한국 소아 청소년의 비만과 대사이상 지표들에 관한 연구Obesity and Metabolic Parameters in Korean School-aged Children and Adolescents
- Authors
- 이지영; 최병선; 박정덕; 최응상; 엄상용; 김헌; 하미나; 권호장; 임지애; 김유미; 홍영습; 윤용운; 손석준; 채수안; 임인석; 유병훈; 윤신원
- Issue Date
- 2013
- Publisher
- 중앙대학교 의과대학 의과학연구소
- Keywords
- Obesity; Metabolic syndrome; Body mass index; Waist circumference; Waist circumference-to-height ratio; Triglyceride-to-HDL cholesterol ratio; Hypertriglyceridemic waist phenotype; Socioeconomic factors; Children; Adolescents
- Citation
- 중앙의대지, v.38, no.4, pp 107 - 115
- Pages
- 9
- Journal Title
- 중앙의대지
- Volume
- 38
- Number
- 4
- Start Page
- 107
- End Page
- 115
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/68314
- Abstract
- Purpose: Obesity and metabolic syndrome in the pediatric population have become major health concerns; however, Korean nationwide data are limited. The lack of a clear definition of child obesity is a problem worldwide. We performed a pilot study of Korean school-aged children and adolescents to determine the prevalence of obesity according to various 4 parameters and to identify associations with socioeconomic parameters and metabolic risk factors.
Methods: Between January 2010 and March 2011, 1,110 students from 11 Korean provinces ranging in age from 6 to 18 years, including 574 boys and 536 girls, were enrolled. Weight, height, and waist circumference were measured; fasting blood samples were collected; and socioeconomic factors were assessed.
Results: The prevalences of obesity in boys and girls according to body mass index (BMI) were 5.7% and 2.1%, and according to obesity index were 12.7% and 11.4%, respectively. The male to female obesity ratio was higher according to waist circumference (57.9% : 36.1%) and waist circumference-to-height ratio (WHTR) (19.0% : 24.8%). The best obesity index was WHTR, and the proportion of participants with triglyceride-to-HDL cholesterol ratio ≥3 was 6.8%. The prevalence of hypertriglyceridemic waist phenotype was 11.8%. Overweight and obesity was higher in rural than in urban areas.
Conclusion: The optimal cutoff for the definition of obesity in school-aged students has not been determined. Therefore, the physical characteristics of children including waist circumference and lipid profiles should be assessed according to age.
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