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Association between Obesity and the Prevalence of Disc Herniation Diseases Based on Cohort Data

코호트 자료를 기반으로 한 추간판 탈출증 유병율과 비만도와의 상관관계 분석

  • Jieun Kim (Department of Korean Medicine Rehabilitation, Wonkwang University Jeonju Korean Medical Hospital) ;
  • Hoseok Kim (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Kyungsik Jeong (KM Data Division, Korea Institute of Oriental Medicine) ;
  • Seungwon Paik (Department of Korean Medicine Rehabilitation, Wonkwang University Jeonju Korean Medical Hospital) ;
  • Sukyung Lee (Department of Korean Medicine Rehabilitation, Wonkwang University Jeonju Korean Medical Hospital)
  • 김지은 (원광대학교 전주한방병원 한방재활의학과) ;
  • 김호석 (한국한의학연구원 한의약데이터부) ;
  • 정경식 (한국한의학연구원 한의약데이터부) ;
  • 백승원 (원광대학교 전주한방병원 한방재활의학과) ;
  • 이수경 (원광대학교 전주한방병원 한방재활의학과)
  • Received : 2024.09.17
  • Accepted : 2024.10.05
  • Published : 2024.10.31

Abstract

Objectives This study is aimed to investigate the association between obesity, abdominal obesity and the prevalence of disc herniation disease (DHD). Methods Body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), DHD prevalence and component data were extracted and analyzed from the final 8,027 participants in sasang constitution district cohort data which is collected from Korean medicine data center. Obesity was classified based on BMI, abdominal obesity was classified based on WC, WHR. Cross-analysis and analysis of covariance (ANCOVA) were performed, and the significance level was set to p<0.05. Results In general characteristics, the proportion of women and the mean age were significantly higher in DHD group. The mean of BMI, WC and WHR was also significantly higher in DHD group. The proportion of overweight and obese (based on BMI) was significantly higher in DHD group. The proportion of abdominal obese (based on WC, WHR) was also significantly higher in DHD group. However, when the subjects were analyzed separately by sex, the mean of WC and WHR were significantly higher in DHD group, but there was no significant difference in BMI. The mean of WHR by obesity group was significantly higher in DHD group just in the normal and underweight group. As the result of ANCOVA with sex and age as covariate, the mean of WHR was affected by age, but the mean of WC and BMI showed a significant difference regardless of sex and age effect. Conclusions Obesity and abdominal obesity are positively associated with disc herniation disease and it can be affected by sex and age.

Keywords

Acknowledgement

This paper was supported by Wonkwang University in 2024.

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