지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 307 - 318 (12page)
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초록· 키워드
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Background: With metabolic syndrome (MS) being a major risk factor for cardiovascular disease, and central obesity being a major predisposing factor for MS, intensive research is currently being performed on cutoff values according to race and sex. Menopause is an especially significant factor in designating cutoff values for female central obesity, as menopause brings sudden bodily changes that induce central obesity and increased prevalence of MS. Therefore this study aimed to investigate the cutoff values for the obesity index and its validity in predicting the criteria for MS in Korean women according to menstrual status.
Methods: The study focused on 3,103 women 20 years of age or older participating in the 2007 Korea National Health and Nutrition Examination Survey. Definitions of non-adipose components of MS were defined by the International Diabetes Federation, and menstrual status was judged on the basis of survey results. The sensitivity, specificity, and positive and negative predictive values of the central obesity index (body mass index [BMI], waist circumference [WC], waist-to-height ratio [WHtR])according to menstrual status for two or more non-adipose components of MS were calculated based on the Youden index.
Results: Area under the curve (AUC) values predicting the presence of two or more metabolic risk factors were higher in premenopausal women, with AUC values for BMI, WC, and WHtR being, in pre- and post-menopausal women, 23.1 kg/m2 vs.
23.9 kg/m2, 76.1 cm vs. 82.5 cm, and 0.49 vs. 0.53, respectively. The WC cut off (76 cm) for pre-menopausal women was found to be more sensitive and more effective at screening for MS risks than the cutoff value given by the Korea Society for the Study of Obesity.
Conclusion: The central obesity index showed better predictability for MS risk in pre-menopausal women. Because the central obesity index cutoff values are lower in pre-menopausal women, the possibility of metabolic risk can be considered for premenopausal women with WC lower than 85 cm. Assessment and control of other risks are needed accordingly for preventing the development of MS.
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참고문헌 (22)
참고문헌 신청
/ 2007 / Appropriate waist circumference cutoff points for central obesity in Korean adults / DIABETES RES CLIN PRACT 75 (1) : 72 ~ 80
/ 2009 / The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) coho
Alberti KG / 1998 / Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional
Alberti KG / 2005 / The metabolic syndrome: a new worldwide definition / Lancet 366 : 1059 ~ 1062
Chu FL / 2012 / Low predictability of anthropometric indicators of obesity in metabolic syndrome (MS) risks among elderly women / Arch Gerontol Geriatr 55 : 718 ~ 723
/ 2009 / The cutoff values of visceral fat area and waist circumference for identifying subjects at risk for metabolic syndrome in elderly Korean: Ansan Geriatric (AGE) coho
Alberti KG / 1998 / Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus provisional
Alberti KG / 2005 / The metabolic syndrome: a new worldwide definition / Lancet 366 : 1059 ~ 1062
Chu FL / 2012 / Low predictability of anthropometric indicators of obesity in metabolic syndrome (MS) risks among elderly women / Arch Gerontol Geriatr 55 : 718 ~ 723
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