π“ ‰¥â·°à §«“¡∂’Ë Õ—µ√“ à«π√âÕ¬≈– (Percentage) §à“‡©≈’ˬ‡≈¢§≥‘µ (Mean) ·≈– §à“‡∫’ˬ߇∫π¡“µ√∞“π (Standard deviation) ≈—°…≥– à«π∫ÿ§§≈ ®“°°“√»÷°…“¢âÕ¡Ÿ≈ à«π∫ÿ§§≈¢Õß°≈ÿà¡ µ—«Õ¬à“ß (µ“√“ß∑’Ë 1) º≈°“√»÷°…“æ∫«à“ °≈ÿà¡ µ—«Õ¬à“ß∑’ˉ¥â√—∫°“√µ√«® ÿ¢¿“æ®”π«π¡“°∑’Ë ÿ¥

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∫ ∑ «‘ ∑ ¬ “ ° “ √ §◊Õ Àπ૬ߓπ»Ÿπ¬å√°— …凧À– √—∫∫√‘°“√ √âÕ¬≈– 7.9 √Õß≈ß¡“§◊ Õ °≈ÿà ¡ ß“π‡¿ — ™ °√√¡ √— ∫ ∫√‘ ° “√ √âÕ¬≈– 5.7 »—≈¬°√√¡ √—∫∫√‘°“√ √âÕ¬≈– 4.2 ·≈– Àπ૬ߓπÕ◊πË Ê µ“¡≈”¥—∫ ‡¡◊ÕË ®”·π°µ“¡‡æ» æ∫ «à“°≈ÿ¡à µ—«Õ¬à“ß à«π„À≠à ‡ªìπ‡æ»À≠‘ß √âÕ¬≈– 78.5 ‡æ»™“¬ √âÕ¬≈– 21.5 πÕ°®“°π’Èæ∫«à“ °≈ÿà¡ µ—«Õ¬à“ß à«π„À≠à ¡’Õ“¬ÿ 35 ªï·≈– Ÿß°«à“ √âÕ¬≈– 57.2 ·≈–°≈ÿà¡∑’Ë¡’Õ“¬ÿπâÕ¬°«à“ 35 ªï √âÕ¬≈– 42.8

‚¥¬°≈ÿࡵ—«Õ¬à“ß ¡’Õ“¬ÿ‡©≈’ˬ 38.42 ªï Õ“¬ÿµË” ÿ¥ ‡∑à“°—∫ 19 ªï ·≈–Õ“¬ÿ Ÿß ÿ¥‡∑à“°—∫ 60 ªï °“√¡’ ‚√§ª√–®”µ—« æ∫«à“ °≈ÿࡵ—«Õ¬à“ß à«π„À≠à ‡ªìπ ‚√§¿Ÿ¡‘·æâ √âÕ¬≈– 28.7 √Õß≈ß¡“§◊Õ ‚√§§«“¡ ¥—π‚≈À‘µ Ÿß √âÕ¬≈– 24.0 ‰¢¡—π„π‡ âπ‡≈◊Õ¥ Ÿß √âÕ¬≈– 10.5 ·≈–‚√§Õ◊ËπÊ º≈°“√µ√«® ÿ¢¿“æª√–®”ªï 2552 ¢Õß ∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡

µ“√“ß∑’Ë 1 ®”π«π·≈–√âÕ¬≈–¢Õß°“√µ√«® ÿ¢¿“æ∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡®”·π°µ“¡ ≈—°…≥– à«π∫ÿ§§≈ ≈—°…≥– à«π∫ÿ§§≈ Àπ૬ߓπ 1 »Ÿπ¬å√—°…凧À– 2 ‡¿ —™°√√¡ 3 »—≈¬°√√¡ 4 Õ“¬ÿ√°√√¡À≠‘ß 5 °ÿ¡“√‡«™°√√¡ 6 °“√‡ß‘π·≈–æ— ¥ÿ 7 ºŸâªÉ«¬πÕ° 8 Õ“¬ÿ√°√√¡™“9 ICU 10 ÀâÕßºà“µ—¥ 11 Õÿ∫—µ‘‡Àµÿ ©ÿ°‡©‘π 12 LAB 13 ®à“¬°≈“ß 14 ∑—πµ°√√¡ 15 æ—≤π“√–∫∫∫√‘°“√ ÿ¢¿“æ 16 Õ◊ËπÊ ‡æ» ™“À≠‘ß Õ“¬ÿ πâÕ¬°«à“ 35 ªï 35 ªï·≈– Ÿß°«à“ Mean = 38.42 S.D. = 10.15 Min = 19.00 Max = 60.00 62

‡¡…“¬π - ¡‘∂ÿπ“¬π 2554

°√¡Õπ“¡—¬ à߇ √‘¡„Àâ§π‰∑¬ ÿ¢¿“楒

®”π«π 717 57 41 30 28 25 25 24 24 23 23 23 21 20 18 13 322

N = 717 √âÕ¬≈– 100.0 7.9 5.7 4.2 3.9 3.5 3.5 3.3 3.3 3.2 3.2 3.2 2.9 2.8 2.5 1.8 45.1

154 563

21.5 78.5

307 410

42.8 57.2

¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’

µ“√“ß∑’Ë 1 ®”π«π·≈–√âÕ¬≈–¢Õß°“√µ√«® ÿ¢¿“æ∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡®”·π°µ“¡ ≈—°…≥– à«π∫ÿ§§≈ (µàÕ) ≈—°…≥– à«π∫ÿ§§≈ ª√–«—µ‘ ‚√§ª√–®”µ—« (1 §πæ∫¡“°°«à“ 1 ‚√§) ¿Ÿ¡‘·æâ §«“¡¥—π‚≈À‘µ Ÿß ‰¢¡—π„π‡≈◊Õ¥ Ÿß °√–‡æ“–Õ“À“√·≈–≈”‰ â ‡∫“À«“π °≈â“¡‡π◊ÈÕ °√–¥Ÿ°·≈–¢âÕ ÀÕ∫À◊¥ ‰¡‡°√π ‰∑√Õ¬¥å À—«„®·≈–À≈Õ¥‡≈◊Õ¥ ¡Õßµ’∫ ‚≈À‘µ®“ß·≈–G6 PD ‰«√— µ—∫Õ—°‡ ∫∫’ ¡–‡√Á߇µâ“π¡ ‚√§‰µ Õ◊ËπÊ ‡™àπ ‡°“µå ≈¡™—° º‘«Àπ—ß Micro Adenoma Pituitary Gland

º≈°“√µ√«® ÿ¢¿“æª√–®”ªï 2552 ¢Õß ∫ÿ § ≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ª√–°Õ∫¥â « ¥—™π’¡«≈°“¬ (BMI) √Õ∫‡Õ« §«“¡¥—π‚≈À‘µ §«“¡¥—π‚≈À‘µ√à«¡°—∫°“√√—∫ª√–∑“π¬“≈¥§«“¡ ¥— π ‚≈À‘ µ √–¥— ∫ ‡Õ™-¥’ - ·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ (HDLc) √–¥—∫‰µ√°≈’‡´Õ‰√¥å (TG) ·≈– √–¥—∫ πÈ”µ“≈¢≥–Õ¥Õ“À“√(FBS) ®“°°“√»÷°…“ (µ“√“ß∑’Ë 2) æ∫«à“°≈ÿà¡ µ—«Õ¬à“ß à«π„À≠à¡’√–¥—∫¥—™π’¡«≈°“¬ (BMI) µË”°«à“ 25.00 √âÕ¬≈– 70.8 ·≈–√–¥—∫¥—™π’¡«≈°“25.00 ¢÷Èπ‰ª √âÕ¬≈– 29.2 ‚¥¬°≈ÿࡵ—«Õ¬à“ß ¡’ ¥—™π’¡«≈°“¬‡©≈’ˬ 23.16 ¥—™π’¡«≈°“¬µË” ÿ¥ ‡∑à“°—∫ 15.24 ·≈–¥—™π’¡«≈°“¬ Ÿß ÿ¥‡∑à“°—∫ 37.95

®”π«π

√âÕ¬≈–

201 49 41 18 17 15 13 10 9 8 8 3 2 2 2 4

100.0 28.7 24.0 10.5 9.9 8.8 7.6 5.8 5.3 4.7 4.7 1.8 1.2 1.2 1.2 2.3

‡¡◊ËÕæ‘®“√≥“√Õ∫‡Õ« æ∫«à“°≈ÿࡵ—«Õ¬à“ß à«π „À≠à¡√’ Õ∫‡Õ«ª°µ‘ §◊Õ ‡æ»À≠‘ßπâÕ¬°«à“ 32.0 π‘«È À√◊Õ 80 ‡´πµ‘‡¡µ√ ‡æ»™“¬πâÕ¬°«à“ 36.0 π‘«È À√◊Õ 90 ‡´πµ‘‡¡µ√ √âÕ¬≈– 73.1 ·≈–√Õ∫‡Õ«‡°‘π§à“ª°µ‘ §◊Õ ‡æ»À≠‘ß 32.0 π‘È«À√◊Õ 80 ‡´πµ‘‡¡µ√ ¢÷Èπ‰ª ‡æ»™“¬ 36.0 π‘È« À√◊Õ 90 ‡´πµ‘‡¡µ√ ¢÷Èπ‰ª √âÕ¬≈– 26.9 ‚¥¬°≈ÿ¡à µ—«Õ¬à“ß¡’√Õ∫‡Õ«‡©≈’¬Ë 30.30 √Õ∫‡Õ«µË” ÿ¥‡∑à“°—∫ 21.00 π‘È« ·≈– √Õ∫‡Õ« Ÿß ÿ¥‡∑à“°—∫ 47.00 π‘È« §«“¡¥—π‚≈À‘µ æ∫«à“ °≈ÿࡵ—«Õ¬à“ß à«π„À≠à ¡’§«“¡¥—π‚≈À‘µ µË”°«à“ 130/85 mm.Hg √â Õ ¬≈– 89.5 ·≈–130/85 mm.Hg ¢÷Èπ‰ª √âÕ¬≈– 10.5 °≈ÿࡵ—«Õ¬à“ß∑’Ë¡’ ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß·≈–‰¥â√—∫¬“≈¥§«“¡¥—π

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∫ ∑ «‘ ∑ ¬ “ ° “ √ µ“√“ß∑’Ë 2 ®”π«π·≈–√âÕ¬≈–¢Õߺ≈°“√µ√«® ÿ¢¿“æª√–®”ªï ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ º≈°“√µ√«® ÿ¢¿“æª√–®”ªï

®”π«π

N = 717 √âÕ¬≈–

√–¥—∫¥—™π’¡«≈°“¬ : BMI < 25.00 ≥ 25.00 Mean = 23.16 S.D. = 4.04 Min = 15.24 Max = 37.95

671 475 196

100.0 70.8 29.2

√–¥—∫√Õ∫‡Õ« (π‘È«) ‡æ»À≠‘ß < 32.0 / ‡æ»™“¬ < 36.0 ‡æ»À≠‘ß ≥ 32.0 / ‡æ»™“¬ ≥ 36.0 Mean = 30.30 S.D. = 4.03 Min = 21.00 Max = 47.00

635 464 171

100.0 73.1 26.9

√–¥—∫§«“¡¥—π‚≈À‘µ (mm.Hg) < 130/85 ≥ 130/85

677 606 71

100.0 89.5 10.5

°“√‰¥â√—∫¬“≈¥§«“¡¥—π‚≈À‘µ ‰¡à‰¥â√—∫¬“ ‰¡à¡’ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß ‰¥â√—∫¬“ ¡’ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß

677 676 41

100.0 94.3 5.7

√–¥—∫§«“¡¥—π‚≈À‘µ (mm.Hg) √à«¡°—∫°“√√—∫ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ < 130/85 ·≈–‰¡àæ∫ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß ≥ 130/85 √à«¡°—∫°“√√—∫ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ

679 588 91

100.0 86.6 13.4

√–¥—∫ HDLc (mg./dl.) ‡æ»À≠‘ß > 50.0 / ‡æ»™“¬ > 40.0 ‡æ»À≠‘ß ≤ 50.0 / ‡æ»™“¬ ≤ 40.0 Mean = 54.81 S.D. = 12.14 Min = 24.00 Max = 94.00

399 271 128

100.0 67.9 32.1

√–¥—∫ TG (mg./dl.) < 150 ≥ 150 Mean = 118.79 S.D. = 105.99 Min = 37.00 Max = 1719.00

399 318 81

100.0 79.7 20.3

√–¥—∫ FBS (mg./dl.) < 100 ≥ 100 Mean = 92.30 S.D. = 25.41 Min = 51.00 Max = 365.00

395 365 30

100.0 82.5 17.5

¿“«– Metabolic Syndrome ‡ªìπ ‰¡à‡ªìπ

350 43 307

100.0 12.3 87.7

64

‡¡…“¬π - ¡‘∂ÿπ“¬π 2554

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¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’

æ∫√âÕ¬≈– 5.7 ‡¡◊ËÕæ‘®“√≥“√–¥—∫§«“¡¥—π‚≈À‘µ √à«¡°—∫°“√√—∫ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ æ∫ «à“°≈ÿࡵ—«Õ¬à“ß à«π„À≠à ¡’§«“¡¥—π‚≈À‘µ µË”°«à“ 130/85 mm.Hg ·≈–‰¡à¡ª’ √–«—µ§‘ «“¡¥—π‚≈À‘µ Ÿß √âÕ¬≈– 86.6 ·≈–§«“¡¥—π‚≈À‘µ 130/85 mm.Hg ¢÷Èπ‰ª √à«¡°—∫°“√√—∫ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ √âÕ¬≈– 13.4 ”À√—∫º≈µ√«®∑“ßÀâÕߪؑ∫—µ‘°“√ æ∫«à“ °≈ÿ¡à µ—«Õ¬à“ß à«π„À≠ࡇ’ Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ Õ¬Ÿà„π√–¥—∫ª°µ‘ §◊Õ ‡æ»À≠‘ß 50.0 ¡°./¥≈. ¢÷È𠉪 ‡æ»™“¬ 40.0 ¡°./¥≈. ¢÷Èπ‰ª √âÕ¬≈– 67.9 ·≈–¡’‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ µË”°«à“√–¥—∫ª°µ‘ §◊Õ ‡æ»À≠‘ß 50.0 ¡°./¥≈.·≈–µË”°«à“ ‡æ»™“40.0 ¡°./¥≈.·≈–µË”°«à“ √âÕ¬≈– 32.1 ‚¥¬°≈ÿà¡ µ—«Õ¬à“ß¡’‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ ‡©≈’¬Ë 54.81 ¡°./¥≈. ‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ µË” ÿ¥‡∑à“°—∫ 24.0 ¡°./¥≈. ·≈–‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ Ÿß ÿ¥‡∑à“°—∫ 94.0 ¡°./¥≈. ‰µ√°≈’‡´Õ‰√¥å æ∫ «à“°≈ÿࡵ—«Õ¬à“ß à«π„À≠à¡’‰µ√°≈’‡´Õ‰√¥å Õ¬Ÿà„π √–¥—∫ª°µ‘ §◊յ˔°«à“150 ¡°./¥≈. √âÕ¬≈– 79.7 ·≈–¡’‰µ√°≈’‡´Õ‰√¥å ߟ °«à“√–¥—∫ª°µ‘ §◊Õ 150 ¡°./ ¥≈. ¢÷Èπ‰ª√âÕ¬≈– 20.3 ‚¥¬°≈ÿࡵ—«Õ¬à“ß ¡’‰µ√°≈’ ‡´Õ‰√¥å ‡©≈’ˬ 118.79 ¡°./¥≈. ‰µ√°≈’‡´Õ‰√¥å µË” ÿ¥‡∑à“°—∫ 37.00 ¡°./¥≈. ·≈–‰µ√°≈’‡´Õ‰√¥å Ÿß ÿ¥‡∑à“°—∫ 1719.00 ¡°./¥≈. √–¥—∫πÈ”µ“≈ ¢≥–Õ¥Õ“À“√ æ∫«à“°≈ÿࡵ—«Õ¬à“ß à«π„À≠à¡’ πÈ”µ“≈¢≥–Õ¥Õ“À“√ Õ¬Ÿà„π√–¥—∫ª°µ‘ §◊յ˔°«à“ 100 ¡°./¥≈. √âÕ¬≈– 82.5 ·≈–¡’πÈ”µ“≈¢≥–Õ¥ Õ“À“√ Ÿß°«à“√–¥—∫ª°µ‘ §◊Õ 100 ¡°./¥≈. ¢÷Èπ‰ª √âÕ¬≈– 17.5 ‚¥¬°≈ÿࡵ—«Õ¬à“ß¡’√–¥—∫πÈ”µ“≈¢≥– Õ¥Õ“À“√ ‡©≈’ˬ 92.30 ¡°./¥≈. √–¥—∫πÈ”µ“≈ ¢≥–Õ¥Õ“À“√ µË” ÿ¥‡∑à“°—∫ 51.00 ¡°. /¥≈. ·≈– √–¥—∫πÈ”µ“≈¢≥–Õ¥Õ“À“√ Ÿß ÿ¥‡∑à“°—∫ 365.00 ¡°./¥≈. ‡¡◊ËÕæ‘®“√≥“ ¿“«– Metabolic Syn-

drome µ“¡‡°≥±å¢Õß Àæ—π∏å‡∫“À«“π‚≈° (International Diabetes Federation) ´÷Ë ß æ‘®“√≥“¿“«–Õâ«π≈ßæÿß∑ÿ°√“¬√à«¡°—∫§«“¡º‘¥ ª°µ‘ ∑“ß Metabolism Õ’°Õ¬à“ßπâÕ¬ ÕߢâÕ„π ’Ë ¢âÕ ®“°°“√»÷°…“æ∫«à“ °≈ÿࡵ—«Õ¬à“ß à«π„À≠à ‰¡àæ∫¿“«– Metabolic Syndrome √âÕ¬≈– 87.7 ·≈–æ∫¿“«– Metabolic Syndrome √âÕ¬≈– 12.3 ‡¡◊ÕË æ‘®“√≥“ ¿“«– Metabolic Syndrome µ“¡‡°≥±å¢Õß Àæ—π∏å‡∫“À«“π‚≈°(International Diabetes Federation) ´÷Ë ß æ‘ ® “√≥“ ¿“«–Õâ«π≈ßæÿß∑ÿ°√“¬‚¥¬∑ÿ°§π¡’√Õ∫‡Õ«µ—Èß·µà 32 π‘È«À√◊Õ 80 ‡´πµ‘‡¡µ√¢÷Èπ‰ª „π‡æ»À≠‘ß ·≈– √Õ∫‡Õ«µ—Èß·µà 36 π‘È«À√◊Õ 90 ‡´πµ‘‡¡µ√¢÷Èπ‰ª„π ‡æ»™“¬ √à«¡°—∫§«“¡º‘¥ª°µ‘ ∑“ß Metabolism Õ’°Õ¬à“ßπâÕ¬ ÕߢâÕ„π ’Ë¢âÕ ®“°°“√»÷°…“æ∫«à“ ∫ÿ § ≈“°√‚√ß欓∫“≈‚æ∏“√“¡ æ∫«à “ ¡’ ¿ “«– Metabolic Syndrome ®”π«π 43 §π µ—«·ª√ ∑’Ë𔇠πÕª√–°Õ∫¥â«¬¢âÕ¡Ÿ≈ à«π∫ÿ§§≈ ‰¥â·°à Àπ૬ߓπ ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß ‡æ» ·≈– Õ“¬ÿ ¢âÕ¡Ÿ≈°“√µ√«® ÿ¢¿“æª√–®”ªï ‰¥â·°à ¥—™π’¡«≈ °“¬ (BMI) §«“¡¥—π‚≈À‘µ §«“¡¥—π‚≈À‘µ√à«¡ °—∫°“√√—∫ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ√–¥—∫ ‡Õ™¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ √–¥—∫‰µ√°≈’‡´Õ‰√¥å ·≈– √–¥—∫πÈ”µ“≈¢≥–Õ¥Õ“À“√ ®“°°“√»÷°…“ (µ“√“ß∑’Ë 3) æ∫«à“°≈ÿà¡ µ—«Õ¬à“ß à«π„À≠à ªØ‘∫µ— ß‘ “π„πÀπ૬ߓπ√—°…凧À– √â Õ ¬≈– 18.6 √Õß≈ß¡“§◊ Õ °“√‡ß‘ π ·≈–æ— ¥ÿ √âÕ¬≈– 14.0 欓∏‘«‘∑¬“§≈‘π‘° √âÕ¬≈– 9.3 ·≈– Àπ૬ߓπÕ◊ËπÊ µ“¡≈”¥—∫ ‡æ»À≠‘ß¡“°°«à“‡æ» ™“¬ √âÕ¬≈– 81.4 °≈ÿࡵ—«Õ¬à“ß à«π„À≠à ¡’Õ“¬ÿ 35 ªï·≈– Ÿß°«à“√âÕ¬≈– 97.7 Õ“¬ÿ‡©≈’ˬ 48.67 ªï Õ“¬ÿ πâÕ¬ ÿ¥‡∑à“°—∫ 34 ªï Õ“¬ÿ¡“° ÿ¥‡∑à“°—∫ 60 ªï ·≈– °≈ÿࡵ—«Õ¬à“ß à«π„À≠à¡’ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß √âÕ¬≈– 69.8

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∫ ∑ «‘ ∑ ¬ “ ° “ √ ®“°°“√»÷°…“ (µ“√“ß∑’Ë 4) æ∫«à“°≈ÿà¡ µ—«Õ¬à“ß∑’Ë¡’¿“«– Metabolic Syndrome √–¥—∫ ¥—™π’¡«≈°“¬ (BMI) µË”°«à“ 25.00 √âÕ¬≈– 16.3 ·≈–√–¥—∫¥—™π’¡«≈°“¬ 25.00 ¢÷Èπ‰ª √âÕ¬≈– 83.7 ‚¥¬°≈ÿ¡à µ—«Õ¬à“ß ¡’¥™— π’¡«≈°“¬‡©≈’¬Ë 28.40 ¥—™π’ ¡«≈°“¬µË” ÿ¥‡∑à“°—∫ 23.34 ·≈–¥—™π’¡«≈°“Ÿß ÿ¥‡∑à“°—∫ 37.95 ‡¡◊ËÕæ‘®“√≥“‡ âπ√Õ∫‡Õ« æ∫ «à“°≈ÿࡵ—«Õ¬à“ß ¡’√Õ∫‡Õ«‡©≈’ˬ 35.38 π‘È« √Õ∫ ‡Õ«µË” ÿ¥‡∑à“°—∫ 32.00 π‘È« ·≈– √Õ∫‡Õ« Ÿß ÿ¥

‡∑à“°—∫ 42.00 π‘È« §«“¡¥—π‚≈À‘µ æ∫«à“°≈ÿà¡ µ—«Õ¬à“ß à«π„À≠à ¡’§«“¡¥—π‚≈À‘µ µË”°«à“ 130/ 85 mm.Hg √âÕ¬≈– 64.3 ·≈–130/85 mm.Hg ¢÷Èπ‰ª √âÕ¬≈– 35.7 °≈ÿࡵ—«Õ¬à“ß∑’Ë¡’ª√–«—µ‘§«“¡ ¥—π‚≈À‘µ Ÿß·≈–‰¥â√—∫¬“≈¥§«“¡¥—π æ∫√âÕ¬≈– 30.2 ‡¡◊ËÕæ‘®“√≥“√–¥—∫§«“¡¥—π‚≈À‘µ√à«¡°—∫ °“√√—∫ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ æ∫«à“°≈ÿà¡ µ— « Õ¬à “ ß à « π„À≠à ¡’ § «“¡¥— π ‚≈À‘ µ 130/85 mm.Hg ¢÷È π ‰ª √à « ¡°— ∫ °“√√— ∫ ª√–∑“π¬“≈¥

µ“√“ß∑’Ë 3 ®”π«π·≈–√âÕ¬≈–¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡∑’¡Ë ¿’ “«– Metabolic Syndrome ®”·π°µ“¡ ¢âÕ¡Ÿ≈ à«π∫ÿ§§≈ N = 43 ¢âÕ¡Ÿ≈ à«π∫ÿ§§≈ Àπ૬ߓπ √—°…凧À– °“√‡ß‘π·≈–æ— ¥ÿ 欓∏‘«‘∑¬“§≈‘π‘° ®à“¬°≈“ß æ‘‡»… Õ“¬ÿ√°√√¡™“‡¿ —™°√√¡ ‡«™√–‡∫’¬π ¬“π¬πµå ÀâÕߧ≈Õ¥·≈–Ω“°§√√¿å Õ◊ËπÊ ‰¥â·°à æ—≤π“√–∫∫∫√‘°“√ ÿ¢¿“æ ‚¿™π“°“√ Ÿµ‘π√’‡«™°√√¡ ºŸâªÉ«¬πÕ° ∑—πµ°√√¡ «‘ —≠≠’ ‰µ‡∑’¬¡ ‡æ» ™“À≠‘ß Õ“¬ÿ πâÕ¬°«à“ 35 ªï 35 ªï·≈– Ÿß°«à“ Mean = 48.26 S.D. = 6.41 Min = 34.00 Max = 59.00 ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß ‡ªìπ ‰¡à‡ªìπ

66

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√âÕ¬≈–

43 8 6 4 3 3 2 2 2 2 2 9

100.0 18.6 14.0 9.3 7.0 7.0 4.7 4.7 4.7 4.7 4.7 20.6

43 8 35 43 1 42

100.0 18.6 81.4 100.0 2.3 97.7

43 30 13

100.0 69.8 30.2

¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’

µ“√“ß∑’Ë 4 ®”π«π·≈–√âÕ¬≈–¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡∑’¡Ë ¿’ “«– Metabolic Syndrome ®”·π°µ“¡ º≈°“√µ√«® ÿ¢¿“æª√–®”ªï N = 43 √âÕ¬≈–

º≈°“√µ√«® ÿ¢¿“æª√–®”ªï

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√–¥—∫¥—™π’¡«≈°“¬ : BMI < 25.00 ≥ 25.00 Mean = 28.40 S.D. = 3.13 Min = 23.34 Max = 37.95 √–¥—∫√Õ∫‡Õ« (π‘È«) ‡æ»À≠‘ß ≥ 32.0 / ‡æ»™“¬ ≥ 36.0 Mean = 35.37 S.D. = 2.60 Min = 32.00 Max = 42.00 √–¥—∫§«“¡¥—π‚≈À‘µ (mm.Hg) < 130/85 ≥ 130/85 °“√‰¥â√—∫¬“≈¥§«“¡¥—π‚≈À‘µ ‰¡à‰¥â√—∫¬“ ‰¡à¡’ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß ‰¥â√—∫¬“ ¡’ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß √–¥—∫§«“¡¥—π‚≈À‘µ (mm.Hg) √à«¡°—∫°“√√—∫ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ < 130/85 ·≈–‰¡àæ∫ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß ≥ 130/85 √à«¡°—∫°“√√—∫ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ √–¥—∫ HDLc (mg./dl.) ‡æ»À≠‘ß > 50.0 / ‡æ»™“¬ > 40.0 ‡æ»À≠‘ß ≤ 50.0 / ‡æ»™“¬ ≤ 40.0 Mean = 45.07 S.D. = 9.63 Min = 28.00 Max = 72.00 √–¥—∫ TG (mg./dl.) < 150 ≥ 150 Mean = 221.12 S.D. = 251.43 Min = 63.00 Max = 1719.00 √–¥—∫ FBS (mg./dl.) < 100 ≥ 100 28 65.1 Mean = 122.40 S.D. = 58.68 Min = 83.00 Max = 365.00

43 7 36

100.0 16.3 83.7

43 43

100.0 100.0

42 27 15 43 30 13 43 19 24 43 11 32

100.00 64.3 35.7 100.0 69.8 30.2 100.0 44.2 55.8 100.0 25.6 74.4

43 15 28

100.0 34.9 65.1

43 15

100.0 34.9

§«“¡¥—π‚≈À‘µ √âÕ¬≈– 55.8 §«“¡¥—π‚≈À‘µ µË”°«à“ 130/85 mm.Hg ·≈–‰¡à¡ª’ √–«—µ§‘ «“¡¥—π‚≈À‘µ Ÿß √âÕ¬≈– 44.2 ”À√—∫º≈µ√«®∑“ßÀâÕߪؑ∫—µ‘°“√ æ∫«à“

°≈ÿ¡à µ—«Õ¬à“ß à«π„À≠à ¡’‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ Õ¬Ÿà„π√–¥—∫µË”°«à“√–¥—∫ª°µ‘ §◊Õ ‡æ»À≠‘ß 50.0 ¡°./¥≈.·≈–µË”°«à“ ‡æ»™“¬ 40.0 ¡°./¥≈.·≈– µË”°«à“ √âÕ¬≈– 74.4 ·≈–√–¥—∫ª°µ‘ §◊Õ ‡æ»À≠‘ß

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∫ ∑ «‘ ∑ ¬ “ ° “ √ 50.0 ¡°./¥≈. ¢÷Èπ‰ª ‡æ»™“¬ 40.0 ¡°. /¥≈. ¢÷Èπ‰ª √âÕ¬≈– 25.6 ‚¥¬°≈ÿࡵ—«Õ¬à“ß¡’‡Õ™-¥’·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ ‡©≈’ˬ 45.07 ¡°./¥≈. ‡Õ™¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ µË” ÿ¥‡∑à“°—∫ 28.0 ¡°./ ¥≈. ·≈–‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ Ÿß ÿ¥‡∑à“°—∫ 72.0 ¡°./¥≈. ‰µ√°≈’‡´Õ‰√¥å æ∫«à“ °≈ÿà¡ µ—«Õ¬à“ß à«π„À≠à¡’‰µ√°≈’‡´Õ‰√¥å Õ¬Ÿà„π√–¥—∫ Ÿß °«à“√–¥—∫ª°µ‘ §◊Õ 150 ¡°./¥≈. ¢÷Èπ‰ª √âÕ¬≈– 65.1 ·≈–√–¥—∫ª°µ‘ §◊յ˔°«à“150 ¡°./¥≈. √âÕ≈– 34.9 ‚¥¬°≈ÿࡵ—«Õ¬à“ß ¡’‰µ√°≈’‡´Õ‰√¥å ‡©≈’Ë221.12 ¡°./¥≈. ‰µ√°≈’‡´Õ‰√¥å µË” ÿ¥‡∑à“°—∫ 63.00 ¡°./¥≈. ·≈–‰µ√°≈’‡´Õ‰√¥å Ÿß ÿ¥‡∑à“°—∫ 1719.00 ¡°./¥≈. √–¥—∫πÈ”µ“≈¢≥–Õ¥Õ“À“√ (FBS) æ∫«à“°≈ÿࡵ—«Õ¬à“ß à«π„À≠à¡’πÈ”µ“≈¢≥– Õ¥Õ“À“√ Ÿß°«à“√–¥—∫ª°µ‘ §◊Õ 100 ¡°./¥≈. ¢÷È𠉪 √âÕ¬≈– 65.1 ·≈–πÈ”µ“≈¢≥–Õ¥Õ“À“√ Õ¬Ÿà„π √–¥—∫ª°µ‘ §◊յ˔°«à“ 100 ¡°./¥≈. √âÕ¬≈– 34.9 ‚¥¬ °≈ÿࡵ—«Õ¬à“ß ¡’√–¥—∫πÈ”µ“≈¢≥–Õ¥Õ“À“√ ‡©≈’¬Ë 122.40 ¡°./¥≈. √–¥—∫πÈ”µ“≈¢≥–Õ¥Õ“À“√ µË” ÿ¥‡∑à“°—∫ 83.00 ¡°./¥≈. ·≈–√–¥—∫πÈ”µ“≈ ¢≥–Õ¥Õ“À“√ Ÿß ÿ¥‡∑à“°—∫ 365.00 ¡°./¥≈.

√ÿª·≈– Õ¿‘ª√“¬º≈ ·≈–¢âÕ‡ πÕ·π– °“√»÷°…“§√—Èßπ’È¡’«—µ∂ÿª√– ߧå‡æ◊ËÕ»÷°…“ ¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß æ¬“∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’ §≥–ºŸâ«‘®—¬ ‰¥â ‡°Á∫√«∫√«¡¢âÕ¡Ÿ≈°“√µ√«® ÿ¢¿“æª√–®”ªï 2552 ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®”π«π 717 §π ·≈â«π”¢âÕ¡Ÿ≈∑’‰Ë ¥â¡“«‘‡§√“–Àå¥â«¬ ∂‘µ‡‘ ™‘ßæ√√≥π“ ´÷Ë߉¥â·°à Õ—µ√“ à«π√âÕ¬≈– §à“‡©≈’ˬ‡≈¢§≥‘µ ·≈– §à“‡∫’ˬ߇∫π¡“µ√∞“π ‚¥¬ √ÿªº≈°“√»÷°…“ ¥—ßπ’È

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°“√µ√«® ÿ¢¿“æ®”π«π¡“°∑’Ë ÿ¥ §◊Õ Àπà«¬ß“π »Ÿπ¬å√—°…凧À– √Õß≈ß¡“§◊Õ °≈ÿà¡ß“π‡¿ —™°√√¡ »—≈¬°√√¡ ·≈–Àπ૬ߓπÕ◊ËπÊ °≈ÿࡵ—«Õ¬à“ß ‡ªìπ ‡æ»À≠‘ß ¡“°°«à“‡æ»™“¬ à«π„À≠à ¡’Õ“¬ÿ 35 ªï ·≈– Ÿß°«à“ ‚√§ª√–®”µ—«∑’Ëæ∫¡“°∑’Ë ÿ¥§◊Õ ‚√§ ¿Ÿ¡‘·æâ √Õß≈ß¡“§◊Õ ‚√§§«“¡¥—π‚≈À‘µ Ÿß ‰¢¡—π „π‡≈◊Õ¥ Ÿß ·≈–‚√§Õ◊ËπÊ πÕ°®“°π’È æ∫«à“°≈ÿࡵ—«Õ¬à“ß à«π„À≠à¡’ ¥—™π’¡«≈°“¬(BMI) Õ¬Ÿà„π√–¥—∫ª°µ‘ §◊յ˔°«à“ 25.00 ¡’√Õ∫‡Õ«ª°µ‘ §◊Õ ‡æ»À≠‘ßπâÕ¬°«à“ 32.0 π‘«È ‡æ»™“¬πâÕ¬°«à“ 36.0 ¡’§«“¡¥—π‚≈À‘µ µË”°«à“ 130/85 mm.Hg °≈ÿࡵ—«Õ¬à“ß∑’Ë¡’ª√–«—µ‘§«“¡ ¥—π‚≈À‘µ Ÿß·≈–‰¥â√∫— ¬“≈¥§«“¡¥—π æ∫√âÕ¬≈– 5.7 ‡¡◊ËÕæ‘®“√≥“√–¥—∫§«“¡¥—π‚≈À‘µ√à«¡°—∫°“√√—∫ ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ æ∫«à“°≈ÿࡵ—«Õ¬à“ß à«π„À≠à ¡’§«“¡¥—π‚≈À‘µ µË”°«à“ 130/85 mm.Hg ·≈–‰¡à¡’ª√–«—µ‘§«“¡¥—π‚≈À‘µ Ÿß º≈µ√«®∑“ßÀâÕߪؑ∫—µ‘°“√ æ∫«à“°≈ÿà¡ µ—«Õ¬à“ß à«π„À≠à¡’‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ Õ¬Ÿà„π√–¥—∫ª°µ‘ §◊Õ ‡æ»À≠‘ß 50.0 ¡°./¥≈. ¢÷È𠉪 ‡æ»™“¬ 40.0 ¡°./¥≈. ¢÷πÈ ‰ª ¡’‰µ√°≈’‡´Õ‰√¥å Õ¬Ÿà„π√–¥—∫ª°µ‘ §◊Õ µË”°«à“150 ¡°./¥≈. ¡’√–¥—∫ πÈ” µ“≈¢≥–Õ¥Õ“À“√Õ¬Ÿà „ π√–¥— ∫ ª°µ‘ §◊ Õ µË” °«à“100 ¡°./¥≈. ‡¡◊ËÕæ‘®“√≥“ ¿“«– Metabolic Syndrome µ“¡‡°≥±å ¢Õß Àæ—π∏å‡∫“À«“π‚≈° (International Diabetes Federation)´÷Ë ß æ‘®“√≥“¿“«–Õâ«π≈ßæÿß∑ÿ°√“¬‚¥¬∑ÿ°§π¡’√Õ∫ ‡Õ«µ—Èß·µà 32 π‘È«À√◊Õ 80 ‡´πµ‘‡¡µ√¢÷Èπ‰ª „π ‡æ»À≠‘ ß ·≈–√Õ∫‡Õ«µ—È ß ·µà 36 π‘È « À√◊ Õ 90 ‡´πµ‘‡¡µ√¢÷Èπ‰ª„π‡æ»™“¬ √à«¡°—∫§«“¡º‘¥ª°µ‘ ∑“ß Metabolism Õ’°Õ¬à“ßπâÕ¬ ÕߢâÕ„π ’¢Ë Õâ ®“° °“√»÷°…“ æ∫«à“°≈ÿ¡à µ—«Õ¬à“ß à«π„À≠à‰¡àæ∫¿“«– Metabolic Syndrome √âÕ¬≈– 87.7 ·≈–æ∫¿“«– Metabolic Syndrome √âÕ¬≈– 12.3 À√◊Õ 43 §π

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‡¡◊ÕË æ‘®“√≥“ ¿“«– Metabolic Syndrome µ“¡‡°≥±å¢Õß Àæ—π∏å‡∫“À«“π‚≈°(International Diabetes Federation) ¢Õß∫ÿ§≈“°√‚√ß æ¬“∫“≈‚æ∏“√“¡∑—Èß 43 §π ´÷Ëß°≈ÿࡵ—«Õ¬à“ß∑ÿ° §π¡’√Õ∫‡Õ«‡°‘π§à“∑’Ë°”Àπ¥¥—ß°≈à“« æ∫«à“°≈ÿà¡ µ—«Õ¬à“ß à«π„À≠à ªØ‘∫µ— ß‘ “π„πÀπ૬ߓπ√—°…凧À– °“√‡ß‘π·≈–æ— ¥ÿ ‡ªìπ‡æ»À≠‘ß¡“°°«à“‡æ»™“∑—ÈßÀ¡¥¡’Õ“¬ÿ 34 ªï¢÷Èπ‰ª ·≈– à«π„À≠à ¡’ª√–«—µ‘ §«“¡¥—π‚≈À‘µ Ÿß πÕ°®“°π’È°≈ÿࡵ—«Õ¬à“ß à«π „À≠à¡’√–¥—∫¥—™π’¡«≈°“¬ 25.00 ¢÷Èπ‰ª ¡’§«“¡ ¥— π ‚≈À‘ µ µË” °«à “ 130/85 mm.Hg ·µà ‡ ¡◊Ë Õ æ‘ ® “√≥“√–¥— ∫ §«“¡¥— π ‚≈À‘ µ √à « ¡°— ∫ °“√√— ∫ ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ æ∫«à“°≈ÿࡵ—«Õ¬à“ß à«π„À≠à ¡’§«“¡¥—π‚≈À‘µ 130/85 mm.Hg ¢÷È𠉪 √à«¡°—∫°“√√—∫ª√–∑“π¬“≈¥§«“¡¥—π‚≈À‘µ ”À√—∫º≈µ√«®∑“ßÀâÕߪؑ∫—µ‘°“√ æ∫«à“°≈ÿà¡ µ—«Õ¬à“ß à«π„À≠à ¡’‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈ Õ¬Ÿà„π√–¥—∫µË”°«à“√–¥—∫ª°µ‘ §◊Õ ‡æ»À≠‘ß 50.0 ¡°./¥≈.·≈–µË”°«à“ ‡æ»™“¬ 40.0 ¡°./¥≈.·≈– µË”°«à“ ‰µ√°≈’‡´Õ‰√¥å Õ¬Ÿ„à π√–¥—∫ Ÿß°«à“√–¥—∫ª°µ‘ §◊Õ 150 ¡°./¥≈. ¢÷Èπ‰ª √–¥—∫πÈ”µ“≈¢≥–Õ¥ Õ“À“√ (FBS) Ÿß°«à“√–¥—∫ª°µ‘ §◊Õ 100 ¡°./ ¥≈. ¢÷Èπ‰ª

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欓∫“≈‚æ∏“√“¡æ∫πâ Õ ¬°«à “ °“√»÷ ° …“„π ª√–™“°√°≈ÿࡵà“ßÊ Õ“∑‘ √“¬ß“π°“√«‘®—¬‡√◊ËÕß ‚√§Õâ « π≈ßæÿ ß „πºŸâ ¡ “√— ∫ ∫√‘ ° “√µ√«® ÿ ¢ ¿“æ ª√–®”ªï ≥ ‚√ß欓∫“≈ à߇ √‘¡ ÿ¢¿“滟π¬å Õπ“¡—¬∑’Ë 9 æ‘…≥ÿ‚≈° æ.».2551®”π«π 206 √“¡’ºŸâ‰¥â√—∫°“√«‘π‘®©—¬‚√§Õâ«π≈ßæÿß √âÕ¬≈– 32.1 æπ—°ß“π°“√‰øøÑ“ΩÉ“¬º≈‘µ„π°√ÿ߇∑æœ ‡¡◊ËÕ ªïæ.».2538 Õ“¬ÿ√–À«à“ß 35 - 54 ªï ®”π«π 3,499 √“¬ æ∫§«“¡™ÿ°¢Õß Metabolic Syndrome √âÕ¬≈– 21.5 ¢≥–∑’Ë¢âÕ¡Ÿ≈¢Õߪ√–‡∑» ‘ߧ‚ª√åæ∫ √âÕ¬≈– 17.9 à«πª√–‡∑» À√—∞Õ‡¡√‘°“§«“¡™ÿ° ¢Õß‚√§π’È æ ∫‰¥â ª √–¡“≥√â Õ ¬≈– 25 ¢Õß ª√–™“°√∑—Èߪ√–‡∑» πÕ°®“°π’È∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ æ∫¿“«– Metabolic Syndrome „π‡æ»À≠‘ß ¡“°°«à“‡æ»™“¬ Õ¥§≈âÕß°—∫°“√»÷°…“¢Õß Interasia ∑’Ë»÷°…“„πª√–™“°√‰∑¬∑—Ë«ª√–‡∑» ·≈–√“¬ß“π°“√«‘®—¬‡√◊ËÕß‚√§Õâ«π≈ßæÿß„πºŸâ¡“√—∫ ∫√‘°“√µ√«® ÿ¢¿“æª√–®”ªï ≥ ‚√ß欓∫“≈ àß ‡ √‘¡ ÿ¢¿“滟π¬åÕπ“¡—¬∑’Ë 9 æ‘…≥ÿ‚≈° æ.».2551 ·µà‰¡à Õ¥§≈âÕß°—∫°“√»÷°…“°≈ÿࡪ√–™“°√æπ—° ß“π°“√‰øøÑ“ΩÉ“¬º≈‘µ„π°√ÿ߇∑æœ ‡¡◊ËÕªïæ.».

2538 ´÷Ëßæ∫¿“«– Metabolic Syndrome „π ‡æ»™“¬¡“°°«à“‡æ»À≠‘ß à«π§«“¡º‘¥ª°µ‘„π 4 ¢âÕ¢ÕßMetabolic Syndrome ∑’Ëæ∫‰¥â∫àÕ¬¡“°∑’Ë ÿ¥ æ∫ Õ¥§≈âÕß°—π ∑—ßÈ °“√»÷°…“¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ °“√ »÷°…“¢Õß Interasia ∑’Ë»÷°…“„πª√–™“°√‰∑¬∑—Ë« ª√–‡∑» ·≈–√“¬ß“π°“√«‘®—¬‡√◊ËÕß‚√§Õâ«π≈ßæÿß„π ºŸâ ¡ “√— ∫ ∫√‘ ° “√µ√«® ÿ ¢ ¿“æª√–®”ªï ≥ ‚√ß æ¬“∫“≈ à߇ √‘¡ ÿ¢¿“滟π¬åÕπ“¡—¬∑’Ë 9 æ‘…≥ÿ‚≈° §◊Õ¿“«–∑’Ë√–¥—∫‡Õ™-¥’-·Õ≈ ‚§‡≈ ‡µÕ√Õ≈µË” ‡™à𠇥’¬«°—π §◊Õ√âÕ¬≈– 32.1 ¡“°°«à“√âÕ¬≈– 50 ·≈– √âÕ¬≈– 85.0 µ“¡≈”¥—∫

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∫ ∑ «‘ ∑ ¬ “ ° “ √ ‡¡◊ËÕæ‘®“√≥“‡ âπ√Õ∫‡Õ«µ“¡‡°≥±å¢Õß §π‡Õ‡™’¬ ∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡¡’‡ âπ √Õ∫‡Õ«‡°‘π§à“ª°µ‘ §◊Õ ‡æ»À≠‘ß 32.0 π‘«È À√◊Õ 80 ‡´πµ‘ ‡ ¡µ√¢÷È π ‰ª ‡æ»™“¬ 36.0 π‘È « À√◊ Õ 90 ‡´πµ‘‡¡µ√¢÷Èπ‰ª æ∫√âÕ¬≈– 26.9 ´÷ËßπâÕ¬°«à“ °“√»÷°…“¢Õß Interasia ∑’Ë»÷°…“„πª√–™“°√ ‰∑¬∑—Ë«ª√–‡∑» ·≈– √“¬ß“π°“√«‘®—¬‡√◊ËÕß‚√§ Õâ«π≈ßæÿß„πºŸ¡â “√—∫∫√‘°“√µ√«® ÿ¢¿“æª√–®”ªï ≥ ‚√ß欓∫“≈ à ß ‡ √‘ ¡ ÿ ¢ ¿“滟 π ¬å Õ π“¡— ¬ ∑’Ë 9 æ‘…≥ÿ‚≈° §◊Õ √âÕ¬≈– 35.8 ·≈– 38.8 µ“¡≈”¥—∫ ®“°°“√»÷°…“¿“«– Metabolic Syndrome ¢Õß∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡ ®—ßÀ«—¥√“™∫ÿ√’ æ.». 2552 ·≈–°“√∑∫∑«π«√√≥°√√¡µà“ßÊ æ∫ «à“∫ÿ§≈“°√‚√ß欓∫“≈‚æ∏“√“¡¡’°“√‡°‘¥¿“«– Metabolic Syndrome §«“¡º‘¥ª°µ‘„π 4 ¢âÕ¢Õß Metabolic Syndrome ∑’Ëæ∫‰¥â∫àÕ¬¡“°∑’Ë ÿ¥ ·≈–‡ âπ√Õ∫‡Õ«∑’ˇ°‘π§à“ª°µ‘ πâÕ¬°«à“ª√–™“°√ °≈ÿà¡Õ◊ËπÊ ∑’Ë¡’°“√»÷°…“‰«â ∑—Èßπ’ÈÕ“®‡ªìπ‡æ√“–‚√ß æ¬“∫“≈‚æ∏“√“¡‡ªìπÀπ÷Ëß„πÕߧå°√∑’˵√–Àπ—° ∂÷ߪí≠À“ ”§—≠¥—ß°≈à“« √«¡∑—È߉¥â¥”‡π‘π°“√ µ“¡π‚¬∫“¬·≈–°≈¬ÿ∑∏åµà“ßÊ ‡æ◊ËÕ à߇ √‘¡·≈– √â“߇ √‘¡¿“«– ÿ¢¿“æ„π√Ÿª·∫∫µà“ßÊ µ√“∫®π ªí®®ÿ∫—πæ√âÕ¡∑—ÈßÀ“·π«∑“ß„À¡àÊ ∑’Ë Õ¥§≈âÕß ·≈–‡À¡“– ¡‡æ◊Ë Õ π”‰ª Ÿà ° “√¡’ ÿ ¢ ¿“æ∑’Ë ¥’ ¢ Õß ∫ÿ§≈“°√„πÕߧå°√

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‡Õ° “√Õâ“ßÕ‘ß 1. DeFronzo RA, Ferrannini E. Insulin resistance: a multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia and atherosclerotic cardiovascular disease. Diabetes Care 1991;014: 173-9419.

2. Grundy SM, Brewer Jr B, Cleeman JI, et al. Definition of metabolic syndrome: report of the National Heart, Lung and Blood Institute/American Heart Association Conference on scientific issues related to definition. Circulation 2004; 109: 433-8 3. Park YW, Zhu S, Palaniappan L, et al. The metabolic syndrome: prevalence and associated risk factor findings in the US population from the national health and nutrition examination survey, 19881994. Arch Intern Med 2003;163:427-36 4. Deurenberg-Yap M, Yian TB, Kai CS, Deurenberg P, van Staveren WA. Manifestation of cardiovascular risk factors at low levels of body mass index and waist-to-hip ratio in Singaporean Chinese. Asia Pacific J Clin Nutr 1999;8:177-83 5. ™—¬™“≠ ¥’‚√®π«ß»å. Metabolic Syndrome (‚√§Õâ«π≈ßæÿß). “√√“™«‘∑¬“≈—¬Õ“¬ÿ√·æ∑¬å·Ààߪ√–‡∑»‰∑¬ 2549; 23: 5-17.

6.»Ÿπ¬åÕπ“¡—¬∑’Ë 9 æ‘…≥ÿ‚≈°.‚√§Õâ«π≈ßæÿß„πºŸ¡â “√—∫∫√‘°“√µ√«® ÿ¢¿“æª√–®”ªï ≥ ‚√ß欓∫“≈ à߇ √‘¡ ÿ¢¿“滟π¬åÕπ“¡—¬∑’Ë 9 æ‘…≥ÿ‚≈° æ.».2551(ÕÕπ‰≈πå). ◊∫§âπ®“° :http://hpc9.anamai.moph.gp.th/resrarch index.php? option=com_content&task=view&id=85&Itemid=48 [2 ¡’π“§¡ 2553] HEALTH

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