대한민국 성인에서 복부 비만과 다른 만성 질환 유병률 간의 관계: 국민건강영양조사 2016년부터 2020년까지 자료 활용
Relationship between Abdominal Obesity and Prevalence of Other Chronic Diseases in Korean Adults: Based on the Korea National Health and Nutrition Examination Survey 2016 to 2020
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초록
연구배경: 전 세계적으로 비만으로 인한 질병 부담이 높으며, 우리나라 성인 남자의 비만 증가율은 특히 빠르게 상승하고 있다. 또한 기존 해외 연구에 따르면 복부 비만에서 심혈관 질환을 포함한 만성 질환 위험성이 더욱 높은 것으로나타났다. 따라서 본 연구에서 우리나라 성인의 복부 비만과 만성 질환 유병률 간의 연관성을 분석하고자 하였다. 방법: 2016-2020년 국민건강영양조사 원시 자료를 이용하여 19세 이상 성인을 연구 대상자로 선정하였으며 카이제곱독립성 검정을 실시하여 복부 비만 환자의 건강사회학적 특성 및 만성 질환 유병률을 조사하였고, 연령, 성별, 교육 수준, 소득 수준, 흡연, 음주, 다른 만성 질환 여부를 보정한다중 로지스틱 회귀분석을 이용하여 복부 비만과 각 만성질환 간의 관련성을 검증하였다. 결과: 복부 비만 집단에서 대조군에 비해 모든 만성 질환유병률이 높게 나타났으며, 연령, 성별, 교육 수준, 소득 수준, 흡연, 음주, 다른 만성 질환 여부를 보정한 다중 로지스틱 회귀분석을 시행한 결과 복부 비만 집단에서 고혈압, 이상지질혈증, 당뇨, 관절염의 위험도가 높게 나타났다. 결론: 만성 질환 이환의 위험을 낮추기 위해서는 복부 비만에 대한 예방과 관리가 중요하다.
Abstract
Background: The burden of disease caused by obesity is high worldwide, and the rate of obesity among adult men in Korea is increasing rapidly. Previous studies have shown that people with abdominal obesity have a higher risk of chronic diseases, including cardiovascular disease. Therefore, in this study, we analyzed the association between abdominal obesity and the risk of chronic diseases among Korean adults. Methods: Using raw data from the Korea National Health and Nutrition Examination Survey 2016-2020, adults over 19 years of age were selected as research subjects. A chi square independence test was conducted to investigate the basic demographic characteristics of patients with abdominal obesity and the prevalence of chronic diseases. The relationship between abdominal obesity and each chronic disease was verified using multiple logistic regression analysis that adjusted for multiple chronic diseases. Results: The risk of all chronic diseases was higher in the abdominal obesity group than in the non-abdominal obese group. When multiple logistic regression analysis was performed with adjustments for age, gender, education level, income level, smoking, alcohol use and multiple chronic disease, the risk of hypertension, dyslipidemia, diabetes, and arthritis was higher in the abdominal obesity group. Conclusions: Abdominal obesity is related to chronic diseases. The management and prevention of abdominal obesity should be emphasized to reduce the risk of chronic diseases.
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