정상체중 청소년의 대사비만 발생과 관련요인
Prevalence and Related Factors of Metabolically Obese, Normal-Weight Adolescents
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초록
The aim of this study was to investigate the prevalence of metabolically obese, normal-weight (MONW) phenotype and the association between lifestyle factors and the risk of MONW in Korean adolescents. Methods: Normal-weight (BMI, 5th to 85th percentile)subjects with ≥ 1 metabolic abnormalities were categorized as MONW phenotype. Data from adolescents aged 12 to 18 years who have participated in the Kroean National Health and Nutrition Examination Survey in 1998 (n=751) and 2008 (n=455) were analyzed. Physical activity and dietary intakes were assessed. Results: The prevalence of hypertension and hyperglycemia in 2008 decreased compared with that in 1998 (P<0.001) but the prevalence of abdominal obesity, hypertriglyceridemia and low HDL did not changed. The overall prevalence of MONW in Korean adolescents declined over 10 years (P<0.001). Adolescent boys and girls engaging regular exercise significantly increased over 10 years (P<0.01). Physically active adolescents had a lower risk of being MONW in 1998. Dietary intake patterns were not associated with a risk of MONW. Conclusions: The prevalence of MONW among Korean adolescents declined over 10 years which may be due to the decreased prevalence of hypertension and hyperglycemia. The risk of MONW would be lower in individuals who are physically active.
Abstract
The aim of this study was to investigate the prevalence of metabolically obese, normal-weight (MONW) phenotype and the association between lifestyle factors and the risk of MONW in Korean adolescents. Methods: Normal-weight (BMI, 5th to 85th percentile)subjects with ≥ 1 metabolic abnormalities were categorized as MONW phenotype. Data from adolescents aged 12 to 18 years who have participated in the Kroean National Health and Nutrition Examination Survey in 1998 (n=751) and 2008 (n=455) were analyzed. Physical activity and dietary intakes were assessed. Results: The prevalence of hypertension and hyperglycemia in 2008 decreased compared with that in 1998 (P<0.001) but the prevalence of abdominal obesity, hypertriglyceridemia and low HDL did not changed. The overall prevalence of MONW in Korean adolescents declined over 10 years (P<0.001). Adolescent boys and girls engaging regular exercise significantly increased over 10 years (P<0.01). Physically active adolescents had a lower risk of being MONW in 1998. Dietary intake patterns were not associated with a risk of MONW. Conclusions: The prevalence of MONW among Korean adolescents declined over 10 years which may be due to the decreased prevalence of hypertension and hyperglycemia. The risk of MONW would be lower in individuals who are physically active.
참고문헌 (30)
- 강현주, "정상체중 대사비만", 보건교육건강증진학회지, 26(2), pp.151~157 (2009), 한국보건교육건강증진학회
- "국민건강영양조사 진행보고서1-제4기 1차년도"[URL]
- "2008 국민건강통계 -국민건강영양조사 제4기 2차 년도"[URL]
- 서민정, "한국 소아와 청소년에서 대사증후군의 유병률", Korean Journal of Family Medicine, 27(10), pp.798~806 (2006), 대한가정의학회
- 성은주, "한국 소아청소년의 대사증후군 : 유병률과 3년간 추이", 박사, pp.2006
- 이정운, "한국 소아와 청소년의 대사증후군 유병률과 경향성: 2001, 2005년 국민건강영양조사 자료분석", Korean Journal of Health Promotion, 9(1), pp.25~32 (2009), 대한임상건강증진학회
- 이종국, "한국 소아 청소년 정상 혈압 참고치", Korean Journal of Pediatrics, 51(1), pp.33~41 (2008), 대한소아과학회
- 윤영숙, "한국인 소아청소년 대사증후군의 유병률 추세 및 관련 요인 분석: 국민건강영양조사자료를 바탕으로", 박사, pp.2009
- "2007년 소아 청소년 표준 성장도표"[URL]
- "2007년 한국 소아청소년 정상혈압 참고치"[URL]
- 조명연, "학생 건강 검진의 현황", 한국모자보건학회 학술대회, 24통권 : 24, pp.117~127 (2008)
- Brambilla P, "Metabolic risk-factor clustering estimation in children: to draw a line across pediatric metabolic syndrome", International Journal of Obesity, 31(4), pp.591~600 (2007)
- Conus F, "Metabolic and behavioral characteristics of metabolically obese but normal-weight women", The Journal of Clinical Endocrinology and Metabolism, 89(10), pp.5013~5020 (2004)
- Conus F, "Characteristics of metabolically obese normal-weight (MONW) subjects", Applied physiology, nutrition, and metabolism, 32(1), pp.4~12 (2007)
- Ford ES, "Defining the metabolic syndrome in children and adolescents: will the real definition please stand up", The Journal of pediatrics, 152(2), pp.160~164 (2008)
- Irwin ML, "Moderate-intensity physical activity and fasting insulin levels in women: the Cross-Cultural Activity Participation Study", Diabetes Care, 23(4), pp.449~454 (2000)
- Karelis AD, "Metabolic and body composition factors in subgroups of obesity: what do we know", The Journal of Clinical Endocrinology and Metabolism, 89(6), pp.2569~2575 (2004)
- Kelishadi R, "Metabolically obese normal weight and phenotypically obese metabolically normal youths: the CASPIAN Study", Journal of the American Dietetic Association, 108(1), pp.82~90 (2008)
- Lee K, "Metabolically obese but normal weight (MONW) and metabolically healthy but obese (MHO) phenotypes in Koreans: Characteristics and health behaviors", Asia Pacific Journal of Clinical Nutrition, 18(2), pp.280~284 (2009), H E C Press
- Mark AE, "Relationship between screen time and metabolic syndrome in adolescents", Journal of Public Health (Oxf), 30(2), pp.153~160 (2008)
- Meigs JB, "Body mass index, metabolic syndrome, and risk of type 2 diabetes or cardiovascular disease", The Journal of Clinical Endocrinology and Metabolism, 91(8), pp.2906~2912 (2006)
- Moreau KL, "Increasing daily walking lowers blood pressure in postmenopausal women", Medicine and science in sports and exercise, 33(11), pp.1825~1831 (2001)
- "Update on the 1987 Task Force Report on High Blood Pressure in Children and Adolescents: a working group report from the National High Blood Pressure Education Program", Pediatrics, 98, pp.649~658 (1996), National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents
- "The Fourth Report of on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents", Pediatrics, 114, pp.555~576 (2004), National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents
- Pan Y, "Metabolic syndrome and its association with diet and physical activity in US adolescents", Journal of the American Dietetic Association, 108(2), pp.276~286 (2008)
- Park MJ, "Prevalence and Trends of Metabolic Syndrome Among Korean Adolescents: From the Korean NHANES Survey, 1998-2005", Journal Of Pediatrics, 155(4), pp.529~534 (2009), MOSBY-ELSEVIER
- Ruderman NB, "The "metabolicallyobese," normal-weight individual", American Journal of Clinical Nutrition, 34(8), pp.1617~1621 (1981)
- Ruderman NB, "Obesity-associated disorders in normal-weight individuals: some speculations", International Journal of Obesity, 6, pp.151~157 (1982)
- St-Onge MP, "Metabolic syndrome in normal-weight Americans: new definition of the metabolically obese, normal-weight individual", Diabetes Care, 27(9), pp.2222~2228 (2004)
- Wildman RP, "The obese without cardiometabolic risk factor clustering and the normal weight with cardiometabolic risk factor clustering: prevalence and correlates of 2 phenotypes among the US population (NHANES 1999-2004)", Archives of internal medicine, 168(15), pp.1617~1624 (2008)