Chun Sunyoung, Lee Saerom, Son Hyo-Jae, Noh Hye-Mi, Oh Hye-Young, Jang Han Byul, Lee Hye-Ja, Kang Jae-Heon, Song Hong-Ji, Paek Yu-Jin, Park Kyung-Hee
Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea.
Department of Family Medicine, Kangdong Sacred Heart Hospital, Seoul, Korea.
Korean J Fam Med. 2015 Sep;36(5):233-8. doi: 10.4082/kjfm.2015.36.5.233. Epub 2015 Sep 18.
This study aimed to determine the prevalence of metabolically healthy and unhealthy obesity (MHO and MUO, respectively) and examine the demographic, anthropometric, and lifestyle predictors of metabolic health status in Korean children and adolescents.
This study was based on data collected from the Korean Children-Adolescent Study in 2010. A total of 1,700 children (846 boys and 854 girls) were included in the primary cohort and classified into metabolically healthy and unhealthy groups according to factors related to the metabolic syndrome. Demographic and biochemical features were evaluated in study participants. Logistic regression estimated the odds ratios of having more fat mass among MUO compared with MHO children after adjusting for confounding factors.
Mean body mass index was higher in the MUO group than in the MHO group (24.83 vs. 23.02 kg/m(2), respectively). The proportion of obese participants was also higher in the MUO group (59.4%) than in the MHO group (20.7%). MHO children were more likely to have parents with better socioeconomic status and a higher fruit and vegetable intake compared with MUO children. Higher fat mass and percent fat was associated with MUO according to multiple logistic regression analysis.
Fat mass and percent fat are associated with metabolically healthy phenotypes of obesity among children and adolescents.
本研究旨在确定代谢健康型肥胖和代谢不健康型肥胖（分别为MHO和MUO）的患病率，并研究韩国儿童和青少年代谢健康状况的人口统计学、人体测量学和生活方式预测因素。
本研究基于2010年韩国儿童青少年研究收集的数据。共有1700名儿童（846名男孩和854名女孩）纳入主要队列，并根据与代谢综合征相关的因素分为代谢健康组和代谢不健康组。对研究参与者的人口统计学和生化特征进行了评估。在调整混杂因素后，采用逻辑回归估计MUO儿童与MHO儿童相比脂肪量更多的比值比。
MUO组的平均体重指数高于MHO组（分别为24.83 vs. 23.02 kg/m²）。MUO组肥胖参与者的比例（59.4%）也高于MHO组（20.7%）。与MUO儿童相比，MHO儿童的父母更有可能具有更好的社会经济地位，且水果和蔬菜摄入量更高。根据多元逻辑回归分析，较高的脂肪量和体脂百分比与MUO相关。
脂肪量和体脂百分比与儿童和青少年肥胖的代谢健康表型相关。
