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KMID : 0384320060270030175
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Korean Journal of Family Medicine
2006 Volume.27 No. 3 p.175 ~ p.181
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The Prevalence of Obesity and Obesity-related Metabolic Complications in Korean Adolescents
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Choi Tae-In
Rhee Hee-Jeong
Ko Kyung-Mi
Yoo Sun-Mi
Kim Kyu-Nam
Lee Seon-Yeong
Kang Jae-Heon
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Abstract
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Background: Obesity in adolescence is a serious health problem because it may proceed to adulthood, cause metabolic complications, and thereby increase mortality. The main purpose of this study was to investigate the prevalence of obesity and other metabolic complications related to obesity among Korean adolescents.
Methods: The subjects of the study were 3,615 adolescents recruited from 12 middle schools nationwide. We measured their height, weight, obesity indices, fasting blood glucose, serum total cholesterol, triglyceride, HDL- cholesterol, ALT, AST, and uric acid levels. The risk factors of obesity were assessed by self-administered questionnaires.
Results: Obesity was evident in 16.2% of the subjects (20.7% in boys, 11.0% in girls). Adolescent obesity was closely related to parental obesity (Odds Ratio 2.9, 95% CI (Confidence Interval) 1.7∼2.5). Obese adolescents were at higher risk of elevated AST (OR 10.2, 95% CI, 5.2 ∼19.9), elevated ALT (OR 12.9, 95% CI, 6.9∼24.2), hypercholesterolemia (OR 1.5 95% CI, 1.2∼1.8, P＜0.05), hypertriglyceridemia (OR 4.0, 95% CI, 3.1∼5.3), and hyperuricemia (OR 2.2, 95% CI, 1.7∼3.0). More than 70% of obese adolescents had one or more metabolic complications related to obesity.
Conclusion: Adolescent obesity was closely related to parental obesity and metabolic complications related to the obesity were common among both obese boys and girls. (J Korean Acad Fam Med 2006;27:175-181)
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KEYWORD
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adolescence, obesity, prevalence, metabolic complication
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