정상 체중의 성인에서 체지방률 차이에 따른 심혈관질환 위험요인
Relationship between Percent Body Fat and Cardiovascular Risk Factors for Normal Weight Adults
0
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
연구배경: 정상 체중의 성인에서 체지방률과 심혈관질환 위험인자의 관계를 조사하였다. 방법: 2001년 6월부터 2001년 11월까지 한 종합병원 건강증진센터에 내원하여 건강 진단을 받은 수진자 중 19세 이상, 체질량지수 23 kg/m2 미만이며 만성질환이 없는 경우(남성 309명, 여성 369명)를 대상으로 하였다. 신장과 체중, 체질량지수, 혈압을 측정하고 생체전기저항법을 이용하여 체지방률을 측정하였다. 연구 대상자의 총 콜레스테롤, 저밀도콜레스테롤, 고밀도콜레스테롤, 중성지방 및 공복혈당치를 조사하였다. 남, 여 각각 체지방률이 높은 군과 낮은 군으로 나누어 각 군의 심혈관질환 위험요인의 빈도와 교차비를 조사하였다 결과: 연구 대상자들의 평균 연령은 남성이 43.66±11.26세, 여성이 41.11±10.90세였다. 체질량지수는 남성이 21.15±1.47 kg/m2, 여성이 20.68±1.53 kg/m2이었다. 체지방률은 남성이 16.64±3.86%, 여성이 25.45±3.79%이었다. 체지방률이 높은 군은 남, 여 모두에서 혈압, 공복혈당, 중성지방, 총콜레스테롤, 저밀도콜레스테롤의 위험요인의 빈도가 높았다. 체지방률이 높은 군은 남성에서 혈압과 중성지방 상승의 교차비가 증가하였으며, 여성에서는 공복혈당, 총콜레스테롤 및 저밀도 콜레스테롤과 중성지방 상승의 교차비가 증가하였다. 한 개 이상의 심혈관질환 위험인자를 가지는 교차비는 남성에서 2.46 (95% 신뢰구간: 1.38~4.38)이었으며, 여성에서는 1.50 (95% 신뢰구간: 0.95~2.36)이었다. 결론: 정상체중의 성인에서 체지방률이 높을수록 심혈관질환 위험이 증가하며 이는 남성에서 더 유의하였다.
Abstract
Relationship between Percent Body Fat and Cardiovascular Risk Factors for Normal Weight AdultsJee Hye Han, M.D.†, Seon Mee Kim, M.D.*
참고문헌 (30)
- Gray DS, "Diagnosis and prevalence of obesity", Med Clin North Am, (73), pp.1~13 (1989)
- Jensen MD, "Health consequences of fat distribution", Horm Res, 48(5), pp.88~92 (1997)
- "Horm Re", Am J Clin Nutr, (68), pp.899~917 (1998)
- Prentice AM, "Beyond body mass index.", Obes Rev, 2(3), pp.141~147 (2001)
- Frankenfield DC, "Becker D. Limits of body mass index to detect obesity and predict body composition.", Nutrition, (17), pp.26~30 (2001)
- Ellis KJ, "Selected body composition methods can be used in field studies.", J Nutr, (131), pp.1589~1595 (2001)
- Lukaski HC, "Validation of tetrapolar bioelectrical impedance method to assess human body composition.", J Appl Physiol, (60), pp.1327~1332 (1986)
- Lukaski HC, "Assessing regional muscle mass with segmental measurements of bioelectrical impedance in obese women during weight loss.", Ann N Y Acad Sci, (904), pp.154~158 (2000)
- NIH Consensus statement, "Bioelectrical impedance analysis in body composition measurement. National Institutes of Health Technology Assessment Conference Statement. December 12- 14, 1994", Nutrition, (12), pp.749~762 (1996)
- Rosenfalck AM, "Body composition in normal subjects: relation to lipid and glucose variables.", Int J Obes Relat Metab Disord, (20), pp.1006~1013 (1996)
- Tanaka S, "adiposity at normal body weight relevant for cardiovascular disease risk?", Int J Obes Relat Metab Disord, (26), pp.176~183 (2002)
- Chobanian AV, "he Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report", JAMA, (289), pp.2560~2572 (2003)
- "Report of the expert committee on the diagnosis and classification of diabetes mellitus.", Diabetes Care, (20), pp.1183~1197 (1997)
- 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)
- Yamamoto A, "Analysis of serum lipid levels in Japanese men and women according to body mass index. Increase in risk of atherosclerosis in postmenopausal women. Research Group on Serum Lipid Survey 1990 in Japan.", Atherosclerosis, 143(1), pp.55~73 (1999)
- Zhou B, "Overweight is an independent risk factor for cardiovascular disease in Chinese populations.", Obes Rev, (3), pp.147~156 (2002)
- Ito H, "Excess accumulation of body fat is related to dyslipidemia in normal-weight subjects.", Int J Obes Relat Metab Disord, 28(2), pp.242~247 (2004)
- Deurenberg-Yap M, "Elevated body fat percentage and cardiovascular risks at low body mass index levels among Singaporean Chinese, Malays and Indians", Obes Rev, 3(3), pp.209~215 (2002)
- Ruderman NB,, "The metabolically- obese, normal-weight individual", Am J Clin Nutr, (34), pp.1617~1621 (1981)
- Tai ES, "Body fat distribution and cardiovascular risk in normal weight women. Associations with insulin resistance, lipids and plasma leptin.", Int J Obes Relat Metab Disord, (24), pp.751~757 (2000)
- Heber D, "Clinical detection of sarcopenic obesity by bioelectrical impedance analysis.", Am J Clin Nutr, 64(3), pp.S472~S477 (1996)
- Dvorak RV, "Phenotypic characteristics associated with insulin resistance in metaboli cally obese but normal-weight young women.", Diabetes, (48), pp.2210~2214 (1999)
- Knopp RH, "Effects of estrogens on lipoprotein metabolism and cardiovascular disease in women.", Atherosclerosis, (110), pp.S83~S91 (1994)
- Mendelsohn ME, "Karas RH. The protective effects of estrogen on the cardiovascular system", N Engl J Med, (340), pp.1801~1811 (1999)
- Terry RB, "ontributions of regional adipose tissue depots to plasma lipoprotein concentrations in overweight men and women: possible protective effects of thigh fat.", Metabolism, (40), pp.733~740 (1991)
- Abe T, "Relationships between subcutaneous fat and muscle distributions and serum HDL-cholesterol", J Atheroscler Thromb, (1), pp.15~22 (1994)
- Freedman DS, "The relation of body fat distribution, as assessed by six girth measurements, to diabetes mellitus in women", Am J Public Health, (79), pp.715~720 (1989)
- Tanaka S, "Sex differences in the relationships of abdominal fat to cardiovascular disease risk among normal-weight white subjects.", Int J Obes Relat Metab Disord, (28), pp.320~333 (2004)
- Haffner SM, "Endogenous sex hormones: impact on lipids, lipoproteins, and insulin.", Am J Med, 98(1A), pp.S40~S47 (1995)
- Gyllenborg J, "Cardiovascular risk factors in men: The role of gonadal steroids and sex hormone-binding globulin.", Metabolism, (50), pp.882~888 (2001)
