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KMID : 1155220140390020001
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Journal of the Korean Society of Health Information and Health Statistics
2014 Volume.39 No. 2 p.1 ~ p.12
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Measures of Adiposity in the Identification of Metabolic Abnormalities in Middle-aged and Older Korean Adults
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Park Ji-Hye
Kim Hyeon-Chang
Lee Ju-Mi
Cho Dong-Phil
Song Bo-Mi
Lee Seung-Won
Choi Han-Sol
Lee Joo-Young
Suh Il
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Abstract
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Objectives: We investigated anthropometric measures of obesity, including body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) in their associations with metabolic abnormalities in Korean adults.
Methods: Study participants were 1,399 male and 2,325 female community dwellers aged 40-79 years. Assessed metabolic variables included blood pressure, fasting glucose, insulin resistance, triglycerides, HDL cholesterol, LDL cholesterol, alanine aminotransferase, and gamma-glutamyl transferase. Associations of anthropometric measures per 1-SD increase with each metabolic abnormality were assessed using logistic regression analysis.
Results: The adiposity measurements were significantly associated with all of the metabolic abnormalities, only except for with LDL cholesterol in men. In men, hypertension was more strongly associated withBMI (OR=1.58) than WC (OR=1.40) or WHtR (OR=1.44) or WHtR (OR=1.75); and hypertriglyceridemia was more closely associated with WC (OR=1.91) than BMI (OR=1.79) or WHtR (OR=1.87). In women, three adiposity measurements had similar association with metabolic abnormalities.
Conclusions: Simple anthropometric measurements can be used to screen high-risk individuals of metabolic abnormalities in Korean men and women, although certain obesity indicators are more strongly with a specific kind of metabolic abnormality in men.
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KEYWORD
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Metabolic abnormalities, Anthropometric measures, Body mass index, Waist circumference, Waist-to-height ratio
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