The 5th Division the Medical Battalion of the Republic of Korea Armed Forces, Yeoncheon, Korea.
Division of Endocrinology and Metabolism, Department of Internal Medicine, Inha University Hospital, Inha University School of Medicine, Incheon, Korea.
J Korean Med Sci. 2018 May 14;33(25):e172. doi: 10.3346/jkms.2018.33.e172. eCollection 2018 Jun 18.
Obesity and related metabolic disorders are growing health challenges worldwide and individuals at military service are not exceptions. The purpose of this study was to examine the prevalence of obesity and metabolic syndrome (MS) in the Korean military and to compare with the general population.
This was a cross-sectional study of 4,803 young military participants who underwent a corporal health-screening program between October 2013 and October 2014. The National Cholesterol Education Program Adult Treatment Panel III criteria was used to identify MS. We also sampled 1,108 men aged 19-29 years from the Korea National Health and Nutritional Examination Survey from 2010 to 2013 to compare with their military counterparts.
The mean age of military participants was 20.8 ± 1.1 years, and 20.6% (n = 988) were obese. The prevalence of MS was 0.8% in military participants, while 7.9% in general population. The risk factors of MS were less prominent among military participants relative to civilians, with the exception of high blood pressure, of which prevalence was higher among military participants (21.5% vs. 18.2%, respectively). In multiple logistic analysis, high physical activity conferred lower odds of MS and obesity in military participants (odds ratios, 0.19 and 0.81, respectively). Age older than 25 years increased risk of most components of MS among civilians.
The prevalence of obesity and MS is lower in military participants compared with civilians of similar age. Monitoring of high blood pressure and proper stress management are warranted in those at military service.
肥胖和相关代谢紊乱是全球日益严重的健康挑战，军人也不例外。本研究旨在调查韩国军人肥胖和代谢综合征（MS）的流行情况，并与普通人群进行比较。
这是一项横断面研究，纳入了 2013 年 10 月至 2014 年 10 月期间参加下士健康筛查计划的 4803 名年轻军人。采用美国国家胆固醇教育计划成人治疗专家组 III 标准来确定 MS。我们还从 2010 年至 2013 年的韩国国家健康和营养调查中抽取了 1108 名 19-29 岁的男性与他们的军人同行进行比较。
军人参与者的平均年龄为 20.8±1.1 岁，20.6%（n=988）为肥胖。军人参与者 MS 的患病率为 0.8%，而普通人群为 7.9%。与平民相比，MS 的危险因素在军人参与者中不太明显，除了高血压，军人参与者中高血压的患病率更高（分别为 21.5%和 18.2%）。在多因素 logistic 分析中，较高的身体活动水平使军人参与者患 MS 和肥胖的几率降低（比值比分别为 0.19 和 0.81）。年龄大于 25 岁会增加平民中大多数 MS 成分的风险。
与年龄相仿的平民相比，军人肥胖和 MS 的患病率较低。对军人进行高血压监测和适当的压力管理是必要的。
