Normal weight obesity in Korean adults
Normal weight obesity in Korean adults
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DOI：
10.1111/cen.12162
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发表时间：
2014-02-01
影响因子：
3.2
通讯作者：
Park, Yong-Moon
中科院分区：
文献类型：
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作者：
Kim, Mee Kyoung;Han, Kyungdo;Park, Yong-Moon
背景定义肥胖的一个更好的方法是根据体脂百分比（BF）。体重正常的受试者，目的探讨韩国成年人中正常体重肥胖（NWO）的患病率和特征，并采用反映心血管疾病（CVD）危险因素的BF百分比最佳临界值进行评价。2010年。参与者我们调查了5313名男性和6904名女性，年龄在20岁或以上。测量我们调查了韩国成年人BF百分比（通过双能X射线吸收测定法测量）与肥胖相关的CVD风险因素（糖尿病、高血压和血脂异常）之间的关系。NWO定义为正常体重指数（BMI;亚洲受试者为185- 229 kg/m2）和BF百分比高于确定的临界值的组合。男性和女性的第一个临界值（定义为超重）分别为206%和334% BF，第二个临界值（定义为肥胖）分别为257%和360% BF。32%的正常体重成年人的BF百分比大于或等于超重或肥胖临界值（NWO）。受试者与NWO有较低的approximular骨骼肌质量，更动脉粥样硬化的血脂谱和更大的insulin resistance.Conclusions肥胖可以定义为26%BF或更大的韩国男性和36%BF或更大的韩国女性。在NWO受试者中，心脏代谢异常聚集的患病率较高。
Background A better way to define obesity is in terms of the percentage of body fat (BF). Subjects with normal weight, but excess BF are vulnerable to cardiovascular diseases.Objective To evaluate the prevalence and characteristics of subjects having normal weight obesity (NWO) using optimal cut-offs of the BF percentage reflecting risk factors for cardiovascular disease (CVD) in Korean adults.Design and setting The Korea National Health and Nutrition Examination Survey in the Korean population conducted in 2009-2010.Participants We surveyed 5313 men and 6904 women aged 20years or older.Measurements We investigated the relations between the BF percentage (measured by dual-energy X-ray absorptiometry) and obesity-related risk factors for CVD (diabetes mellitus, hypertension and dyslipidaemia) in Korean adults. NWO was defined as the combination of a normal body mass index (BMI; 185-229kg/m(2) in Asian subjects) and BF percentages above the determined cut-off values.Results There were strong and graded associations of increasing BF percentages with the prevalence of CVD risk factors. The first cut-off values (defined as being overweight) in men and women were 206% and 334% BF, respectively, and the second cut-off values (defined as obesity) were 257% and 360% BF. Thirty-two per cent of normal weight adults had BF percentages greater than or equal to the overweight or obesity cut-offs (NWO). Subjects with NWO had a lower appendicular skeletal muscle mass, a more atherogenic lipid profile and greater insulin resistance.Conclusions Obesity can be defined as 26% BF or greater in Korean men and 36% BF or greater in Korean women. There was a high prevalence of clustering of cardiometabolic abnormalities among subjects with NWO.