Kim Yang-Hyun, Han Kyungdo, Son Jang-Won, Lee Seong-Su, Oh Sang Woo, Kwon Hyuk-Sang, Shin Soon-Ae, Kim Yeon-Yong, Lee Won-Young, Yoo Soon Jib
Department of Family Medicine, Korea University College of Medicine, Seoul, Korea.
Department of Biostatistics, The Catholic University of Korea, Seoul, Korea.
J Obes Metab Syndr. 2017 Mar;26(1):23-27. doi: 10.7570/jomes.2017.26.1.23. Epub 2017 Mar 30.
In Korea, the prevalence of obesity has steadily increased, and the socioeconomic burden of obesity has increased along with it. In 2015, the National Health Insurance Service (NHIS) signed a memorandum of understanding with the Korean Society for the Study of Obesity (KSSO), providing limited open access to its databases so that the status of obesity and obesity management could be investigated.
Using NHIS databases, we analyzed nationwide population-based studies for obesity using the definition of obesity (body mass index ≥25 kg/m) in subjects over the age of 20. Age and sex standardization were used for all data.
The KSSO released the 'Obesity Fact Sheet 2016' using the 2006-2015 NHIS Health Checkup database. The prevalence of obesity steadily increased from 28.7% in 2006 to 32.4% in 2015, and the prevalence of abdominal obesity also steadily increased from 18.4% in 2009 to 20.8% in 2015. The prevalence of class II obesity steadily increased from 2006 to 2015, such that the total prevalence was 4.8% in 2015 (5.6% in men and 4.0% in women). The highest prevalence of obesity was found in Jeju Island, while the lowest prevalence was found in Daegu City. The highest prevalence of abdominal obesity was also found in Jeju Island, while the lowest prevalence was found in Gwangju City.
Based on the Obesity Fact Sheet 2016, a strategy for reducing the prevalence of obesity is needed, especially in Korean men.
在韩国，肥胖症的患病率稳步上升，与之相伴的是肥胖症带来的社会经济负担也在增加。2015年，国民健康保险服务（NHIS）与韩国肥胖研究学会（KSSO）签署了一份谅解备忘录，有限度地开放其数据库，以便对肥胖症状况及肥胖管理情况进行调查。
利用NHIS数据库，我们对20岁以上人群中符合肥胖定义（体重指数≥25千克/平方米）的肥胖情况进行了全国性的基于人群的研究。所有数据均进行了年龄和性别标准化处理。
KSSO利用2006 - 2015年NHIS健康检查数据库发布了《2016年肥胖情况说明书》。肥胖症患病率从2006年的28.7%稳步上升至2015年的32.4%，腹型肥胖患病率也从2009年的18.4%稳步上升至2015年的20.8%。二级肥胖症患病率从2006年到2015年稳步上升，2015年的总患病率为4.8%（男性为5.6%，女性为4.0%）。肥胖症患病率最高的是济州岛，最低的是大邱市。腹型肥胖患病率最高的也是济州岛，最低的是光州市。
基于《2016年肥胖情况说明书》，需要制定一项降低肥胖症患病率的策略，尤其是针对韩国男性。
