Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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A Comparison between Asia-Pacific Region Criteria and Entropy Model Criteria about Body Mass Index of Elderly Females Using Morbidity of Chronic Disease

만성질환 이환율을 이용한 여자노인의 체질량지수에 대한 아시아-태평양지역 기준과 Entropy모델 기준 비교

  • Jeong, Gu-Beom (School of Computer Information, Kyungpook National University) ;
  • Park, Jin-Yong (Department of Microbiology, Gyeongsang National University Medical School) ;
  • Kwon, Se-Young (Department of Biomedical Laboratory Science, Daegu Health College) ;
  • Park, Kyung-Ok (Department of Statistics and Actuarial Science, Soongsil University) ;
  • Park, Pil-Sook (Department of Food Science & Nutrition, Kyungpook National University) ;
  • Park, Mi-Yeon (Department of Food & Nutrition, Gyeongsang National University)
  • 정구범 (경북대학교 컴퓨터정보학부) ;
  • 박진용 (경상대학교 의과대학 미생물교실) ;
  • 권세영 (대구보건대학교 임상병리과) ;
  • 박경옥 (숭실대학교 정보통계보험수리학과) ;
  • 박필숙 (경북대학교 식품영양학과) ;
  • 박미연 (경상대학교 식품영양학과)
  • Received : 2014.08.05
  • Accepted : 2014.10.05
  • Published : 2014.10.30
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Abstract

Objectives: This study was conducted to propose the need of re-establishing the criteria of the body weight classification in the elderly. We compared the Asia-Pacific Region Criteria (APR-C) with Entropy Model Criteria (ENT-C) using Morbidity rate of chronic diseases which correlates significantly with Body Mass Index (BMI). Methods: Subjects were 886 elderly female participating in the 2007-2009 Korea National Health and Nutrition Examination Survey (KNHANES). We compared APR-C with those of ENT-C using Receiver Operating Characteristics (ROC) curve and logistic regression analysis. Results: In the case of the morbidity of hypertension, the results were as follows: Where it was in the T-off point of APR-C, sensitivity was 67.5%, specificity was 43.1%, and Youden's index was 10.6. While in the cut-off point of ENT-C, it was 56.7%, 56.6%, and 13.3 respectively. In the case of the morbidity of diabetes, the results were as follows: In the cut-off point of APR-C, Youden's index was 14.2. While in the cut-off point of ENT-C, it was 17.2 respectively. The Area Under the ROC Curve (AUC) of the subjects who had more than 2 diseases among hypertension, diabetes, and dyslipidemia was 0.615 (95% CI: 0.578-0.652). Compared to the normal group, the odds ratio of the hypertension group which will belong to the overweight or obesity was 1.79 (95% CI: 1.30-2.47) in the APR-C, and 2.04 (95% CI: 1.49-2.80) in the ENT-C (p < 0.001). Conclusions: We conclude that the optimal cut-off point of BMI to distinguish between normal weight and overweight was $24kg/m^2$ (ENT-C) rather than $23kg/m^2$ (APR-C).

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