Association between obesity-related indicators and prevalence of chronic diseases: A cross-sectional study of 13,155 Korean adults

Abstract

ObjectiveThe objective of this study was to evaluate the association between obesity-related indicators such as Body Mass Index (BMI) and A Body Shape Index (ABSI) and chronic diseases in Korean adults. MethodsData from the Sixth Korea National Health and Nutrition Examination Survey (KNHANES 6th) from 2013 to 2015 were analyzed. The total of 13,155 participants were selected for this analysis. The primary analysis was based on Chi-square test and multivariate logistic regression analysis to identify that BMI and ABSI were related to prevalence of diabetes, hypertension and dyslipidemia. ResultsAfter adjustment for covariates, the OR for hypertension of ABSI Q3 was significantly lower than the reference group (ABSI Q1), but there were not statistically significant in diabetes and dyslipidemia (Diabetes: OR 0.888, 95%CI 0.641–1.231; Hypertension: OR 0.723, 95% CI 0.555–0.942; Dyslipidemia: OR 0.959, 95%CI 0.717–1.282). According to BMI, adjusted OR of overweight group was significantly higher in diabetes (OR: 1.38, 95% CI: 1.08–1.78), hypertension (OR: 1.889, 95% CI:1.533–2.328) and dyslipidemia (OR: 1.330, 95% CI: 1.059–1.670) than that of reference group (Normal). ConclusionDespite the limitation of using BMI as a obesity-related indicator, due to the fact that muscle and fat accumulation is not considered, BMI is a better anthropometry investigator of diabetes, hypertension, and dyslipidemia for Koreans than ABSI.