背景：代謝症候群已成為全球公共衛生的挑戰及普遍的健康問題。研究發現，代謝症候群的發生與日後罹患冠狀動脈疾病、中風、糖尿病、腎臟病呈正相關，與代謝症候群危險因子相關的死亡率於國人10大死因中更高達26.5%。除此之外，代謝症候群的盛行率在世界各國亦正迅速成長中。在台灣，20歲以上成年人罹患代謝症候群者約有20-35%。因此，本研究目的為探討代謝症候群與無代謝症候群成人在健康促進生活型態上的差異，期望找出影響代謝症候群健康促進生活型態的主要因素。
研究方法：本研究藉由使用「代謝症候群健康促進生活型態」之資料庫進行分析，針對代謝症候群成人收集其過去健康促進生活型態的經驗，再與其他未被診斷出代謝症候群的成人之健康促進生活型態經驗比較，比較兩組在健康促進生活型態之不同。
研究結果：本研究代謝症候群組和無代謝症候群組分別為115及265人。體重、身體質量指數，於有無代謝症候群中呈現顯著差異(t = -5.26, p < .01; t = -8.47, p < .01)，身體質量指數過高者罹患代謝症候群的機率為無代謝症候群民眾的1.37倍。而健康促進生活型態中身體活動分數較低者，會有較高的機率得到代謝症候群，身體活動總分每增加一分，將會降低33%的罹病機率。
結論：除持續加強民眾對代謝症候群的認知之外，更需要從日常生活中評估其日常運動習慣，找出執行上的差異與問題核心，協助訂定具體可行的執行目標，逐步取得日常生活與疾病控制的平衡點，才能有效降低代謝症候群的發生。

Background: Metabolic syndrome has become not only a challenge but also a widespread health issue among global public health. Researchers have indicated that metabolic syndrome is associated occurrence of coronary artery disease, stroke, diabetes, and kidney disease. The causes of death related to metabolic syndrome were 26.5% among the first ten major causes of death in Taiwan. The prevalence of metabolic syndrome is also increasing rapidly all over the world. In Taiwan, 20-35% people with age 20 years old are suffering from metabolic syndrome. Therefore, this research was to discuss the difference between adults with and without metabolic syndrome and to explore main factors related to health-promoting life style influence.
Methods: This was a secondary data analysis study to explore health promoting life styles among adults with metabolic syndrome and to compare their lifestyle with those without metabolic syndrome. Data were extracted from a database, health-promoting life styles. Variables included demographics and items of HPLP.
Results: Of 115 adults with metabolic syndrome and 265 adults without metabolic syndrome were extracted from the database. There was significant differences between those with metabolic syndrome and without in weight (t = -5.26, p < .01); and waist (t = -8.47, p < .01). Results showed that BMI was an important indicators for metabolic syndrome. In health promoting life styles, those who were with low scores in exercise had a higher risk having metabolic syndrome than those who were with moderate scores in exercise. Health promoting life styles score increased 1%, the morbidity dropped by 33%.
Conclusion: We have to not only strengthen patient’s recognition towards metabolic syndrome, but also assess their daily exercise habitual behaviors to explore the risk factors. Moreover, we should help adults with metabolic syndrome searching for specific and feasible goals, and then help them achieve a balance between daily living and disease control. Therefore, the morbidity of metabolic syndrome might drop significantly.

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