• Clinical and Experimental Pediatrics
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• 제48권8호
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• pp.857-864
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• 2005

목 적 : 인슐린 감수성 지표들은 신체계측지수인 체질량지수 및 비만도와 상관관계를 보이는 것으로 알려져 있다. 그러나 이러한 신체계측지수들이 체지방량을 잘 반영하는 것으로 알려져 있기는 하나 소아에서는 성인에 비해 그 정확도가 떨어지므로 실제로 측정한 체지방량과 인슐린 감수성 지표들 간에도 이와 같은 연관성이 있는지에 대한 연구는 없는 실정이다. 따라서 본 연구에서는 단순 소아 비만아들을 대상으로 하여, 체지방측정에 있어 비교적 객관적이며 정확한 방법으로 알려진 BIA와 DEXA로 측정한 체지방량과 인슐린 감수성 지표들 간에 어떠한 연관성이 있는지 알아보고 추후 외래에서 비만아들을 추적 관찰할 때 어느 지표가 가장 유용한지 알아보고자 한다. 방 법 : 2002년 1월부터 2004년 7월까지 중앙대학교 용산병원 비만클리닉을 방문한 28명의 단순비만 환자를 대상으로 하였다. 12시간 이상 금식 후 채혈을 하여 혈당과 인슐린 수치를 측정하였다. 같은 날 신장, 체중, 허리 둘레, 엉덩이 둘레를 계측하였고, BIA와 DEXA를 시행하여 체지방량을 구하였다. 얻어진 혈당과 인슐린 수치를 이용하여 G/I ratio, $log_{insulin}$, HOMA-IR, $log_{HOMA-IR}$, QUICKI를 구하여 체지방량과의 연관성을 알아보았다. 결 과 : 1) 인슐린 감수성 지표 중 G/I ratio만 triglyceride와 통계상 연관성이 있는 것으로 나왔다(r=-0.206, P<0.05). 이외의 $log_{insulin}$, HOMA-IR, $log_{HOMA-IR}$, QUICKI는 혈중 지질치와 관련이 없었다. 2) 비만도는 G/I ratio와 -0.209(P<0.05), $log_{insulin}$과 0.196(P<0.05), HOMA-IR과 0.238(P<0.01), $log_{HOMA-IR}$과 0.198(P<0.05), QUICKI와는 -0.224(P<0.05)로 연관성이 있는 것으로 나왔고, 체질량지수는 G/I ratio와 -0.463(P<0.01), $log_{insulin}$과 0.417(P<0.05), HOMA-IR과 0.301(P<0.01), $log_{HOMA-IR}$과 0.403(P<0.01), QUICKI와는 -0.451(P<0.01)로 나와 비만도 보다 더 인슐린 감수성 지표들과 상관성이 높은 것으로 나타났다. 3) BIA로 측정한 체지방량과 비만도 및 체질량지수 각각에 대한 상관계수는 0.612(P<0.01), 0.316(P<0.05)으로 나왔고, DEXA로 측정한 체지방량과는 각각 0.667(P<0.01), 0.512(P<0.05)로 나와 체지방량과 비만도 및 체질량지수 사이에 연관성이 있는 것으로 밝혀졌다. 4) G/I ratio는 BIA로 측정한 체지방량 및 체지방률과 각각 상관계수 -0.420(P<0.05), -0.366(P<0.05)으로 상관성을 보이고 있었고, DEXA로 측정한 체지방량 및 체지방률과도 -0.512(P<0.01), -0.449(P<0.01)로 높은 상관성을 보였다. HOMA-IR은 DEXA로 측정한 체지방량과만 상관계수 0.341(P<0.05)로 연관성을 나타냈고, 그밖에 다른 인슐린 감수성 지표들은 체지방량 및 체지방률 모두와 상관성이 없었다. 결 론 : 인슐린 감수성 지표들과 비만도 및 체질량지수와 같은 신체 계측지수들 간의 상관성에서, 인슐린 감수성 지표 특히 G/I ratio가 비만도 및 체질량지수 모두와 높은 상관성을 보였고, 체지방량 및 체지방률과 인슐린 감수성 지표와의 관계에서는 G/I ratio만이 BIA와 DEXA로 측정한 체지방량과 체지방률 모두와 연관성이 있는 것으로 나타났다. 따라서 단순 비만아의 진단 및 추적 관찰시 BMI 및 인슐린과 혈당치를 기초로 한 인슐린 감수성 지표 특히, G/I ratio의 활용이 임상에서 유용하게 사용될 수 있을 것으로 생각된다.

• 대한약침학회지
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• 제9권1호
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• pp.95-101
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• 2006

Objectives : This study was to investigate the effect of National Health Services for obesity patients by oriental medical treatment. Methods : We analyzed 46 obesity patient joined to Oriental Treatment for Obesity in Sunchang Medical Center with BCA(bocy component analysis), after we had treated them with our obesity program. We analyzed changes of BCA during before and after treatment, and analyzed items in BCA are weight(kg), amount of muscle(kg), amount of body fat(kg), body fat rate(%) and BMI(body mass index). Results : 1. Weight, amount of muscle, amount of body fat, body fat rate and BMI were decreased in after treatment, but they didn't have statistical significance. 2. This studies suggest oriental treatment for obesity may be an effective overweigh group(BMI $25{\sim}30$), because it had statistical significance(P<0.05). 3. It appears that oriental treatment for obesity have an effect in National Health Services

• Nutrition Research and Practice
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• 제10권2호
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• pp.206-211
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• 2016

BACKGROUND/OBJECTIVES: Obesity, which is a known risk factor for many chronic diseases, has also been associated with vitamin D deficiency. This study explored the relationship between serum 25-hydroxy-vitamin D [25(OH)D] concentrations and adiposity measures in a general Korean population using the most recent, nationally representative survey data. SUBJECTS/METHODS: The study sample consisted of 4,771 Korean adults (${\geq}19years$) who participated in the fifth Korean National Health and Nutrition Examination Surveys. Serum 25(OH)D was determined by radioimmunoassay. Body mass index (BMI), waist circumference (WC) and total body fat content were measured as adiposity measurements. Total body fat content was measured by dual-energy X-ray absorptiometry. RESULTS: The serum 25(OH)D level was significantly higher in men than in women. Serum 25(OH)D concentration was positively correlated with energy intake, and it was negatively correlated with total body fat content (P < 0.0001) and percentage body fat (P < 0.0001) after adjustment for age in both sexes, while was inversely correlated with BMI only in women. In multivariable regression analysis, serum 25(OH)D was inversely associated with the total body fat content after adjustment for age, BMI, education, region, smoking, alcohol consumption, physical activity, and energy intake only in men (P = 0.0047). However, the serum 25(OH)D concentration was not associated with WC or BMI, indicators of adiposity after adjustment for potential risk factors. CONCLUSIONS: Serum 25(OH)D concentration was independently associated with the total body fat content in a general Korean population, but it may be not associated with the indicators for estimating adiposity, such as WC or BMI.

• 대한간호학회지
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• 제44권4호
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• pp.391-397
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• 2014

Purpose: This study was done to examine the association between body mass index (BMI) and any type of clinical dementia. Methods: Participants were 60,321 people over 60 years of age enrolled in the Seoul Dementia Management Project in 2011. K-MMSE was used to classify participants as having a cognitive impairment and the Clinical Dementia Rating or DSM-IV by psychiatrists or neurologists to determine whether participants were in the dementia group or the non-dementia group. Descriptive statistics, chi-square test, and binary logistic regression analysis were performed. Results: In the univariate analysis, age, education level, living with spouse, BMI, alcohol consumption, and exercise were significantly associated with dementia. In multivariable analysis, increasing age was positively associated with dementia, and educational level was negatively associated with dementia. The exercise group had a lower prevalence of dementia than the non-exercise group. The odds ratio of dementia in the over-weight and obese groups compared to the normal group was 0.85 (95% CI 0.60, 0.98) and 0.64 (95%CI 0.46, 0.75), respectively. Conclusion: Results indicate that dementia is negatively associated with increasing BMI in people aged 60 years or older, but a prospective cohort study is needed to elucidate the causal effect relationship between BMI and dementia.

• 한국치위생학회지
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• 제19권6호
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• pp.963-972
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• 2019

Objectives: This study analyzed the relationship between BMI (body mass index), perceived health status, and oral health behaviors of schoolgirls. Methods: This study utilized data from the 13th (2017) Korea Youth Risk Behavior Web-Based Survey. A total of 29,337 schoolgirls were analyzed. Statistical analysis was performed using PASW Statistics 21.0 (SPSS Inc., Chicago, IL, USA). Results: Compared to the obese group, the rate of being recognized as healthy was 1.882 times higher in the normal-weight group and 1.623 times in the underweight group. The rate of using supplementary oral hygiene devices was 1.383 times higher in the underweight group and 1.091 times in the normal-weight group than in the obese group. Compared to the obese group, the experience rate of the sealant was 1.407 times in the underweight group. Compared to the obese group, the scaling experience rate was 1.282 times higher for the underweight group and 1.205 times for the normal-weight group. Conclusions: These results suggest that individual health behaviors are interrelated. There is a need for an integrated approach in the planning and implementation of future health promotion strategies, and it would be useful to design a program that considers health characteristics such as BMI.

• Nutrition Research and Practice
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• 제14권1호
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• pp.62-69
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• 2020

BACKGROUND/OBJECTIVES: A number of studies examined secular trends in blood lipid profiles using time series data of national surveys whereas few studies investigated individual-level factors contributing to such trends. The present study aimed to examine secular trends in dietary and modifiable factors and hyper-LDL-cholesterolemia (HC) prevalence and evaluate their associations using time series data of nationwide surveys. SUBJECTS/METHODS: The study included 41,073 Korean adults aged ≥ 30 years from the 2005, 2007-2009, 2010-2012, 2013-2015, and 2016 Korea National Health and Nutrition Examination Surveys. Stepwise logistic regression analysis was performed to select significant factors associated with HC, which was defined as serum LDL cholesterol levels ≥130 mg/dL. RESULTS: The following factors showed a positive association with HC (P < 0.05): for men having higher body mass index (BMI), being married, having an office job, and consuming higher dairy and vegetable oil products; for women having higher age or BMI, having no job or a non-office job, not in a low-income household, and consuming higher dairy products. In the given model, the 2016 survey data showed that a 2 kg/㎡ reduction in BMI of obese persons resulted in a decreased HC prevalence from 30.8% to 29.3% among men and from 33.6% to 32.5% among women. CONCLUSIONS: Based on these findings, it is suggested that primary prevention programs should advocate having proper BMI for Korean adults with a high-risk of HC. However, whether discouraging consumption of dairy and vegetable oil products can reduce HC prevalence warrants further studies with a prospective longitudinal design.

• Journal of Acupuncture Research
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• 제35권1호
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• pp.37-40
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• 2018

Background: The purpose of this study was to compare the first branch of the bladder meridian (FBBM) as determined by the proportional bone measurement method (PBMM), to the line formed by the erector spinae muscle group, and to establish an academic basis for selection of acupuncture points and needling. Methods: Sixty participants were divided into 3 groups based on body mass index (BMI) and into 2 groups based on waist/height ratios. The distance from the midline of the spine to the first branch of the bladder meridian with PBMM (DFBBM), and the distance from the midline of the spine to the most elevated fleshy region of the erector spinae (DMEFR), at the same level as the inferior border of the spinous processes of L1-L5, were measured. The DFBBM and the 5 DMEFRs were then analyzed according to BMI and the waist/height ratio. Results: DFBBM was statistically different from DMEFR in all back-shu points in the lumbar region. DFBBM was not significantly different from DMEFR in the groups with a high BMI or waist/height ratio. However, there was a statistical difference in the groups with a low or moderate BMI or low waist/height ratio. Conclusion: Since the location of the most elevated fleshy region of the erector spinae does not coincide with the location of the FBBM, the selection of back-shu points in the lumbar region must be performed precisely by PBMM.

• Journal of Preventive Medicine and Public Health
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• 제35권3호
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• pp.214-220
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• 2002

Objectives : To investigate the relationship of serum uric acid to cardiovascular risk factors in Korean male workers. Methods : We screened 522 male workers at an electrical manufacturing company by a periodic health examination and a questionnaire survey in 2000. We collected data relating to age, smoking status, alcohol drinking status, body mass index (BMI), blood pressure, serum lipid, fasting blood glucose and serum uric acid. The data were analyzed using a variety of methods, including ANOVA, Pearson's correlation, and multivariate regression analyses. to examine the association between uric acid and cardiovascular risk factors with a cross-sectional study design. Results : The concentration of serum uric acid showed positive associations with BMI, total cholesterol, triglyceride, and LDL-cholesterol; it was also significantly correlated to systolic and diastolic blood pressures. Life-style characteristics, such as smoking and alcohol drinking showed no significant association. From the multivariate regression analyses, BMI, total cholesterol and fasting blood glucose levels were found to be independent positive predictors of uric acid; while age, blood pressure and smoking status give no independent contribution explaining the variability of serum uric acid levels. Conclusions : This study demonstrates that serum uric acid level have a significant association with cardiovascular risk factors, such as BMI, total cholesterol and blood glucose in some Korean male workers.

• 대한지역사회영양학회지
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• 제20권4호
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• pp.281-290
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• 2015

Objectives: Obesity is known to influence physical and mental health as well as the general quality of life. The aim of this study was to evaluate the effect of obesity related quality of life on selecting a goal for weight management in overweight and obese female patients. Methods: A total of 140 overweight or obese (Body mass index $23kg/m^2$) female outpatients aged ${\geq}20$ and ${\leq}60$ years from one clinic participated in this study. Patients' desired weight (goal weight, ideal weight, satisfactory weight, acceptable weight and disappointed weight) and obesity related quality of life measures were evaluated. Univariate and multivariate analysis were performed to evaluate the effect of obesity related quality of life on goal weight reduction (%) and goal body mass index (BMI). Results: Mean BMI of overweight group, mild obesity group and severe obesity group were $62.0{\pm}4.8kg$, $68.5{\pm}5.5kg$ and $83.5{\pm}9.6kg$, respectively. Mean weight loss expectations of the three groups were $16.4{\pm}4.7%$, $19.5{\pm}5.3%$ and $30.2{\pm}6.8%$, respectively and goal weight was significantly different among the three groups. Severe obesity group had a lower total quality of life score including physical, work-related, daily living domains than overweight or mild obesity groups. In univariate and multivariate regression analysis, psychosocial domain of quality of life had an effect on goal weight reduction (%) and goal BMI. Conclusions: The results of this study demonstrated that the obese patients with poorer quality of life and psychosocial health tended to choose higher goal weight reduction and lower goal BMI.

• 한국보건간호학회지
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• 제33권3호
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• pp.364-378
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• 2019

Purpose: This study examined the distribution of the body mass index (BMI) according to gender and age among Korean children and adolescents to compare the distributions of being underweight, normal, overweight, and obese using both Korean and international criteria. Methods: This secondary data analysis utilized the data of the 2016 Korean National Health Examination for School Students Height, weight, and BMI distributions among children and adolescents were analyzed using descriptive statistics, and the differences in BMI distribution according to gender and age were analyzed using chi-square tests. Differences in the mean BMI according to the Korean Centers for Disease Control (KCDC), the World Health Organization (WHO), and the International Obesity Task Force (IOTF) criteria were analyzed using ANOVA. Results: Using the IOTF criteria, the prevalence of underweight, overweight, and obesity among grades 1-12 students was 6.7%, 20.8%, and 7.1%, respectively; 1.6%, 21.3%, and 11.8%, respectively, according to the WHO criteria; and 5.8%, 10.1%, and 13.0%, respectively, according to the KCDC criteria. Conclusion: It is recommended to use the IOTF criteria for health promotion programs to target underweight children and adolescents while the WHO and KCDC criteria should be used for health programs for treating obese people.