Japan Society for the Study of Obesity. New criteria for 'obesity disease' in Japan

DOI PubMed 被引用文献623件 参考文献62件

書誌事項

タイトル別名
  • New Criteria for 'Obesity Disease' in Japan.
  • Examination Committee of Criteria for 'Obesity Disease' in J, Japan Society for the Study of O New criteria for 'Obesity disease' in Japan
  • Japan ECoCfODi, Obesity JSftSo. New criteria for “obesity disease” in Japan
  • Japan Society for the Study of Obesity, New criteria for ׳obesity disease׳ in Japan
  • Japan Society for the Study of O. New criteria for ‘obesity disease’ in Japan

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説明

The present study was designed to establish adequate criteria for categorizing `obesity disease' in Japan in relation to obesity-related complications. The subjects were 1,193 Japanese subjects (775 men, 418 women; age: 20-84 years old, body mass index (BMI): 14.9-56.4 kg/m2) including subjects undergoing a health examination and obese subjects visiting an obesity clinic. Visceral fat area (VFA) and subcutaneous fat area (SFA) were determined by computed tomography (CT) at the umbilical level. Anthropometric parameters, including BMI, waist circumference (W), waist/hip circumference (W/H), ratio and waist circumference/body height (W/BH) ratio, were measured. Hyperglycemia, dyslipidemia, and hypertension were evaluated as obesity-related complications. The relationship between each parameter and the prevalence of the complications was investigated. The number of complications increased in accordance with BMI and the average value was greater than 1.0 at a BMI of 25. The best combination of the sensitivity and specificity for detecting subjects with multiple risk factors was a BMI of 25. BMI showed a close positive correlation with SFA (r=0.82), even for BMI ≥25 (r=0.77), but had a weaker correlation with VFA (r=0.54). The obese subjects with a BMI ≥25 had no correlation between BMI and VFA because of the wide individual variation of VFA. The number of disorders was greater than 1.0 at 100 cm2 of VFA and the best combination of the sensitivity and specificity for determining subjects with multiple risk factors was 100 cm2 of VFA. Between the simple anthropometric values and measurement of VFA, it was proven that W had the closest relationship with VFA in both men (r=0.68) and women (r=0.65). The regression line obtained from simple correlation analyses indicated that the W corresponding to 100 cm2 of VFA was 84.4 cm in men and 92.5 cm in women. These data suggest that obesity is adequately specified as a BMI ≥25 in Japan where the prevalence and degree of obesity remains mild. It is reasonable to establish the cut-off point of VFA at 100 cm2 as indicative of the risk of obesity-related disorders and a waist circumference of 85 cm in men and 90 cm in women approximates to this visceral fat mass. (Circ J 2002; 66: 987 - 992)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 66 (11), 987-992, 2002

    一般社団法人 日本循環器学会

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参考文献 (62)*注記

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詳細情報 詳細情報について

  • CRID
    1390001205105030912
  • NII論文ID
    110002666147
  • NII書誌ID
    AA11591968
  • DOI
    10.1253/circj.66.987
  • COI
    1:STN:280:DC%2BD38nlvFKgtg%3D%3D
  • ISSN
    13474820
    13469843
    http://id.crossref.org/issn/13469843
  • PubMed
    12419927
  • Web Site
    https://search.jamas.or.jp/link/ui/2003117484
  • 本文言語コード
    en
  • 資料種別
    journal article
  • データソース種別
    • JaLC
    • Crossref
    • PubMed
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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