허리둘레/키 비의 비만지표로서의 유용성
The Usefulness of Waist/Height Ratio as an Obesity Index
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연구배경: 허리둘레는 심혈관질환의 독립된 위험인자로 알려져 있으며, 체질량지수는 WHO기준에 의해 세계적으로 가장 널리 사용되고 있다. 그러나 정상 체질량지수에서도 대사적 비만상태는 드물지 않아 본 연구에서는 정상 체질량지수, 정상 허리둘레 대상자에서 허리둘레/키 비에 따른 대사성위험인자의 특성과 허리둘레/키 비의 유용성에 대해서 알아보고자 하였다. 방법: 2002년 1월 1일부터 12월 31일까지 강동성심병원에서 종합건강검진을 받은 1157명을 대상으로 하였다. 대사성위험인자에 대한 이환율지수(morbidity index score)는 위험인자가 있을 때 하나당 1점씩 하여 그 합으로 하였다. 비만기준으로는 BMI (≥25 kg/m2), 허리둘레(남: ≥90 cm, 여:≥80 cm), 복부둔부 비(남: ≥ 0.9, 여: ≥0.8), 허리둘레/키 비( ≥50 cm/cm*100)로 하였다. 결과: 허리둘레/키 비, 허리둘레, 허리/엉덩이 둘레 비, 체질량지수의 상관관계는 모두 유의하였다(P=0.000). 정상 체질량지수, 정상 허리둘레, 정상 허리/엉덩이 둘레 비를 갖는 대상에서도 허리둘레/키 비가 50 이상일 경우에 50 미만인 대상에 비해서 대사성 위험인자 이환율지수(MI≥3)에 대한 교차비가 각각 4.60 (2.98～7.10), 3.83 (2.44～6.02), 2.79 (1.48～5.29)였고, 또한 정상 체질량지수이면서 정상 허리둘레를 갖는 대상자에서도 3.90 (2.31～6.60)으로 유의하게 높은 것으로 나타났다. 결론: 허리둘레/키 비는 비만을 나타내는 측정치로 간단하고 실용적일 수 있다. 특히 정상 체질량지수, 정상 허리둘레, 또는 두 가지 지표가 모두 정상인 군에서 허리둘레/키 비가 50 이상일 경우 대사성위험을 예측하는 선별검사 도구로서 유용할 것으로 판단된다.
Abstract
Background: Waist circumference and BMI have been known as an independent predictor for cardiovascular diseases. But some people with a normal BMI or normal waist circumference may have cardiovascular risk factors. Therefore, the purpose of this study was to investigate the simplicity and the usefulness of waist/height ratio as an index of obesity and to investigate the waist/height ratio as a predictor for metabolic risks in individuals with normal weight and/or normal waist circumference. Methods: The subjects were 1,157 individuals (635 men, 522 women). The morbidity index for metabolic risk factors was calculated by the sum of the risk factors scores (one point per item, if present). We set the criteria of obesity as BMI≥25 kg/m2, waist circumference of ≥90 cm in males and ≥80 cm in females, waist/hip ratio of ≥0.9 in males and ≥0.8 in females, and waist/height ratio of ≥50 cm/cm*100. Results: There was a significant correlation among waist/ height ratio, waist/hip ratio, BMI, and waist circumference (P=0.000). The odds ratios for morbidity index (≥3) in normal BMI, waist circumference, and waist/hip ratio subjects with waist/height over 50 were significantly higher with 4.60, 3.83, and 2.79, respectively, and also higher in normal BMI with normal waist circumference subjects with 3.90 (P=0.000). Conclusion: Waist/height ratio may be used a simple and practical index of obesity. Especially, it may be useful in subjects with normal BMI or normal waist circumference when predicting their metabolic risks.
참고문헌 (29)
- "Castelli WP. Obesity as an independent risk factor for cardiovascular disease A 26-year follow up of participants in the Framingham Heart Study. Circulation 1983", pp.968~77
- "Higgins M. Regional obesity and risk of cardiovascular disease"
- "Tauri S. Contribution of intra-abdominal fat accumulation to the impairment of glucose and lipid metabolism in human obesity. Metabolism 1987", pp.54~9
- "The association of cardiovascular disease risk factors with abdominal obesity in Canada.", 157, pp.39~45 (1997)
- "The problem of overweight and obesity. Obesity prevention and managing the global epidemic. Report of A WHO Consultation.", pp.5~37 (2000), WHO publication
- "Owen OE. Reasssessment of body mass indices. Am J Clin Nutr 1990", pp.405~8
- "Abraham S. Evidencefor an increased risk for hypertension with centrally located body fat and the effect of race and sex on this risk. Am J Epidemiol 1984", pp.526~39
- "Depres JP. Lipoprotein metabolism in visceral obesity. Int J Obes Relat Metab Disord 1991"
- "The Asia-Pacific perspective: reading obesity and its treatment." (2000), IOTF
- "Abdominal fat distribution and coronary heart disease risk factors in men-wist", height ratio as a simple and useful predictor., 1995, pp.19, 585~589
- "관상동맥질환의 위험예측인자로서의 허리둘레", 신 장비의 유용성., 1998, pp.19(9), 719~726
- "Waist-to-height ratio, a simple and practical index for assessing central fat distribution and metabolic risk in Japanese men and women.", pp.610~616 (2003)
- "Health risks among japanese men with moderate body mass index.", 24, pp.358~362 (2000)
- "A study on indices of body fat distribution for screening for obesity.", 37, pp.9~18 (1995)
- "정상 및 과체중인 남성에서 허리둘레", 신 장비에 따른 심혈관질환 위험인자의 평가., 2001, pp.22(12), 1757~1764
- "Is there any difference in coronary heart disease risk factors and prevalence of fatty liver in subjects with normal body mass index having different physiques?", 177, pp.223~231 (1995)
- "Perspective in diabetes. The metabolically obese, normal-weight individual revisited.", 47, pp.L699~713 (1998)
- "expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III).", 285(19), pp.2486~2497 (2001)
- "비만증의 역학. 임상비만학", 1, pp.171~178 (1996), 대한비만학회.
- "서울, 경기, 인천 지역의 종합병원 건강검진센터에서 시행되는 비만의 선별 검사와 관리 실태.", 23, pp.1237~1244 (2002)
- "도시지역 검진자 40,698명에서 NCEP-ATP III 기준에 의한 대사증후군의 유병률.", 63, pp.290~298 (2002)
- "and risk of cardiovascular disease and death 13year follow up of participants in the study of men born in 1913. BMJ 1984", pp.1401~4
- "Waist-to-hip ratio in a biracial population and cautions for using guidelines to define high risk for cardiovascular disease.", 95, pp.60~64 (1995)
- "Abdominal obesity and the ‘hypertriglyceridaemic waist’ phenotype. It's probably not yet time to implement screening.", 322, pp.687~689 (2001)
- "Do people with similar waist circumference share similar health risks irrespective of height?", 188, pp.55~60 (1999)
- "Ratio of waist circumference to height may be better indicator of need for weight management.", 312, pp.377~ (1996)
- "Association of anthropometric indices with elevated blood pressure in British adults.", 21, pp.674~680 (1997)
- "Waist circumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index.", 24, pp.1453~1458 (2000)
- "The usefulness of waist-to-height ratio as a simple index for the prediction of arterosclerotic risk factors in school children.", 7, pp.253~260 (2001)