디지털융복합연구 (Journal of Digital Convergence)

  • 제17권3호
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  • Pages.323-330
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  • 2019
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  • 2713-6434(pISSN)
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  • 2713-6442(eISSN)
한국디지털정책학회 (The Society of Digital Policy and Management)
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한국성인의 비만과 복부비만이 헤모글로빈에 미치는 영향

Effect of General obesity and Abdominal obesity on Hemoglobin in Korean Adult

  • 투고 : 2019.01.05
  • 심사 : 2019.03.20
  • 발행 : 2019.03.28
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초록

본 연구의 목적은 성인의 체질량지수(BMI)와 허리둘레(WC)가 헤모글로빈(Hb)에 미치는 영향을 확인하는 것이다. 국민건강영양조사 제6기 3차년도(2015)자료를 이차분석 하였고 19세 이상의 5621명을 대상으로 하였다. 서술적 통계, t-test, ANOVA 및 Scheffe's test, Pearson correlation coefficient과 다변량 로지스틱 회귀분석을 적용하였다(SPSS WIN 25.0). 결과는, 첫째, BMI에 따라 Hb은 비만에서 가장 높았다(F=97.862, p<0.001). 둘째, WC에 따라 Hb은, 남성 $WC{\geq}90cm$(t=4.909, p<0.001), 여성 $WC{\geq}85cm$(t=5.088, p<0.001)에서 높았다. 셋째, Hb은 BMI(r=0.188, p<0.001) 및 WC(r=0.298, p<0.001)와 양의 상관관계를 나타내었다. 넷째, 남성에서 비만은 고헤모글로빈혈증이 2.30배(p<0.001), $WC{\geq}90cm$은 1.81배(p<0.001)증가하였다. 여성에서 과체중은 1.99배(p=0.002), 비만은 5.66배(p<0.001), $WC{\geq}85cm$은 4.27배(p<0.001) 고헤모글로빈혈증이 증가하였다. 본 연구를 바탕으로 비만예방 및 관리프로그램에 운동, 식이, 교육과 특히 복부비만해소를 위한 운동중재가 포함되어야 한다.

The purpose of this study was to investigate the effect of body mass index(BMI) and waist circumference(WC) on hemoglobin(Hb) in Korean Adult. This study analyzed the data of 2015, The Sixth KNHANES. Data were analyzed using descriptive statistics, t-test, ANOVA and Scheffe's test, Pearson correlation coefficient and multivariate logistic regression analysis(SPSS 25.0). The major findings, The subject's Hb In BMI, obese was the highest(F=97.862, p<0.001). The Hb In WC, $WC{\geq}90cm$ was higher for male(t=4.909, p<0.001), and $WC{\geq}85cm$ was higher for female(t=5.088, p<0.001). Hb has a significant positive correlated with BMI(r=0.188, p<0.001), WC(r=0.298, p<0.001). In male, Hyperhemoglobinemia was 2.30 times(p<0.001) higher in obese and 1.81 times(p<0.001) higher in $WC{\geq}90cm$. In female, Hyperhemoglobinemia was 1.99 times(p=0.002) higher in overweight, 5.66 times(p<0.001) higher in obese, and 4.27 times(p<0.001) higher in $WC{\geq}85cm$. In conclusion, adult obesity prevention and management programs should include exercises, diets, and education, and exercise interventions specifically for eliminating abdominal obesity.

키워드

Table 1. General characteristics of subject

DJTJBT_2019_v17n3_323_t0001.png 이미지

Table 2. Hb differences according to general characteristics

DJTJBT_2019_v17n3_323_t0002.png 이미지

Table 3. Correlation between subject's Hb, BMI and WC

DJTJBT_2019_v17n3_323_t0003.png 이미지

Table 4. Factors affecting Hb in the male and female

DJTJBT_2019_v17n3_323_t0004.png 이미지

참고문헌

  1. World Health Organization. (2002). Reducing Risks Promoting Healthy Life. Geneva: World Health Report.
  2. D. Haslam & W. James.(2005). Obesity. The Lancet, 366(9492), 1197-1209. https://doi.org/10.1016/S0140-6736(05)67483-1
  3. S. M. Grundy et al. (2005). Diagnosis and management of the metabolic syndrome: An american heart association/national heart, lung, and blood institute scientific statement. Circulation, 112(17), 2735-2752. DOI: 10.1161/CIRCULATIONAHA.105.169404
  4. S. D. Hsieh, H. Yoshinaga & T. Muto. (2003). Waist-to-height ratio, a simple and practical index for assessing central fat distribution and metabolic risk in Japanese men and women. International Journal of Obesity and Related Metabolic Disorders, 27(5), 610-616. DOI: 10.1038/sj.ijo.0802259
  5. G. Assmann, J. R. Nofer & H. Schulte. (2004). Cardiovascular risk assessment in the metabolic syndrome: view from procam. Endocrinology Metabolism Clinics of North America, 33(2), 377-392. DOI: 10.1016/j.ecl.2004.03.017
  6. American Medical Association. (2002). Expert Panel on Detection, Evaluation, and treatment of high blood cholesterol in adults. Execute summary of the third report of the national cholesterol education program(NCEP). Journal of the American Medical Association, 285(1), 2486-2496
  7. R. Ungtrongchitr et al. (2000). Leptin concentration in relation to body mass index (BMI) and hematological measurements in Thai obese and overweight subjects. The Southeast Asian journal of tropical medicine and public health, 31(4), 787-794.
  8. Y. K. Jo, J. Yoon, Y. K. Cho & H. H. Sung. (2016). A study on the relationship between body composition analysis and CBC in university students. Korean Journal of Clinical Laboratory Science, 48(3), 269-274. DOI: https://doi.org/10.15324/kjcls.2016.48.3.26
  9. J. Vuong, Y. Qiu, M. La, G. Clarke, D. W. Swinkels & G. Cembrowski. (2014). Reference intervals of complete blood count constituents are highly correlated to waist circumference: should obese patients have their own "normal values?. American Journal of Hematology, 89(3), 671-677. DOI:10.1002/ajh.23713 PMID: 24644218
  10. Y. Qin et al. (2013). Anemia in relation to body mass index and waist circumference among Chinese women. Nutrition Journal, 12(10), 1-3. DOI: 10.1186/1475-2891-12-10.
  11. J. H. Kim, D. J. Kim & S. H. Park. (2015). The study on the relationship between hunger recognition level and obesity variable of elderly women. The Korean Journal of Physical Education, 54(3), 475-483.
  12. R. Kawamoto et al. (2012). A slightly low hemoglobin level is beneficially associated with arterial stiffness in Japanese community-dwelling women. Clinical and Experimental Hypertension, 34(2), 92-98. DOI:10.3109/10641963.2011.618202
  13. M. Cesari et al. (2004). Hemoglobin levels and skeletal muscle: results from the In chianti study. Journals of Gerontology Series A-Biological Sciences And Medical Sciences, 59(3), 249-254. DOI:https://doi.org/10.1093/gerona/59.3.M249
  14. E. H. Al-Hashem. (2007). Is it necessary to consider obesity when constructing norms for hemoglobin or when screening for anemia using hemoglobin levels?, Saudi Medical Journal, 28(1), 41-45.
  15. S. Zhu, Z. Wang, S. Heshka, M. Heo, M. S. Faith & S. B. Heymsfield. (2002). Waist circumference and obesity-associated risk factors among whites in the third National Health and Nutrition Examination Survey: clinical action thresholds. The American journal of clinical nutrition, 76(4), 743-749. DOI: 10.1093/ajcn/76.4.743
  16. F. Neymotin & U. Sen. (2011). Iron and obesity in females in the United States. Obesity, 19(1), 191-199. DOI:10.1038/oby.2010.112.
  17. R. D. Semba, M. O. Ricks, L. Ferrucci, Q. L. Xue, J. M. Guralnik & L. P. Fried. (2009). Low serum selenium is associated with anemia among older adults in the United States. European journal of clinical nutrition, 63(1), 93-99. DOI:10.1038/sj.ejcn.1602889
  18. C. W. Choi et al. (2004). Prevalence and characteristics of anemia in the elderly: cross-sectional study of three urban Korean population samples. American journal of hematology, 77(1), 26-30. DOI:https://doi.org/10.1002/ajh.20140
  19. B. J. Lee & J. Y. Kim. (2016). Identification of Hemoglobin Levels Based on Anthropometric Indices in Elderly Koreans. PloS one, 3:11(11), e0165622. DOI:10.1371/journal.pone.0165622
  20. K. Odagiri, I. Mizuta, M. Yamamoto, Y. Miyazaki, H. Watanabe & A. Uehara. (2014). Waist to height ratio is an independent predictor for the incidence of chronic kidney disease. PloS one, 12:9(2), e88873. DOI:10.1371/journal.pone.0088873
  21. M. A. Farhangi, S. A. Keshavarz, M. Eshraghian, A. Ostadrahimi & A. A. Saboor-Yaraghi. (2013). White blood cell count in women: relation to inflammatory biomarkers, haematological profiles, visceral adiposity, and other cardiovascular risk factors. Journal of Health, Population and Nutrition, 31(1), 58-64.
  22. World Health Organization Western Pacific Region. (2000). The Asia-pacific perspective: Redefining obesity and its Treatment. Australia: WHO Western Pacific Region.
  23. K. W. Sim, S. H. Lee & H. S. Lee. (2001). The relationship body mass index and morbidity in Korea, Journal of Korean Society for the Study of Obesity, 10(2), 147-155.
  24. S. R. C. Mahtabuddin, R. Tiwari1 & Q. R. Ahmed. (2017). Study of Association of Sagittal Abdominal Diameter with Glycosylated Hemoglobin[HbA1c] in assessment of Risk of Type-II Diabetes Mellitus. International Journal of Biomedical Research, 8(2), 103-107. DOI: https://dx.doi.org/10.7439/ijbr
  25. S. Y. Lee et al. (2006). Cut-off point of waist circumference for defining abdominal obesity in the Korean population. The Korean Journal of Obesity, 15(1), 1-9.
  26. S. K. Park. (2010). An interpretation on abnormal finding of CBC. The Korean Journal of Medicine, 78(5), 531-539.
  27. R. K. Shrivastava, S. Patra, C. Chanda & R. K. Singh. (2017). Haemoglobin estimation by Non Cyandie-SLS Method. International Journal of scientific research, 6(3), 394-395.
  28. A. Elmugabil, D. A. Rayis, R. E. Abdelmageed, I. Adam, I. Gasim & G. I. Gasim. (2017). High level of hemoglobin, white blood cells and obesity among Sudanese women in early pregnancy: a cross-sectional study. Future science OA, 3(2), FSO182. DOI:10.4155/fsoa-2016-0096.
  29. K. Kordas, Z. Y. Fonseca Centeno, H. Pachon & A. Z. Jimenez Soto. (2013). Being overweight or obese is associated with lower prevalence of anemia among Colombian women of reproductive age. Journal of Nutrition, 143(2), 175-181. DOI:10.3945/jn.112.167767
  30. A. M. Crabb & R Chamberlin. (2012). Hemoglobin levels in normal-weight and obese patients during pregnancy. Journal of Reproductive Medicine, 57(3-4), 105-108.
  31. O. Pinhas-Hamiel, R. S. Newfield, I. Koren, A. Agmon, P. Lilos & M. Phillip. (2003). Greater prevalence of iron deficiency in overweight and obese children and adolescents. International journal of obesity and related metabolic disorders, 27(3), 416-418. DOI:10.1038/sj.ijo.0802224
  32. S. A. Winther, N. Finer, A. M. Sharma, C. Torp-Pedersen & C. Andersson. (2014). Association of anemia with the risk of cardiovascular adverse events in overweight/obese patients. International Journal of Obesity, 38(3), 432-437. DOI:10.1038/ijo.2013.111.
  33. K. A. Shin & S. B. Hong. (2011). Difference of the cardiac structure and function depending on obesity level of healthy adults. Journal of Biomedical Science, 17(2), 141-149.
  34. S. K. Ryu, J. W. Choi & Y. B. Cho.(2008). The early change of left ventricular function in overweight and obese patients: analysis with tissue doppler echocardiography. Korean Circulation Journal, 38(1), 270-275. DOI: https://doi.org/10.4070/kcj.2008.38.5.270
  35. J. H. Kim. (2018). Effects of Bicycle Exercise on Inflammation Related Factor and Growth Hormone in Obese Middle aged Women. Journal of the Korea Convergence Society, 9(10), 449-456. DOI: https://doi.org/10.15207/JKCS.2018.9.10.449