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The Abnormal Rates of Blood Pressures and Blood Biochemical Properties with BMI in Health Checkup Examinees

건강검진 수검자들의 BMI에 따른 혈압, 혈액 및 혈액생화학적지표의 비정상치 분포

  • Park, Kyu-Ri (Department of Public Health, Graduate School of Chungnam National University) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine and Research Institute for Medical Sciences)
  • 박규리 (충남대학교 대학원 보건학과) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실 및 의학연구소)
  • Received : 2010.10.07
  • Accepted : 2010.12.17
  • Published : 2010.12.31

Abstract

The purpose of this study was to investigate the association of blood pressures, hematological and biochemical properties of blood according to the degree of obesity in health checkup examinees. Study subjects were 3,731 adults of 20 years and over (2,312 males, 1,419 females), who underwent health package check-up at the Korea Health Management Association from Jan. 2007 to Dec. 2009. As a result, the rates according to the degree of obesity of study subjects were 4.6% in low weight group, 44.3% in normal weight group, 25.0% in over weight group and 26.1% in obesity group. The over weight group were significantly higher in 40's age group than other groups, and the obesity group were significantly higher in 50's age group than other groups. The abnormal rates of SBP, DBP, TG, TC, HDL-C, LDL-C, ALT, AST in male were significantly higher than that of female. With respect to degree of BMI, the abnormal rates of SBP, DBP, TG, TC, HDL-C, LDL-C, ALT, AST, GGT, ALP were significantly increased with higher level of BMI. The age-adjusted odds ratio in the abnormal level of SBP, DBP, TG, TC, HDL-C, LDL-C, AST, ALT and GGT were significantly increased in overweight group and obese group than that of normal weight group.

본 연구는 일부 종합검진 수검자들을 대상으로 BMI에 따른 혈압, 혈액 및 혈액생화학적 지표의 비정상치 분포를 종합적으로 검토하고자 2007년 1월부터 2009년 12월까지의 기간에 한국건강관리협회의 한 건강검진센터에서 종합건강검진을 받았던 20세 이상의 지역주민 3,731명(남자 2,312명, 여자 1,419명)을 분석대상으로 하였다. 연구 결과 전체 연구대상자의 BMI 분포는 저체중군 4.6%, 정상체중군 44.3%, 과체중군 25.0%, 비만군 26.1%이었으며, 남녀 모두 과체중군은 40대군에서, 비만군은 50대군에서 다른 군에 비해 유의하게 높은 분포를 보였다. SBP, DBP, TG, TC, HDL-C, LDL-C, ALT, AST의 비정상치 비율은 여자보다 남자에서 높았고 Hb, Hct, GGT, ALP는 남자보다 여자에서 높았다. 또한 남녀 모두 BMI가 증가할수록 SBP, DBP, TG, TC, HDL-C, LDL-C, ALT, AST, GGT, ALP의 비정상치 비율이 유의하게 증가하였으며, Hb, Hct는 BMI가 감소할수록 비정상치 비율이 유의하게 증가하였다. SBP, DBP, TG, TC, HDL-C, LDL-C, AST, ALT 및 GGT가 비정상치를 나타내는 위험비는 남녀 모두 BMI가 정상인 군에 비해 과체중군과 비만군일 경우 유의하게 상승하였다.

Keywords

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