Association Between Obesity Types and Risk Factors of Lifestyle Related Disease

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  • 肥満のタイプと生活習慣病危険因子の関連性について
  • ヒマン ノ タイプ ト セイカツ シュウカンビョウ キケン インシ ノ カンレンセイ ニ ツイテ

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Objective: In ningen dock of our hospital, body mass index (BMI), percent body fat, and waist circumference are used as obesity parameters. We classified obesity into 4 types using combinations of these parameters, and compared values of examination items associated with risk factors of lifestyle related disease among the 4 types. Methods: The subjects were 1,527 males and females (mean age: 48.17 years in the males and 47.9 years in the females)who underwent ningen dock. The subjects were classified according to obesity types into 4groups (non-obesity group and groups with hidden, apparent, or true obesity) using the combination of BMI and percent body fat or BMI and waist circumference as parameters. The mean values of blood pressure, serum lipid, blood glucose, and uric acid and the incidence of subjects with abnormal fatty liver findings evaluated by abdominal ultrasonography were compared among the 4 groups. Results: Using either combination (BMI/percent body fat or BMI/waist circumference) as a parameter, definite differences were observed in the examination items associated with the risk factors of lifestyle related disease between the non-obesity group and the obesity groups (hidden/apparent/true). In the males, using either combination as a parameter, a significant difference was observed in every examination item between the non-obesity group and the hidden obesity group. Conclusions: Our results showed definite associations between obesity and the examination items associated with lifestyle related disease. The measurements of percent body fat and waist circumference are useful for the determination of obesity and can be parameters for the evaluation of the influences of obesity on examination items closely associated with lifestyle related disease. However, further studies are necessary to establish the standard for female waist circumference.

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