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The Association of AUDIT Levels with Obesity Indices, Liver Function Tests, and Serum Lipid Levels in Male Health Checkup Examinees

건강검진 남성 수검자들의 알코올장애선별검사(AUDIT) 수준과 비만지표, 간기능검사치 및 혈청지질치와의 관련성

  • Kim, Seok-Ju (Department of Dental Hygiene, Daejeon Institute of Science and Technology) ;
  • Cho, Young-Chae (Department of Preventive Medicine and Public Health, Chungnam National University School of Medicine)
  • 김석주 (대전과학기술대학교 치위생과) ;
  • 조영채 (충남대학교 의학전문대학원 예방의학교실)
  • Received : 2015.01.22
  • Accepted : 2015.05.07
  • Published : 2015.05.31

Abstract

In this study, in an attempt to elucidate the relevance and the association between AUDIT level and health related indices such as obesity-related indices (BMI, waist circumference, body fat percentage), serum liver-enzyme levels (AST, ALT, GGT, total bilirubin) and serum lipid levels (TC, TG, HDL-C, LDL-C), data about including results of health checkup examination and questionnaire from 558 male examinees of 30-79 years old, who received a comprehensive health examination in the health promotion center of a university hospital during the period of January 1 to December 31, 2012, was analysed. As a results, the distribution of AUDIT rating of subjects was Zone I 58.2%, Zone II 25.3%, Zone III 7.0%, and Zone IV 9.5%. And AUDIT levels have significant relevance with age, smoking, body fat, GGT and TG. Especially, for the waist circumference, GGT and TG, the odds ratio indicating abnormality significantly increased in the higher AUDIT groups (Zone II~Zone IV) than a low-grade group (Zone I). This suggests that drinking problem with a high AUDIT level has a significant relevance with an abnormal increase of indices for obesity, serum liver-enzyme levels, serum lipid levels.

본 연구는 건강검진 남성 수검자들의 AUDIT 수준과 비만지표(BMI, 허리둘레, 체지방률), 간 기능 검사치(AST, ALT, GGT, 총빌리루빈) 및 혈청 지질치(TC, TG, HDL-C, LDL-C)와의 관련성을 규명하고자 2012년 1월 1일부터 12월 31일까지의 기간에 C대학교병원 건강증진센터에서 종합건강검진을 받았던 30~79세의 남성 수검자 558명을 대상으로 문진표와 건강검진결과자료를 분석하였다. 연구결과, 조사대상자의 AUDIT 수준은 Zone I 58.2%, Zone II 25.3%, Zone III 7.0%, Zone IV 9.5%로 나타났다. 또한 AUDIT 수준은 연령, 흡연, 체지방률, GGT 및 TG와 유의한 관련성이 있었으며, 특히 허리둘레, GGT 및 TG는 AUDIT 등급이 낮은 군(Zone I)보다 높은 군(Zone II~Zone IV)에서 비정상으로 나타날 위험비가 유의하게 상승하는 것으로 나타나고 있어 AUDIT 수준이 높아지는 문제음주는 비만지표, 간 기능 검사치 및 혈청 지질치의 비정상치의 증가와 유의한 관련성이 있음을 시사하고 있다.

Keywords

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