서울 소재 일개 종합병원 건강검진 수진 여성들의 연령별 체질량지수와 체구성
Age-related changes of Body mass index and body fat distribution in Korean women
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초록
연구배경 현재 사용되고 있는 비만 지표는 성별의 차이를 보정한다 하더라도 연령에 따른 체질량지수 및 체구성 변화에 대한 고려를 하지 못하고 있으며 획일적으로 적용되고 있다. 본 연구는 서울 소재 일개 종합병원 건강검진 수진 여성을 표본으로 한국 여성에 있어서의 연령에 따른 체질량지수와 체구성 변화를 분석하여 제시할 목적으로 시행되었다. 방 법 2003년 6월부터 2004년 12월까지 서울에 소재한 종합병원 건강증진센터를 방문한 수진자 중 20세 이상의 여성 2,211명을 대상으로 하였다. 체중, 체질량지수, 체지방량, 제지방량을 측정하였고 20-29세, 30-39세, 40-49세, 50-59세, 60-69세, 70-79세의 연령대별로 구분하여 분석하였다. 결 과 대상자들은 체중의 경우, 50대군에서 56.2±7.8kg로 40대군 54.5±7.6kg에 비해 유의한 증가를 나타내었다.(P<0.05) 체질량지수는 50대군에서 23.7±3.0kg/m2으로 40대군 22.3±2.9kg/m2에 비해 유의한 증가를 나타내었다.(P<0.05) 체지방량은 50대군18.1±7.3kg으로 40대군 15.7±5.0kg에 비해 유의한 증가를 나타내었다.(P<0.05) 제지방량의 경우에는 50대군에서 38.1±3.6kg으로 40대군 38.8±3.6kg에 비해 유의한 감소를 나타내었다.(P<0.05) 체중, 체질량지수, 체지방량 및 제지방량 모두 20대군과 30대군간의 혹은, 30대군과 40대군간의 유의한 차이는 없었다. 결 론 성인 여성의 경우 체중, 체질량지수 및 체지방량은 40대군까지는 비교적 일정하였으나 50대군은 40대군에 비해 증가되었다. 반면 제지방량은 20대에서 30대까지 약간 증가하다가 30대와 40대에는 비교적 일정하게 유지되었으며 40대 이후 점차 감소되었다.
Abstract
Background Body mass index among different sex is currently applied as the diagnostic standard of obesity regardless of age. The aim of this study is to show the necessity of new obesity index in Korean women dependent on age from the results of age-associated body mass index and body fat distribution of the visitors in Women's Health-Care Center in Seoul. Methods We selected 2211 subjects who have visited the Women's Health-Care Center in Seoul from June 2003 to December 2004. Body weight, body mass index, body fat mass and fat free mass associated with age were measured and analyzed by SPSS( ANOVA and Duncan post-hoc test). Results Each of body weight, body mass index and body fat mass of group 50-59 were 56.2±7.8kg, 23.7±3.0kg/m2, 18.1±7.3kg and they showed significant increase compared to those of group 40-49(54.5±7.6kg, 22.3±2.9kg/m2, 15.7±5.0kg)(P<0.05)). In the case of fat free mass, Mean value of group 50 was 38.1± 3.6kg and it showed significant decrease compared to that of group 40-49(38.8±3.6kg)(P<0.05)). Conclusions No significant changes of body weight, body mass index and body fat mass were observed in subjects under 40. Increase in body weight, body mass index and body fat mass in subjects over 50 were proven to be statistically significant. However, in case of fat free mass, slightly increase from 20 to 30 and consistancy from 30 to 40 were observed. And significant decrease in fat free mass in subjects over 50 was noted. We should conduct further systematic epidemiologic study to apply this to universal standards.
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