Journal of rehabilitation welfare engineering & assistive technology (재활복지공학회논문지)

Rehabilitation Engineering And Assistive Technology Society of Korea (한국재활복지공학회)
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The Analysis of Relationship between Abdominal Adipose Tissue Distribution and Health Risk Factors in Adolescent Obese Man

청소년기 비만 남성의 복부지방조직 분포와 건강관련 위험지표의 관련성 분석

  • 조창모 (계명대학교 체육학전공)
  • Received : 2017.08.23
  • Accepted : 2017.08.30
  • Published : 2017.08.31
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Abstract

In the current study, the relationships between abdominal adipose tissue depots and skinfold thickness, body circumference and composition, and blood lipids and pressure were investigated in adolescent obese man. Total abdominal adipose tissue (TAT) and subcutaneous adipose tissue (SAT) were correlated with skinfold thickness. Especially subscapular skinfold was highly correlated with TAT and SAT, and it was found that chest skinfold was the only predictor for estimating visceral adipose tissue (VAT). Body circumference and body composition were associated with TAT and SAT, not VAT, and correlation coefficient of waist circumference was highest. On the other hand, body fat mass was highly correlated with TAT and SAT than %body fat and fat free mass. It was also shown that blood triglyceride concentration and systolic blood pressure were the only predictor for estimating VAT and SAT respectively.

본 연구는 비만 청소년기 남성을 대상으로 복부지방면적과 피하지방두께, 신체둘레, 신체구성, 혈중 지질 간의 상관관계를 분석하였으며 주요 결과는 다음과 같다. 첫째, 복부지방면적과 피하지방두께 간의 관련성과 관련하여 전체지방면적과 피하지방면적은 피하지방두께를 구성하는 대부분의 변인과 관련성이 있었으며 특히 견갑골 아래 피부두께는 전체지방면적을 포한한 피하지방면적과 관련성이 높은 것으로 나타났다. 반면 피하지방 두께 변인들 중 가슴 부위 피하지방두께는 내장지방면적을 예측할 수 있는 유일한 변수로 조사되었다. 둘째, 신체둘레 및 신체구성 변수는 내장지방면적과는 상관관계가 없었으나 전체 및 피하지방면적과 관련성이 높은 것으로 나타났다. 신체둘레와 전체 및 피하지방면적과의 관련성에 있어서 허리둘레는 엉덩이 둘레 및 허리와 엉덩이 둘레를 더한 값보다 상관계수가 높게 나타났다. 또한 전체 및 피하지방면적의 예측에 있어서 체지방량은 체지방율 및 근육량 보다 관련성이 높은 것으로 나타났다. 셋째, 혈중 중성지방과 수축기 혈압은 각각 내장지방면적 및 피하지방면적을 예측할 수 있는 유일한 변수로 조사되었다.

Keywords

References

  1. Lee, S.I., Yoo, W.J., Park, H.S., and Kim, S.H., "An Empirical Study on Acceptance Intention Towards Healthcare Wearable Device," The Journal of Information Systems, vol. 25, no. 2, pp. 27-50, 2016. https://doi.org/10.5859/KAIS.2016.25.2.27
  2. Lee, J.P. and Kim, Y.C., "Implementation of U-Healthcare Monitoring System and Performance Evaluation Based on the USN Middleware," The Journal of Internet Electronic Commerce Research, vol. 10, no, 3, pp. 249-264, 2010.
  3. Vague, J. "Sexual differentiation. A determinant factor of the forms of obesity. 1947." Obesity research, vol. 4, no. 2, pp. 201-203, 1996. https://doi.org/10.1002/j.1550-8528.1996.tb00535.x
  4. Bray, G.A., Jablonski, K.A., Fujimoto, W.Y., Barrett-Connor, E., Haffner, S., Hanson, R.L., Hill, J.O., Hubbard, V., Kriska, A., Stamm, E., and Pi-Sunyer, F.X., "Relation of central adiposity and body mass index to the development of diabetes in the Diabetes Prevention Program," The American journal of clinical nutrition, vol. 87, no. 5, pp. 1212-1218, 2008. https://doi.org/10.1093/ajcn/87.5.1212
  5. Freedman, D.S., Khan, L.K., Dietz, W.H., Srinivasan, S.R., and Berenson, G.S., "Relationship of childhood obesity to coronary heartdisease risk factors in adulthood: the Bogalusa Heart Study," Pediatrics, vol. 108, no.3, pp.712-718, 2001. https://doi.org/10.1542/peds.108.3.712
  6. Engeland, A., .Bjorge, T., Tverdal, A., and Sogaard, A.J.,"Obesity in adolescence and adulthood and the risk of adult mortality," Epidemiology, vol.15, no.1, pp.79-85, 2004. https://doi.org/10.1097/01.ede.0000100148.40711.59
  7. Carr, M.C and Brunzell, J.D., "Abdominal obesity and dyslipidemia in the metabolic syndrome: importance of type 2 diabetes and familial combined hyperlipidemia in coronary artery disease risk," The Journal of clinical endocrinology and metabolism, vol. 89, no. 6, pp. 2601-2607, 2004. https://doi.org/10.1210/jc.2004-0432
  8. Despres J. P., Moorjani S., Ferland M., Tremblay A., Lupien P.J., Nadeau A., Pinault S., Thériault G., and Bouchard C. "Adipose tissue distribution and plasma lipoprotein levels in obese women. Importance of intra-abdominal fat," Arteriosclerosis, vol. 9, no. 2, pp. 203-210, 1989. https://doi.org/10.1161/01.ATV.9.2.203
  9. Pouliot M.C., Despres J.P., Nadeau A., Moorjani S., Prud'Homme D., Lupien P.J., Tremblay A., and Bouchard C., "Visceral obesity in men. Associations with glucose tolerance, plasma insulin, and lipoprotein levels," Diabetes, vol. 41, no. 7, pp. 826-834, 1992. https://doi.org/10.2337/diab.41.7.826
  10. Tchernof A., Lamarche B., Prud'Homme D., Nadeau A., Moorjani S., Labrie F., Lupien P.J., and Despres J.P., "The dense LDL phenotype. Association with plasma lipoprotein levels, visceral obesity, and hyperinsulinemia in men," Diabetes Care, vol. 19, no. 6, pp. 629-637, 1996. https://doi.org/10.2337/diacare.19.6.629
  11. Williams, M.J., Hunter, G.R., Kekes-Szabo, T., Snyder, S., and Treuth, M.S., "Regional fat distribution in women and risk of cardiovascular disease," The American journal of clinical nutrition, vol. 65, no. 3, pp. 855-860, 1997. https://doi.org/10.1093/ajcn/65.3.855
  12. Ross, R., Aru, J., Freeman, J., Hudson, R., and Janssen, I., "Abdominal adiposity and insulin resistance in obese men," American journal of physiology. Endocrinology and metabolism, vol. 282, no. 3, pp. E657-E663, 2002. https://doi.org/10.1152/ajpendo.00469.2001
  13. Ministry of health & wellfare and Korea centers for disease control & prevention, "Korea Health Statistics 2015 : Korea National Health and Nutrition Examination Survey (KNHANES VI-3)" Seoul, Korea : Ministry of health & wellfare, 2016.
  14. Ministry of health & wellfare and Korea centers for disease control & prevention, "Korea Health Statistics 2015 : Health Behavior and Choronic Disease" Seoul, Korea : Ministry of health & wellfare, 2016.
  15. Ministry of health & wellfare and Korea centers for disease control & prevention, "Korea Health Statistics 2013 : Health Behavior and Choronic Disease" Seoul, Korea : Ministry of health & wellfare, 2014.
  16. Heald, F.P., "Natural history and physiological basis of adolescent obesity," Federation proceedings, vol. 25, no. 1, pp. 1-3, 1966.
  17. Knittle, J.L., "Obesity in childhood: a problem in adipose tissue cellular development," The Journal of pediatrics, vol. 81, no. 6, pp. 1048-1059, 1972. https://doi.org/10.1016/S0022-3476(72)80231-2
  18. Kikuchi D.A., Srinivasan S.R., Harsha D.W., Webber L.S., Sellers T.A., and Berenson G.S., "Relation of serum lipoprotein lipids and apolipoproteins to obesity in children: the Bogalusa Heart Study," Preventive Medicine, vol. 21, no. 2, pp. 177-190, 1992. https://doi.org/10.1016/0091-7435(92)90017-C
  19. Cochran, W.S., "The distribution of the largest of a set of estimated variances as a fraction of their total," Annals of eugenics, vol. 11, pp. 47-51, 1941. https://doi.org/10.1111/j.1469-1809.1941.tb02271.x