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대사증후군에 대한 사상체질별 허리둘레 및 체질량지수의 절단값에 대한 연구

Cut-off Values of Waist Circumference and Body Mass Index for Metabolic Syndrome according to Sasang Constitution

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ObjectivesThis study was performed to investigate the cut-off values of abdominal circumference and Body Mass Index(BMI) according to Sasang Constitution. MethodsA total of 1,773 persons, namely 440 male people and 1,333 female people, in ages from 40 to 69 years old, participated in this research. They are all included in the community based Genomic cohort in Wonju in years from 2006 to 2013. The diagnostic criteria of metabolic syndrome was used followed by the National Cholesterol Education Program in Adult Treatment Panel Ⅲ (NCEP ATP Ⅲ) and Asian pacific guideline for only abdominal obesity. ResultsThe prevalence of metabolic syndrome was 34.8% for men and 37.6% for women in this research. Taeeumin was the highly significant risk type for the metabolic syndrome in both sexes. Cut-off values of abdominal circumference were 88.3 cm in men, 80.3 cm in women, and cut-off values of BMI were 24.2 kg/m2 in men and 25.3 kg/m2 in women. For men, cut-off values of abdominal circumference were 79.5cm in Soyangin, 88.8 cm in Taeeumin and 79.5 cm in Soeumin, and cut-off values of BMI were 23.2 kg/m2 in Soyangin, 25.6 kg/m2 in Taeeumin and 20.6 kg/m2 in Soeumin. For women, cut-off values of abdominal circumference were 76.3 cm in Soyangin, 80.3 cm in Taeeumin and 76.8 cm in Soeumin, and cut-off values of BMI were 22.4 kg/m2 in Soyangin, 24.9 kg/m2 in Taeeumin and 21.3 kg/m2 in Soeumin. ConclusionsAlthough 90 cm in men, 80 cm in women as an Asian pacific guideline were regarded as quite approximate to the mean value of abdominal circumference and 25 kg/m2 to BMI. But if the results could be allocated in terms of the Sasang constitutional method, the cut-off values for Soyangin and Soeumin should be lowered than now.

Abstract

ObjectivesThis study was performed to investigate the cut-off values of abdominal circumference and Body Mass Index(BMI) according to Sasang Constitution. MethodsA total of 1,773 persons, namely 440 male people and 1,333 female people, in ages from 40 to 69 years old, participated in this research. They are all included in the community based Genomic cohort in Wonju in years from 2006 to 2013. The diagnostic criteria of metabolic syndrome was used followed by the National Cholesterol Education Program in Adult Treatment Panel Ⅲ (NCEP ATP Ⅲ) and Asian pacific guideline for only abdominal obesity. ResultsThe prevalence of metabolic syndrome was 34.8% for men and 37.6% for women in this research. Taeeumin was the highly significant risk type for the metabolic syndrome in both sexes. Cut-off values of abdominal circumference were 88.3 cm in men, 80.3 cm in women, and cut-off values of BMI were 24.2 kg/m2 in men and 25.3 kg/m2 in women. For men, cut-off values of abdominal circumference were 79.5cm in Soyangin, 88.8 cm in Taeeumin and 79.5 cm in Soeumin, and cut-off values of BMI were 23.2 kg/m2 in Soyangin, 25.6 kg/m2 in Taeeumin and 20.6 kg/m2 in Soeumin. For women, cut-off values of abdominal circumference were 76.3 cm in Soyangin, 80.3 cm in Taeeumin and 76.8 cm in Soeumin, and cut-off values of BMI were 22.4 kg/m2 in Soyangin, 24.9 kg/m2 in Taeeumin and 21.3 kg/m2 in Soeumin. ConclusionsAlthough 90 cm in men, 80 cm in women as an Asian pacific guideline were regarded as quite approximate to the mean value of abdominal circumference and 25 kg/m2 to BMI. But if the results could be allocated in terms of the Sasang constitutional method, the cut-off values for Soyangin and Soeumin should be lowered than now.

참고문헌 (29)

  1. Després JP, "Abdominal obesity and the metabolic syndrome contribution to global cardiometabolic risk", Arterioscler Thromb Vasc Biol, 28, pp.1039~1049 (2008)
  2. Zimmet P, "The metabolic syndrome : a global public health problem and a new definition", J Atheroscler Thromb, 12, pp.295~300 (2005)
  3. Shiwaku K, "Predictive values of anthropometric measurements for multiple metabolic disorders in Asian populations", Diabetes Research and Clinical Practice, 69, pp.52~62 (2005)
  4. The IDF consensus worldwide definition of the metabolic syndrome, "International Diabetes Federation", ~ (2006)
  5. Shimajiri T, "Revised optimal cut-off point of waist circumference for the diagnosis of metabolic syndrome in Japanese women and the influence of height", J Atheroscler Thromb, 15, pp.94~99 (2008)
  6. Zhou BF, "The cut-off point of waist circumference for identifying metabolic syndrome in Chinese adults", Chin J Cardiol, 33(1), pp.81~85 (2005)
  7. Yang ZJ, "The optimal waist circumference cut-off point for identifying cardiovascular risk factors clustering among Chinese adults", Clin J Intern Med, 45(5), pp.372~375 (2006)
  8. Jeong Ah Kim, "Cut-off Values of Visceral Fat Area and Waist Circumference: Diagnostic Criteria for Abdominal Obesity in a Korean Population", Journal of Korean Medical Science, 21(6), pp.1048~1053 (2006), 대한의학회
  9. "Definition, diagnosis and classification of diabetes mellitus and its complications:report of a WHO consultation. part 1: diagnosis and classification of diabetes mellitus" (1999)[URL]
  10. Cho MS, "A clinical study of the obesity patients according to Sasang constitution", J of Sasang Constitut Med, 10(2), pp.485~512 (1998)
  11. 이태규, "사상체질에 따른 대사증후군의 유병률과 위험인자에 대한 연구", 대한한의학회지, 27(2), pp.14~22 (2006), 대한한의학회
  12. Hahm TI, "The Prevalence and Risk Factors of the Metabolic Syndrome according to Sasang Constitution in Middle Aged Persons", 석사, pp.2007
  13. 양상묵, "원주 코호트에서 四象體質에 따른 代謝症候群 有病率과 관련요인", 사상체질의학회지, 21(1), pp.186~196 (2009), 사상체질의학회
  14. 윤우영, "사상체질과 대사증후군 유발에 관한 코호트 연구", 사상체질의학회지, 25(1), pp.1~13 (2013), 사상체질의학회[DOI]
  15. The Asia-Pacific perspective: redefining obesity and its treatment, "World Health Organization Western Pacific Region", 33~ (2000)
  16. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults, "Executive summary of the third report of the national cholesterol education program(NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults(Adult Treatment Panel Ⅲ)", JAMA, 285, pp.2486~2497 (2001)
  17. Isomaa B., "Cardiovascular morbidity and mortality associated with the metabolic syndrome", Diabetes Care, 24, pp.683~689 (2001)
  18. Ford ES, "Prevalence of the metabolic syndrome in US populations", Endocrinology and Metabolism Clinics of North America, 33, pp.333~350 (2004)
  19. Korean National Health and Nutrition Survey(2005), "Ministry of Health and Welfare of Korea", 196~ (2006)
  20. Liberopoulos EN, "Diagnosis and management of the metabolic syndrome in obesity", Obes Rev, 6, pp.283~296 (2005)
  21. Zaher ZM, "Optimal cut-off levels to define obesity:body mass index and waist circumference, and their relationship to cardiovascular disease, dyslipidaemia, hypertension and diabetes in Malaysia", Aisa pac J Clin Nutr, 18, pp.209~216 (2009)
  22. Klein S, "Waist circumference and cardiometabolic risk : a consensus statement from shaping America’s health : association for weight management and obesity prevention", Am J Clin Nutr, 85, pp.197~202 (2007)
  23. Pouliot MC, "Waist circumference and abdominal sagittal dimeter : best simple anthropometric indices of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women", Am J Cardiol, 73, pp.460~468 (1994)
  24. Kissebah AH, "Relation of body fat distribution to metabolic complications of obesity", J Clin Endocrinol Metab, 54, pp.254~260 (1982)
  25. Misra A, "Waist circumference criteria for the diagnosis of abdominal obesity are not applicable uniformly to all populations and ethnic groups", Nutrition, 21, pp.969~976 (2005)
  26. The Examination Committee of the Criteria for Metabolic Syndrome in Japan, "Definition and criteria of the metabolic syndrome in Japan", Japanese Internal Medicine, 94, pp.188~201 (2005)
  27. Lee JS, "Effective cut-off values of waist circumference to detect the clustering of cardiovascular risk factors of metabolic syndrome in Japanese men and women", Diabetes Vasc Dis Res, 4, pp.340~345 (2007)
  28. Aye M, "Waist circumference and BMI cut-off points to predict risk factors for metabolic syndrome among outpatients in a distric hospital", Singapore Med J, 53(8), pp.545~550 (2012)
  29. WHO expert consultation, "Appropriate body-mass index for Asian populations and its implication for policy and intervention strategies", The Lancet, 363, pp.157~163 (2004)

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