한국 성인의 비만과 대사증후군
The Obesity and the Metabolic Syndrome among Korean Adults: Based on National Representative Survey
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초록
연구배경: 비만과 대사증후군은 전 세계적으로 주요한 건강문제이다. 본 연구는 비만과 대사증후군과의 연관성을 탐색하기 위해 수행되었다. 방법: 제7기(2016-2018년) 국민건강영양조사 원시자료에서 30-64세 성인을 대상으로 통합가중치를 적용하여 이차분석하였다. 비만도는 체질량지수에 따라 저체중, 정상체중, 과체중, 비만, 고도비만으로 구분하였다. 대사증후군 구성요소인 복부 비만, 중성지방, 고밀도 지단백 콜레스테롤, 혈압, 혈당 및 투약정보를 분석에 활용하였다. 결과: 대사증후군 유병률은 29.8%였으며, 고도비만군이정상체중군에 비해 대사증후군 유병 위험이 성별, 연령, 결혼 상태, 교육 수준, 소득 수준, 직업, 흡연, 음주, 신체활동을 보정한 후에도 36.9배(95% CI, 25.9-52.3) 높을 정도로 강한 연관성을 보였다. 결론: 비만도는 대사증후군 위험 및 대사증후군 구성요소의 위험을 높인다. 체중 관리를 위한 맞춤형 프로그램이 개발 적용되어야 하며, 체중 조절이 대사증후군 위험을 얼마나 낮추는지에 대한 연구가 필요하다.
Abstract
Background: The obesity and metabolic syndrome (MetS) are main health issues worldwide. This study was to investigate the association of obesity and MetS. Methods: A secondary analysis was conducted using data from Korea National Health and Nutrition Examination Survey for this study. The data from 10,488 Korean adults who were 30-64 years old were utilized and the pooled weights for the stratified complex sampling were implemented in the analysis. The participants were divided into five groups based on body mass index (BMI), and waist circumference, triglyceride, high density lipid, glucose, and blood pressures were used for the MetS. Results: The prevalence of MetS was 29.8% and it was higher in highly obese adults than people who has normal weights (odds ratio, 36.9; 95% confidence interval, 25.9-52.3) after adjusting age, gender, education, income, job, smoking, high risk drinking, and physical activity. There was gradients for the MetS and the components of MetS according to BMI. Conclusions: The obesity increased the risk of MetS and its components’ prevalence. The targeted intervention to control weight need to be developed and implemented. Further researches might be also needed to evaluate the effect of the weight loss on the decreased the risk of MetS.
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