韩国成年人肥胖与身体素质、糖化血红蛋白水平及代谢综合征之间的关联。
Association between Obesity and Physical Fitness, and Hemoglobin A1c Level and Metabolic Syndrome in Korean Adults.
作者信息
Jekal Yoonsuk, Lee Mi-Kyung, Park Sukyung, Lee Seung-Hwan, Kim Jun-Young, Kang Jung-Ui, Naruse Masayo, Kim Sang-Hwan, Kim Sun-Hyeon, Chu Sang Hui, Suh Sang-Hoon, Jeon Justin Y
机构信息
Department of Sport and Leisure Studies, Yonsei University College of Education, Seoul, Korea.
出版信息
Korean Diabetes J. 2010 Jun;34(3):182-90. doi: 10.4093/kdj.2010.34.3.182. Epub 2010 Jun 30.
BACKGROUND
The purpose of the current study was to investigate the association of obesity level, physical fitness level, hemoglobin A1c (HbA1c) level and metabolic syndrome (MetS) risk factors among Korean adults.
METHODS
A total of 557 adults (272 males and 285 females) who underwent medical check-up at local hospital were recruited. In addition to regular health check-up, cardiopulmonary fitness, muscular endurance were measured and their association were analyzed.
RESULTS
The prevalence of MetS was 31.7% for males and 23.7% for females. Females with the higher muscular endurance had lower waist circumference, triglyceride level, and HbA1c level than those with the lower muscular endurance. Males with the higher level of cardiopulmonary fitness had lower diastolic blood pressure, lower high-sensitivity C-reactive protein level and higher high density lipoprotein cholesterol level than males with the lower level of cardiopulmonary fitness. Females with the higher level of cardiopulmonary fitness had lower body weight, body mass index, systolic blood pressure, and fasting blood glucose level than females with the lower level of cardiopulmonary fitness. Participants with the higher level of adiposity and the lower level of physical fitness were 5.26 times (95% confidence interval [CI], 2.19 to 12.62), 5.71 times (95% CI, 2.23 to 14.60) more likely to have MetS, respectively, in male and female compared to participants who were neither obese nor have the lower level of fitness.
CONCLUSION
This study suggests that maintaining a healthy body weight as well as a certain level of fitness is important for the prevention of MetS.
背景
本研究旨在调查韩国成年人肥胖水平、体能水平、糖化血红蛋白（HbA1c）水平与代谢综合征（MetS）风险因素之间的关联。
方法
招募了在当地医院进行体检的557名成年人（272名男性和285名女性）。除了常规健康检查外，还测量了心肺功能和肌肉耐力，并分析了它们之间的关联。
结果
男性MetS患病率为31.7%，女性为23.7%。肌肉耐力较高的女性比肌肉耐力较低的女性腰围、甘油三酯水平和HbA1c水平更低。心肺功能较高的男性比心肺功能较低的男性舒张压更低、高敏C反应蛋白水平更低且高密度脂蛋白胆固醇水平更高。心肺功能较高的女性比心肺功能较低的女性体重、体重指数、收缩压和空腹血糖水平更低。与既不肥胖也没有低体能水平的参与者相比，肥胖程度较高且体能水平较低的男性和女性参与者患MetS的可能性分别高5.26倍（95%置信区间[CI]，2.19至12.62）和5.71倍（95%CI，2.23至14.60）。
结论
本研究表明，保持健康体重以及一定水平的体能对预防MetS很重要。
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