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. 2020 May 5;30(5):219–226. doi: 10.2188/jea.JE20180246

Table 5. Associations between MS and risk factors among age groups during 6-year follow-up.

Lifestylesa Women Men


20–29 years 30–39 years 40–49 years 20–29 years 30–39 years 40–49 years






HR 95% CI HR 95% CI HR 95% CI HR 95% CI HR 95% CI HR 95% CI
Univariate analysisb                        
 Smoking condition                        
  Non-smoker 1.00   1.00   1.00   1.00   1.00   1.00  
  Current smoker 3.67 1.59–8.49 2.05 1.42–2.98 1.74 1.36–2.23 1.10 0.93–1.29 1.33 1.22–1.45 1.31 1.21–1.42
  Ex-smoker 1.50 0.34–6.61 0.72 0.39–1.32 1.44 1.07–1.93 0.82 0.62–1.10 1.03 0.92–1.14 1.19 1.08–1.30
 Alcohol intake                        
  No drinking 1.00   1.00   1.00   1.00   1.00   1.00  
  Less than 20 g per day 0.75 0.25–2.29 0.61 0.38–0.99 0.95 0.72–1.25 0.66 0.51–0.84 0.77 0.68–0.87 0.84 0.76–0.93
  20–60 g per day 1.24 0.43–3.64 1.12 0.74–1.70 1.35 1.04–1.77 0.94 0.76–1.17 1.05 0.95–1.17 1.08 0.99–1.18
  More than 60 g per day 2.41 0.47–12.45 2.40 1.16–4.98 1.91 1.07–3.40 1.12 0.81–1.55 1.31 1.13–1.53 1.34 1.17–1.53
 30 minutes of exercise a week
at least twice per week, No
0.99 0.23–4.20 1.59 0.88–2.87 1.32 0.95–1.84 1.30 1.05–1.61 1.16 1.06–1.28 1.20 1.11–1.30
 Physical activity over hour per day, No 0.93 0.42–2.06 1.19 0.81–1.75 1.38 1.09–1.74 1.23 1.05–1.44 1.15 1.06–0.24 1.19 1.11–1.27
 Eating speed                        
  Slow 1.00   1.00   1.00   1.00   1.00   1.00  
  General 5.60 0.79–45.42 1.62 0.87–2.98 1.31 0.87–1.96 1.68 1.22–2.33 1.52 1.29–1.80 1.44 1.25–1.66
  Fast 7.31 0.92–57.68 2.43 1.29–4.57 2.09 1.38–3.16 2.53 1.83–3.48 2.31 1.95–2.73 2.06 0.79–2.38
 Eating dinner less than 2 hours before sleeping more than 3 times per week 0.84 0.36–1.95 1.09 0.76–1.57 1.76 1.42–2.18 0.92 0.79–1.08 1.15 1.06–1.23 1.08 1.02–1.15
 Eating snacks after dinner more than
3 times per week
0.77 0.26–2.24 1.26 0.82–1.92 1.07 0.81–1.41 0.95 0.78–1.16 1.01 0.91–1.11 1.19 1.08–1.29
 Skipping breakfast more than
3 times per week
0.64 0.27–1.61 1.43 1.00–2.05 1.69 1.34–2.13 1.22 1.04–1.43 1.09 1.01–1.18 1.06 0.99–1.14
 Sleeping well, No 0.78 0.35–1.72 1.26 0.89–1.78 1.55 1.24–1.93 1.06 0.91–1.25 1.10 1.02–1.19 1.08 1.02–1.15

Multivariable analysisc                        
 Smoking condition                        
  Non-smoker 1.00   1.00   1.00   1.00   1.00   1.00  
  Current smoker 3.54 1.47–8.53 1.70 1.15–2.51 1.47 1.13–1.90 0.99 0.83–1.18 1.24 1.13–1.35 1.23 1.13–1.33
  Ex-smoker 1.25 0.28–5.65 0.66 0.35–1.21 1.30 0.96–1.76 0.76 0.57–1.02 0.96 0.86–1.07 1.12 1.02–1.23
 Alcohol intake                        
  No drinking 1.00   1.00   1.00   1.00   1.00   1.00  
  Less than 20 g per day 0.74 0.24–2.28 0.63 0.39–1.01 0.90 0.68–1.20 0.67 0.52–0.86 0.78 0.69–0.87 0.85 0.77–0.95
  20–60 g per day 1.10 0.37–3.29 1.09 0.71–1.67 1.13 0.86–1.49 0.91 0.72–1.13 1.01 0.91–1.12 1.08 0.98–1.18
  More than 60 g per day 1.80 0.33–9.69 1.92 0.91–4.04 1.30 0.72–2.35 1.07 0.77–1.49 1.22 1.05–1.43 1.30 1.14–1.48
 30 minutes of exercise a week
at least twice per week, No
1.12 0.25–4.95 1.44 0.79–1.64 1.20 0.86–1.69 1.24 0.99–1.55 1.10 0.99–1.22 1.16 1.07–1.27
 Physical activity over hour per day, No 0.96 0.42–2.19 1.11 0.75–1.64 1.33 1.05–1.69 1.20 1.02–1.41 1.13 1.04–1.22 1.16 1.08–1.24
 Eating speed                        
  Slow 1.00   1.00   1.00   1.00   1.00   1.00  
  General 5.21 0.69–39.52 1.57 0.85–2.90 1.35 0.90–2.03 1.70 1.23–2.34 1.48 1.25–1.75 1.45 1.26–1.67
  Fast 6.29 0.79–50.01 2.33 1.23–4.39 2.04 1.35–3.09 2.52 1.82–3.47 2.23 1.88–2.64 2.07 1.79–2.38
 Eating dinner less than 2 hours before
sleeping more than 3 times per week
0.92 0.38–2.20 0.93 0.76–1.57 1.47 1.17–1.85 0.87 0.74–1.03 1.08 0.99–1.16 1.02 0.85–1.09
 Eating snacks after dinner more than
3 times per week
0.88 0.30–2.59 1.21 0.78–1.86 0.96 0.72–1.28 0.96 0.78–1.17 1.00 0.91–1.11 1.18 1.08–1.28
 Skipping breakfast more than
3 times per week
0.50 0.19–1.30 1.21 0.83–1.77 1.38 1.08–1.75 1.17 0.99–1.37 0.99 0.92–1.07 0.97 0.90–1.04
 Sleeping well, No 0.81 0.37–1.82 1.14 0.80–1.62 1.36 1.09–1.70 1.05 0.90–1.24 1.06 0.98–1.14 1.06 0.99–1.12

CI, confidence interval; HR, hazard ratio; MS, metabolic syndrome.

aMissing values were excluded in smoking (n = 3), alcohol intake (n = 40), exercise (n = 6), physical activity (n = 9), eating speed (n = 6), eating dinner less than 2 hours (n = 7), eating snacks (n = 4), skipping breakfast (n = 5), and sleeping (n = 6) in women, and smoking (n = 1), alcohol intake (n = 72), exercise (n = 8), physical activity (n = 9), eating speed (n = 4), eating dinner less than 2 hours (n = 8), eating snacks (n = 9), skipping breakfast (n = 13), and sleeping (n = 6) in men.

bUsing a Cox proportional hazard model for each lifestyle.

cUsing a Cox proportional hazard model adjusted for age and all of lifestyles.