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Korean J Fam Med > Volume 31(6); 2010 > Article
Korean Journal of Family Medicine 2010;31(6):430-436.
DOI: https://doi.org/10.4082/kjfm.2010.31.6.430    Published online June 20, 2010.
Changes in Blood Pressure, Blood Glucose, and Lipid Profile Caused by Changes of Weight, Percent Body Fat, and Waist Circumference in Adult Men with Normal Weight and Waist Circumference.
Ho Chun Choi, Hyun Jin Kim, Seong Jun Min, Kiheon Lee, Kyung Woo Kim, Seung Min Oh, Tae Woo Yoo
1Department of Family Medicine, Seoul National University Hospital, Seoul, Korea.
2Department of Family Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.
3UNHP Center, Seoul, Korea. skyho331@hanmail.net
정상 체중 및 허리둘레를 갖는 성인 남자에서 체중, 체지방률, 허리둘레의 변화에 따른 혈압, 혈당, 지질 수치의 변화
최호천, 김현진, 민성준, 이기헌, 김경우, 오승민, 유태우
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Abstract
Background
Metabolic indexes (blood pressure, blood glucose, and lipid) differ depending on lower or upper normal value of obesity indexes (weight, percent-body-fat, and waist circumference) despite normal value. Therefore, we examined metabolic indexes changes across obesity indexes changes. Methods: We analyzed 344 adult men who received routine-checkups with normal weight and waist circumference before and after follow-up. We used multiple-linear-regression to examine associations between changes of obesity indexes and metabolic indexes before and after follow-up. We examined differences of metabolic indexes by t-test and odds ratios of normal or abnormal metabolic indexes by multiple-logistic-regression in groups where obesity indexes were increased and decreased.Results: The mean follow-up was 1.38 ± 0.32 years and there were associations between weight change rate and changes in systolic-blood-pressure (SBP), diastolic-blood-pressure (DBP), triglyceride (TG), and high–density-lipoprotein (HDL) (P = 0.001, 0.03, 0.001, 0.01), associations between percent-body-fat change and changes in SBP, DBP, fasting-blood-glucose (FBG) and TG (P = 0.02, 0.002, < 0.001, 0.03), and associations between waist circumference change rate and changes in FBG, TG, HDL (P = 0.01, 0.01, 0.02). There were significant SBP and HDL differences in weight decrease and increase groups (P = 0.04, < 0.001), FBG difference in percent-body-fat decrease and increase groups (P = 0.01), and FBG and TG differences in waist circumference decrease/increase groups (P = 0.03, 0.03). As compared with percent-body-fat decrease group, percent-body-fat increase group had odds ratio of FBG ≥ 100 of 2.98 (95% confidential interval [CI], 1.18 to 7.51) with a significance on only FBG of initially normal metabolic components and conversely percent-body-fat decrease group had odds ratio of FBG < 100 of 3.22 (95% CI, 1.21 to 8.60) with a significance on only FBG of initially abnormal metabolic components. Conclusion: Increased obesity indexes even within normal range, could change metabolic indexes.
Key Words: Body Mass Index; Waist Circumference; Percent Body Fat; Weight; Blood Pressure; Fasting Blood Glucose; Lipid
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