Journal of Preventive Medicine and Public Health

  • 제39권1호
  • /
  • Pages.59-66
  • /
  • 2006
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지

복부비만의 지표인 허리둘레에 영향을 미치는 건강행태요인 -"2001년 국민건강.영양조사"의 자료를 기반으로

Health Behavior Factors Affecting Waist Circumference as an Indicator of Abdominal Obesity

  • 백경원 (아주대학교 의과대학 응급의학교실) ;
  • 홍윤미 (관동대학교 간호학과)
  • Paek, Kyung-Won (Department of Emergency Medicine, Ajou University School of Medicine) ;
  • Hong, Yoon-Mi (Department of Nursing, Kwandong University)
  • 발행 : 2006.01.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study was performed to identify the socioeconomic factors, the psychosocial factors and the heath behavior factors that have an influence on abdominal obesity, as measured by using the waist circumference. Methods: Data was obtained from individuals aged above 20 years who had their waist circumference measured on the Korean National Health and Nutrition Examination Survey 2001, which was a cross-sectional health survey. Results: Regression analysis of the factors that affect abdominal obesity showed that the education level, income, smoking, duration of smoking, drinking consumption, frequency of exercises and sleeping were the associated factors for abdominal obesity. For men, the duration of smoking, education level, income and drinking consumption were the associated factors for abdominal obesity. For woman, the education level, income, duration of smoking, drinking consumption and frequency of exercise were the associated factors for abdominal obesity. Conclusions: Abdominal obesity is a risk factor for morbidity and mortality, and it is associated with chronic diseases, including cardiovascular disease and diabetes. Based on the findings, it is essential to modify heath behaviors for preventing abdominal obesity, which is a condition associated with the incidence of chronic disease.

키워드

참고문헌

  1. Keffe EB, Adesman PW, Stenzel P, Palmer RM. Steatosis and cirrhoisis in an obese diabetic. Resolution of fatty liver by fatting. Dig Dis Sci 1987;32:441-445 https://doi.org/10.1007/BF01296300
  2. Hurbert HE, Feileib M, McNamara PM, Castelli WP. Obesity as an independent risk factor for cardiovascular disease: A 26-years follow up of participants in the Flamingham heart study. Circulation 1983; 67: 968-977 https://doi.org/10.1161/01.CIR.67.5.968
  3. Vague J. The degree of masculine differentiation of obesities : A factor determining predisposition to diabetes, atherosclerosis, gout, and uriccalculous. Am J Clin Nutr 1956; 4: 20-34 https://doi.org/10.1093/ajcn/4.1.20
  4. Folsom, A.R, Kaye, S.A Sellers, T.A, Hong, C.P. Cerhan, J.R, Potter, J.D., Prineas, R.J. Densitometric analysis of body fat topography to insulin sensitivity and metabolic profiles in premenopausal women. Metaolism 1993; 33: 68-75
  5. Reaven GM. The role of insulin resistance in human disease. Diabetes 1988; 37: 1595-1607 https://doi.org/10.2337/diabetes.37.12.1595
  6. Choi JS, Nam JJ, Kim JH, Koh MJ, Cho JK, Lee YH. 2001 National Health and Nutrition Survey -Overview- Ministry of Health and Welfare. Korea Institute for Health and Social Affairs,2001
  7. Park HS. Clustering cardiovascular risk factors and waist circumference in Korean men and women. Korean Soc Lipidol Atheroscler 2001; 11(2) : 170-180 (Korean)
  8. Lee KM. Waist circumference as a screening tool for cardiovascular risk factors in Korea: Evaluation of receiver operating characteristics. J Korean Acad Fam Med 2000; 21(3): 95-405 (Korean)
  9. Chung BC, Park SH, Lee JY, Lee SW, Chung SC, Kim JK, Ha SW, Kim BW. Relationship between obesity indices and risk factors of atherosclerosis in type 2 diabetics. Korean Soc Study Obes 2003; 12(2): 93-107 (Korean)
  10. Han JH, Relation of the cardiovascular risk factors with body fat percent and body mass index. Korean Soc Study Obes 2003; 12(2): 154-161 (Korean)
  11. Kim MS, An HS, Study on the effect of obesity management program in middle aged abdominal obese women. Korean Soc Study Obes 2003; 12(1): 54-67 (Korean)
  12. Park HS, Shin CH, Kim BS, Lee KY, Choi HS, Shin JA, Nam YD, Bae SP, Cheon KS. Prevalence and associated factors of metabolic syndrome among adults in primary care. Korean Soc Study Obes 2003; 12(2): 108-123 (Korean)
  13. Nam JJ, Koh MJ, Choi JS, Kim JH, Lee YH. 2001 National Health and Nutrition Survey Health Examination- Ministry of Health and Welfare, Korea Institute for Health and Social Affairs, 2001
  14. Ashwell M, Chinn S, Stalley S, Garrow JS. Female fat distribution - A simple classification based on two circumference measurements. Int J Obes 1982; 6(2): 143-152
  15. Kissebath AH, Vydelingum N, Murray R, Evans DJ, Hartz AJ. Relation of body fat distribution to metabolic complications of obesity. J Clin Endocrinol Metab 1982; 54(2): 254-260 https://doi.org/10.1210/jcem-54-2-254
  16. Tokunaga K, Matsuzawa Y, Ishikawa K, Tarui S. A novel technique for the determination of body fat by computed tomography. Int J Obes 1983; 7(5): 437-445
  17. Borkan GA, Gerzof SG, Robbins AH, Hults DE, Silbert CK, Silbert JE. Assessment of abdominal fat content by computed tomography. AmJ Clin Nutr 1982; 36(1); 172-177 https://doi.org/10.1093/ajcn/36.1.172
  18. Lee YM, Park HS, Chun BC, Kim HS. Reliability of measurements of waist circumference at 3 different site. Korean Soc Study Obes 2002: 11(2): 123-130 (Korean)
  19. Han TS, McNeill G, Seidell JC, Lean MEJ, Predicting intra-abdominal fatness from anthropometric measures: the influence of stature. Int J Obes Relat Metab Disord 1997; 21(7): 587-593 https://doi.org/10.1038/sj.ijo.0800446
  20. Han TS, Bijnen FC, Lean ME, Seidell JC. Separate associations of waist and hip circumstance with lifestyle factors. Int J Epidemiol 1998; 27(3): 422-430 https://doi.org/10.1093/ije/27.3.422
  21. Ashwell M, Cole TJ. Dixon AK. Obesity: New insight into the anthropometric classification of fat distribution shown by computed tomography. Br Med J 1985; 290: 1692-1694 https://doi.org/10.1136/bmj.290.6483.1692
  22. Pouliot MC, Despres JP. Waist circumference and abdominal saggital diamter: Best simple anthropometric Indexes of abdominal viceral adipose tissues accumulation and related cardiovascular risk in men and women. Am J Cardio 1994; 73: 260-268
  23. Hong YS, Kim BK, Jung BK, Park YW, Park JT, Jung KY, Kim CY. Prevalence of metabolic syndrome and waist circumference estimation in some Korean adults. Korean J Pre Med 2004; 37(1); 51-58 (Korean)
  24. Kim JH, Park TS, Koh HJ. Comparison of usefulness in the variable standards of waist circumference measurement. J Korean Acad Fam Med 2001; 22(4): 548-554(Korean)
  25. Wing RR, Behavioral treatment of severe obesity. Am J Clin Nutr 1992; 2(5); 545-551
  26. Chang YS, Kim SK, Suh YS, Kim DH, Shin DH, Huh JW. Factors affecting weight reduction and maintenance of reduced weight in obese patients. Keimyung Med J 1998; 17(1): 100-110 (Korean)
  27. Hwang SW. Association of education level and metabolic syndrome in women. [Dissertation]. Korea; Seoul National Univ: 2002
  28. Bjame K, Dag S. Risk factor for coronary heart disease and level of education. Am J Epidermol 1988; 127(5): 923-932 https://doi.org/10.1093/oxfordjournals.aje.a114895
  29. Craig WY, Palomaki GE, Haddow JE. Cigarette smoking and serum lipid and lipoprotein concentrations: an analysis of published data. Br Med J 1989; 298: 784-788 https://doi.org/10.1136/bmj.298.6676.784
  30. Brischetto CS, Conner WE, Connor SL. Plasma lipid and lipoprotein profiles of cigarette smokers from randomly selected families: enhancement of hyperlipidemia and depression of high density lipoprotein. Am J Cardiol 1983; 52: 675-680 https://doi.org/10.1016/0002-9149(83)90396-X
  31. Jung CH, Park JS, Lee WY, Kim SW. Effects of smoking, alcohol, exercises, level of education and family history on the metabolic syndrome in Korea adults. Korean J Med 2002; 63(6): 649-659 (Korean)
  32. Dyer AR, Stamler J, Paul O, Berkson DM, Shekelle RB, Lepper MH. Alcohol, cardiovascular risk factors and mortality. Circulation 1981; 64: 20-27
  33. Facchini F, Chen YD, Reaven GM Light-tomoderate alcohol intake is associated with enhanced insulin sensitivity. Diabetes Care 1994; 17: 115-119 https://doi.org/10.2337/diacare.17.2.115
  34. Seidell JC, Cigolini M, Deslypere JP. Body fat distribution in relation to physical activity and smoking habits in 38-year-old European men; The Europeanf fat distribution study. Am J Epidemiol 1991; 133: 257-265 https://doi.org/10.1093/oxfordjournals.aje.a115870
  35. Pan XP, Li GW, Hu YH, Wang JX, Yang WY, An ZX. effects of diet and exercise in prevention NIDDM in people with impaired glucose tolerance: The Da Qing IGT and diabetes study. Diabetes Care 1997; 20: 537-544 https://doi.org/10.2337/diacare.20.4.537