한국 성인들의 비만도 수준 및 종합 체력수준에 따른 대사 증후군 위험요인 및 발생위험률에 미치는 영향

Abstract

It is well known that obesity increases the risk of metabolic syndrome(MetS); however, the associations between total fitness (muscular strength, muscle endurance, flexibility and balance) and MetS risk factors among Korean adults still need to be studied. The purpose of this study was to examine the effects of obesity and total fitness level on MetS risk factors and prevalence of MetS in Korean adults. A total of 994(M:178, F:816) Korean adults participated in the exercise program held at the Health Promotion Center. We measured total fitness, BMI(Bady Mass Index) and MetS risk factors including waist-circumference(WC), glucose, triglyceride(TG), high density lipoprotein cholesterol(HDLC), systolic blood pressure(SBP), and diastolic blood pressure(DBP). The total fitness level was measured grip strength, sit-up, sit and reach, and one-leg standing. As a results, after adjusted for age and sex, when subjects were divided into four groups according to total fitness level and BMI, low fitness and high BMI(25kg/m²≤BMI) group showed the worst consequences of metabolic syndrome risk factors. The prevalence of MetS in the low fitness and high BMI group was 4.96 times higher than the high fitness and low BMI group[OR: 4.96, 95% (CI): 3.12-7.89]. High physical fitness and low BMI are very important to decrease the prevalence of MetS.