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Relationship Between Obesity Indices and Serum Lipid Levels in Adults Using Data from Health Examination

건강검진자료에 의한 일반 성인의 비만지표와 혈청지질치의 관련성

  • Yoon, Hyun-Suk (Department of Nursing, Chungnam National University Hospital) ;
  • Bae, Sang-Yun (Department of Health Administration, Vision University of Jeonju) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 윤현숙 (충남대학교병원 간호부) ;
  • 배상윤 (전주비전대학교 보건행정학과) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실)
  • Received : 2014.08.04
  • Accepted : 2015.02.12
  • Published : 2015.02.28

Abstract

This study examined the serum lipid levels according to the obesity indices, and obtained the relationship between obesity indices and serum lipid levels among adults who underwent a health checkup in a university hospital. The subjects for this study were 4,112 adults aged 18 to 77 years who underwent medical examinations at the health center of a university hospital in Daejeon city from Jan 2012 to Dec 2013. The serum lipid levels (TC, HDL-C, LDL-C, TG, AI) and obesity indices (height, weight, waist circumference, body fat rate, BMI, WHR WSR) of the study subjects were surveyed from self-recorded questionnaires and medical examination charts of the hospital. As a result, the serum lipid levels (TC, HDL-C, LDL-C, TG, AI) of the study subjects were increased significantly with higher level of obesity indices (WC, body fat rate, BMI, WHR WSR) in both sexes. The TC, LDL-C, TG, and AI showed that positive correlated with the WC, body fat rate, BMI, and WSR in both sexes, but HDL-C was negatively correlated with the WC, body fat rate, BMI, and WSR in both sexes. The above results suggest that the obesity indices and the serum lipid levels are closely related, i.e., the serum lipid levels increase with increasing obesity indices.

본 연구는 한 대학병원 건강검진센터에서 종합건강검진을 받은 일반 성인들의 비만관련지표에 따른 혈청지질치의 수준을 알아보고, 혈청지질치와 비만관련 각 지표들 간의 상호 관련성을 확인하고자 하였다. 조사대상은 대전광역시에 거주하고 있는 18세부터 77세까지의 성인 남녀로서 2012년 1월부터 2013년 12월까지의 기간에 대전광역시에 소재하고 있는 C대학교병원 건강검진센터에서 종합건강검진을 받았던 4,112명으로 하였다. 자료 수집은 대상자들의 종합건강검진결과표로부터 혈청지질치관련지표(TC, HDL-C, LDL-C, TG, AI)와 비만지표(신장, 체중, 허리둘레, 체지방율, BMI, WHR 및 WSR)를 수집하여 분석하였다. 연구결과, 조사대상자의 비만지표에 따른 혈청지질치 및 동맥경화지수의 분포에서는 남녀 모두 WC, 체지방률, BMI, WHR 및 WSR이 높을수록 TC, HDL-C. LDL-C, TG 및 AI가 유의하게 높은 것으로 나타났다. 조사대상자의 TC, LDL-C, TG 및 AI는 남녀 모두 허리둘레, BMI, 체지방률, WSR과 유의한 양의 상관관계를 보였으며, HDL-C치는 남녀 모두 허리둘레, 체지방률, WSR과 유의한 음의 상관관계를 보였다. 결론적으로 비만지표들이 높아질수록 혈청지질치들도 높아져 상호 밀접한 관련이 있음을 시사하고 있다.

Keywords

References

  1. Reeder BA, Senthilselven A Despres JP. The association of cardiovascular disease risk factors with abdominal obesity in Canada. Canadian Heart Health Surveys Research Group. CMAJ, 157 suppl 1:S39-45, 1997.
  2. Susan PW, Eric BR, Alberto A. Body size and fat distribution as predictors of stroke among US men. Am J Epidemiol 146(12):1143-1150. 1997.
  3. Pols MA, Peeters PH, Twisk JW. Physical activity and cardiovascular disease risk profile in women. Am J Epidemiol 146(4):322-328. 1997. DOI: http://dx.doi.org/10.1093/oxfordjournals.aje.a009273
  4. Bouchard C, Tremblay A. Genetic effects in human energy expenditure components. Int J Obes 14:49-58. 1990.
  5. Sower JR. Obesity as a cardiovascular risk factor. Am J Med 115(8A):37-42. 2003. DOI: http://dx.doi.org/10.1016/j.amjmed.2003.08.012
  6. Dyer AR, Stamler J, Berkson DM, Lindberg HA. Relationships of relative weight and body mass index to 14 years mortality in the Chicago peoples gas company study. J Chron Dis 28:109-123. 1975. DOI: http://dx.doi.org/10.1016/0021-9681(75)90067-3
  7. Baumgartner RN, Roche AF, Chumlea WC. Fatness and far patterns: Associations with plasma lipids and blood pressures in adults, 18 to 57 years of age. Am J Epidemiol 126(4):614-628. 1987. https://doi.org/10.1093/oxfordjournals.aje.a114701
  8. Hartz AJ, Rupley DC, Kalkohoff RD. Relationship of obesity to diabetes: influence of obesity level and body fat distribution. prev Med 12:351-357. 1983. https://doi.org/10.1016/0091-7435(83)90244-X
  9. Curb JD, Marcus EB. Body fat, coronary heart disease, and stroke in Japanese men. Am J Clin Nutr, 53:1612S-1615S. 1991. https://doi.org/10.1093/ajcn/53.6.1612S
  10. Chan JM, Rimm EB, Colditz GA. Obesity, fat distribution and weight gain as risk factors for clinical diabetes in men. Diabetes Care 17:961-969. 1994. DOI: http://dx.doi.org/10.2337/diacare.17.9.961
  11. Hubert HB, Feinleib M, Mcnamara PM, Castelli WP. Obesity as an independent risk factor for cardiovascular disease: A 26-year follow up of participants in the Framingham Heart study. Circulation 67:968-977. 1983. DOI: http://dx.doi.org/10.1161/01.CIR.67.5.968
  12. Solomon CG, Manson JE. Obeity and mortality: review of the epidemiologic data. Am J Clin Nutr 66(4):1044S-1050S. 1997. https://doi.org/10.1093/ajcn/66.4.1044S
  13. Manson JE, Stampfer MJ, Giovannucci, et al: Body weight and longevity: a reassessment. JAMA, 257:353-358. 1987. DOI: http://dx.doi.org/10.1001/jama.257.3.353
  14. Yao C-H, Slattery MI, Jacobs DR. Anthropometric predictors of coronary heart disease and total mortality: findings from the US Railroad Study. Am J Epidemiol 134:1278-1289. 1991. https://doi.org/10.1093/oxfordjournals.aje.a116031
  15. Conner SL: The effect of age, body weight and family relationships on plasma lipoproteins and lipids in man, woman and children of randomly selected families. Circulation, 65:1290-1298. 1982. DOI: http://dx.doi.org/10.1161/01.CIR.65.7.1290
  16. Miller GJ, Miller NE: Plasma-high-density- lipoprotein concentration and development of ischemic heart disease. Lancet, 1:16-19. 1975. DOI: http://dx.doi.org/10.1016/S0140-6736(75)92376-4
  17. Gordon T: High density lipoprotein as a protective factor against coronary heart disease: The Framingham study. Am J Med, 62:707-714. 1977. DOI: http://dx.doi.org/10.1016/0002-9343(77)90874-9
  18. Dirisamer A, Widhalm K. Lipoprotein as a potent risk indicator for early cardiovascular disease. Acta Pediatr 91:1313-1317. 2002. DOI: http://dx.doi.org/10.1111/j.1651-2227.2002.tb02826.x
  19. Genest I. Lipoprotein disorders and cardiovascular risk. J Inherit Metab Dis 26:267-287. 2003. DOI: http://dx.doi.org/10.1023/A:1024449603891
  20. Park KR, Cho YC. The abnormal rates of blood pressures and blood biochemical properties with BMI in health checkup examinees. Journal of the Korea Academia-Industrial Cooperation Society, 11(12):4843-4853. 2010. DOI: http://dx.doi.org/10.5762/KAIS.2010.11.12.4843
  21. Fukui A. Relationship between obesity, total plasma cholesterol and blood pressure in male adults. Japan Soc Occup Health 119-124. 2000.
  22. Sakai K, Sugihara T. Factors related to serum lipid levels in women of middle and old age -a community study- Japanese J of Publ Hlth, 38(2):112-117. 1991.
  23. Ikeda J, Nagata H, Higash A, et al. Effects of food intake, dietary habits and life style on health status as determined by clinical blood tests of adult men. Japanese J of Publ Hlth, 39(7):428-435. 1992.
  24. Nakura I. Relationship between change in body mass index and blood pressure in urban residents. Japan J Publ Health, 52(7):607-617. 2005.
  25. Wang SB, Cho YC. Body Mass Index and Subsequent Risk of Hypertension, Hyperglycemia and Hypercholesterolemia in Health Checkup Examinees. Journal of the Korea Academia -Industrial Cooperation Society, 12(6):2677-2684. 2011. https://doi.org/10.5762/KAIS.2011.12.6.2677
  26. Park SK, Cho YC. Relationship among serum lipid levels, obesity and blood pressure in health examined adult women. Journal of the Korea Academia-Industrial Cooperation Society, 14(9):4843-4348. 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.9.4342
  27. Shin ES, Kwon IS, Cho YC. Investigation of Blood Pressure, Serum Lipids, and Obesity Indices according to Smoking Status in Middle-Aged Males. Journal of the Korea Academia-Industrial Cooperation Society, 14(3)1359-1366. 2013. DOI: http://dx.doi.org/10.5762/KAIS.2013.14.3.1359

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