Implication of High-Body-Fat Percentage on Cardiometabolic Risk in Middle-Aged, Healthy, Normal-Weight Adults
- Authors
- Kim, Ji Young; Han, Sang-Hwan; Yang, Bong-Min
- Issue Date
- Aug-2013
- Publisher
- WILEY
- Citation
- OBESITY, v.21, no.8, pp.1571 - 1577
- Journal Title
- OBESITY
- Volume
- 21
- Number
- 8
- Start Page
- 1571
- End Page
- 1577
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/14381
- DOI
- 10.1002/oby.20020
- ISSN
- 1930-7381
- Abstract
- Objective: This study investigated the number of Korean adults who had a normal body mass index (BMI) but high body-fat percentage (BF%) and determined their increased risk factors for cardiovascular diseases, including high blood pressure, hyperglycemia, and dyslipidemia. Design and Methods: This cross-sectional study was based on 12,386 subjects (6,534 men and 5,852 women), with a normal BMI, between 30 and 49 years of age. Subjects were categorized into two groups by BF% (normal BF% group, BF% <25 for men, and BF% <30 for women; high BF(%) group, BF% >= 25 for men, and BF% >= 30 for women). Results: The proportion of subjects with a normal BMI and high BF% was 12.7% (n = 1,572; 291 [4.5%] men and 1,281 [21.9%] women). Subjects with a high BF% had a significantly higher prevalence of high blood pressure (men only), hyperglycemia, and dyslipidemia. Multiple logistic regression analyses revealed that subjects with a normal BMI and high BF% had a 1.63 (adjusted odds ratio, 95% confidence interval: 1.21-2.19) in men and 1.56 (adjusted odds ratio, 95% confidence interval: 1.36-1.80) in women increased risk of one or more cardiovascular risk factors compared to subjects in the normal BMI and normal BF% group, even after adjusting for abdominal obesity. Conclusion: High BF% is associated with a high cardiometabolic risks, regardless of abdominal obesity, in normal-weight Korean adults. Thus, follow-up screening of those with a high BF% may be necessary to detect and prevent cardiometabolic diseases, particularly for women with a normal BMI.
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