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J Health Info Stat > Volume 39(2); 2014 > Article
J Health Info Stat 2014;39(2):1-13.
Measures of Adiposity in the Identification of Metabolic Abnormalities in Middle-aged and Older Korean Adults
Ji Hye Park , Hyeon Chang Kim , Ju Mi Lee , Dong Phil Choi , Bo Mi Song , Seung Won Lee , Hansol Choi , Joo Young Lee , Il Suh
We investigated anthropometric measures of obesity, including body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) in their associations with metabolic abnormalities in Korean adults.
Study participants were 1,399 male and 2,325 female community dwellers aged 40-79 years. Assessed metabolic variables included blood pressure, fasting glucose, insulin resistance, triglycerides, HDL cholesterol, LDL cholesterol, alanine aminotransferase, and gamma-glutamyl transferase. Associations of anthropometric measures per 1-SD increase with each metabolic abnormality were assessed using logistic regression analysis.
The adiposity measurements were significantly associated with all of the metabolic abnormalities, only except for with LDL cholesterol in men. In men, hypertension was more strongly associated withBMI (OR=1.58) than WC (OR=1.40) or WHtR (OR=1.44) or WHtR (OR=1.75); and hypertriglyceridemia was more closely associated with WC (OR=1.91) than BMI (OR=1.79) or WHtR (OR=1.87). In women, three adiposity measurements had similar association with metabolic abnormalities.
Simple anthropometric measurements can be used to screen high-risk individuals of metabolic abnormalities in Korean men and women, although certain obesity indicators are more strongly with a specific kind of metabolic abnormality in men.
Key words: Metabolic abnormalities, Anthropometric measures, Body mass index, Waist circumference, Waist-to-height ratio
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