Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

Prevalence of Metabolic Syndrome and Waist Circumference Estimation in Some Korean Adults

일부 우리나라 성인의 대사성증후군의 유병률과 허리둘레 예측치

  • Hong, Young-Seoub (Department of Preventive Medicine, College of Medicine, Dong-A University, The Research Society of Environmental Genetic Epidemiology) ;
  • Jeong, Baek-Geun (Department of Preventive Medicine, College of Medicine, Dong-A University, The Research Society of Environmental Genetic Epidemiology) ;
  • Park, Yong-Woo (Department of Family Medicine, College of Medicine, Sungkyunkwan University) ;
  • Park, Jong-Tae (Department of Occupational and Environmental Medicine, College of Medicine, Korea University) ;
  • Jung, Kap-Yeol (Department of Occupational Medicine, College of Medicine, Dong-A University) ;
  • Kim, Joon-Youn (Department of Preventive Medicine, College of Medicine, Dong-A University, The Research Society of Environmental Genetic Epidemiology) ;
  • Kim, Byoung-Gwon (Department of Occupational and Environmental Medicine, College of Medicine, Korea University)
  • 홍영습 (동아대학교 의과대학 예방의학교실 및 환경유전역학 연구회) ;
  • 정백근 (동아대학교 의과대학 예방의학교실 및 환경유전역학 연구회) ;
  • 박용우 (성균관대학교 의과대학 가정의학교실) ;
  • 박종태 (고려대학교 의과대학 산업의학교실) ;
  • 정갑열 (동아대학교 의과대학 산업의학교실) ;
  • 김준연 (동아대학교 의과대학 예방의학교실 및 환경유전역학 연구회) ;
  • 김병권 (고려대학교 의과대학 산업의학교실)
  • Published : 2004.03.01
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Abstract

Objectives : The purpose of this study was to estimate the prevalence of metabolic syndrome, as defined by the ATP III report, in some Korean adults and use the Asian-Pacific proposed waist circumference to investigate waist circumference in some Korean adults using ROC curves. Methods : Study subjects were seventy-five thousands and ninety one persons(47,979 men and 27,111 women) who were selected among the patients who visited hospital for health evaluation from January 2000 to December 2001. All subjects were measured by height, weight, waist and hip circumferences, blood pressure and blood chemistry(lipid profile). Results : The mean age was $41.6{\pm}8.5$ years in men, $41.1{\pm}10.4$ years in women(p<0.05). Body mass index was in the normal range in 35.3% of men, and 55.9% of women. In both men and women, blood pressure, blood sugar, total cholesterol and triglyceride were positively correlated with BMI. waist circumference, and Broca's index(p<0.01). However HDL. choloesterol was correlated negatively (p< 0.01). Using ROC curve, the calculated waist circumferences were 84 cm in men(sensitivity 61.4% and specificity 64.1%) and 74 cm in women(sensitivity 65.0% and specificity 73.2%). The age adjusted prevalences of the metabolic syndrome as defined by NCEP ATP III were different for men(6.4%) and women(14.6%). The prevalence increased from 1.2% among participants aged 20 through 29years to 15.0% among participants aged over 60years in men(p<0.05) and from 1.6% to 27.4% respectively, in women. The age adjusted prevalences, as defined by using the waist circumference that was recommended by WHO's regional office for the western Pacific, were 10.6% in men and 18.5% in women. The age adjusted prevalences, as defined by using the waist circumference that was calculated by the ROC curves, were 17.1% in men and 22.4% in women. And All prevalences were increased following increased BMI and Broca's index. Conculsions : The prevalence of metabolic syndrome in some Korean adults was lower than that in western adults. Nevertheless because waist circumference was differed among race and region, application of the same criteria was not proper. Morcover, a higher awareness was required in women, because the prevalence of metabolic syndrome was rapidly increased with increment of age.

Keywords

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