Journal of Preventive Medicine and Public Health

  • 제45권4호
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  • Pages.211-218
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  • 2012
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Differences in Obesity Rates Between People With and Without Disabilities and the Association of Disability and Obesity: A Nationwide Population Study in South Korea

  • Oh, Moo-Kyung (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Jang, Hyeon-Gap (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Kim, Yong-Ik (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Jo, Belong (Department of Family Medicine, Seoul National University Hospital) ;
  • Kim, Yoon (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Park, Jong-Heon (Institute of Health Policy and Management, Medical Research Center, Seoul National University) ;
  • Lee, Jin-Seok (Department of Health Policy and Management, Seoul National University College of Medicine)
  • 투고 : 2011.08.26
  • 심사 : 2011.11.14
  • 발행 : 2012.07.31
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초록

Objectives: The objective of this study was to identify the differences in obesity rates among people with and without disabilities, and evaluate the relationship between obesity rates and the existence of disabilities or characteristics of disabilities. Methods: Mass screening data from 2008 from the National Disability Registry and National Health Insurance (NHI) are used. For analysis, we classified physical disability into three subtypes: upper limb disability, lower limb disability, and spinal cord injury. For a control group, we extracted people without disabilities by each subtype. To adjust for the participation rate in the NHI mass screening, we calculated and adopted the weight stratified by sex, age, and grade of disability. Differences in obesity rates between people with and without disabilities were examined by a chi-squared test. In addition, the effect of the existence of disabilities and grade of disabilities on obesity was examined by multiple logistic regression analysis. Results: People with disabilities were found to have a higher obesity rate than those without disabilities. The obesity rates were 35.2% and 35.0% (people with disabilities vs. without disabilities) in the upper limb disability, 44.5% and 34.8% in the lower limb disability, 43.4% and 34.6% in the spinal cord injury. The odds for existence of physical disability and grade of disability are higher than the nondisabilities. Conclusions: These results show that people with physical disability have a higher vulnerability to obesity.

키워드

참고문헌

  1. Korea Centers for Disease Control and Prevention. Korea health statistics 2009: Korea National Health and Nutrition Examination Survey (KNHANESIV-3). Seoul: Ministry of Heath and Welfare; 2010, p. 48 (Korean).
  2. Lakka HM, Laaksonen DE, Lakka TA, Niskanen LK, Kumpusalo E, Tuomilehto J, et al. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA 2002;288(21):2709-2716.
  3. Foreyt J, Goodrick K. The ultimate triumph of obesity. Lancet 1995;346(8968):134-135.
  4. Ford ES. The metabolic syndrome and mortality from cardiovascular disease and all-causes: findings from the National Health and Nutrition Examination Survey II Mortality Study. Atherosclerosis 2004;173(2):309-314.
  5. World Health Organization; World Bank. World report on disability. Geneva: World Heath Organization; 2011, p. 61.
  6. Liou TH, Pi-Sunyer FX, Laferrere B. Physical disability and obesity. Nutr Rev 2005;63(10):321-331.
  7. Bruffaerts R, Demyttenaere K, Vilagut G, Martinez M, Bonnewyn A, De Graaf R, et al. The relation between body mass index, mental health, and functional disability: a European population perspective. Can J Psychiatry 2008;53(10):679-
  8. Doshi JA, Polsky D, Chang VW. Prevalence and trends in obesity among aged and disabled U.S. Medicare beneficiaries, 1997-2002. Health Aff (Millwood) 2007;26(4):1111-1117.
  9. Kim HS, Kim YS. The effect of depression on the quality of life in elderly with disability. J Hum Soc Sci 2009;22:183-215 (Korean).
  10. Lee EK. Effects of art therapeutic education for children with severe cerebral palsy [dissertation]. Seoul: Kookmin University; 2002 (Korean).
  11. Havercamp SM, Scandlin D, Roth M. Health disparities among adults with developmental disabilities, adults with other disabilities, and adults not reporting disability in North Carolina. Public Health Rep 2004;119(4):418-426.
  12. Diab ME, Johnston MV. Relationships between level of disability and receipt of preventive health services. Arch Phys Med Rehabil 2004;85(5):749-757.
  13. Kim HO, Joung KH. A Study on the needs of health & community services among the disabled at home in rural areas. J Korean Acad Community Health Nurs 2007;18(3):480-491 (Korean).
  14. National Health Insurance. The analysis of medical benefits in the people with disability and development of stratigies for strenthening the medical insurance. Seoul: Ministry of Health and Welfare; 2005, p. 94 (Korean).
  15. Park JH. Factors affecting the participation rate of the mass screenings of the disabled of national health insurance [dissertation]. Seoul: Seoul National University; 2006 (Korean).
  16. Korea Centers for Disease Control and Prevention. Sample design: Korea National Health and Nutrition Examination Survey (KNHANESIV-4). Seoul: Ministry of Health and Welfare; 2007, p. 23 (Korean).
  17. Hong SW. Factors influencing Health-related quality of life in Korean medicaid beneficiaries. J Korean Acad Nurs 2009; 39(4):480-489 (Korean).
  18. Kim MS. Regulators of enegy metabolism. Korean J Obes 2000;9(3):6-11 (Korean).
  19. Buffart LM, van den Berg-Emons RJ, van Wijlen-Hempel MS, Stam HJ, Roebroeck ME. Health-related physical fitness of adolescents and young adults with myelomeningocele. Eur J Appl Physiol 2008;103(2):181-188.
  20. Manns PJ, McCubbin JA, Williams DP. Fitness, inflammation, and the metabolic syndrome in men with paraplegia. Arch Phys Med Rehabil 2005;86(6):1176-1181.
  21. Kim IA, Kim DM, Han MK. Effects of physical activity participation and sedentary life style on obesity in individuals with spinal cord injury. J Adapt Phys Act 2010;18(1):67-77 (Korean).
  22. Kashihara M, Nakao S, Kawasaki J, Takata S, Nagahiro S, Kaji R, et al. Long-term outcome of severe stroke patients: is the ADL status at discharge from a stroke center indicative of the longterm outcome? J Med Invest 2011;58(3-4):227-234.
  23. Oh AR, Min JH. Search for components of rehabilitation program for stroke disabled person. Korean J Exerc Rehabil 2005; 1(2):65-73 (Korean).
  24. Kuo HK, Leveille SG, Yu YH, Milberg WP. Cognitive function, habitual gait speed, and late-life disability in the National Health and Nutrition Examination Survey (NHANES) 1999-2002. Gerontology 2007;53(2):102-110.

피인용 문헌

  1. Recent Developments in Obesity Research: Linkages between Obesity, Disability, and Physical Functioning vol.2, pp.3, 2013, https://doi.org/10.1007/s13679-013-0061-z
  2. Impacts of mobility disability and high and increasing body mass index on health-related quality of life and participation in society: a population-based cohort study from Sweden vol.14, pp.1, 2014, https://doi.org/10.1186/1471-2458-14-381
  3. The complexity of reaching and maintaining a healthy body weight – the experience from adults with a mobility disability vol.5, pp.1, 2012, https://doi.org/10.1186/s40608-018-0212-6
  4. 장애인 비만에 대한 연구 동향 고찰: 국내 학술지를 중심으로 vol.19, pp.1, 2012, https://doi.org/10.15429/jkomor.2019.19.1.68