Seo Mi Hae, Kim Yang-Hyun, Han Kyungdo, Jung Jin-Hyung, Park Yong-Gyu, Lee Seong-Su, Kwon Hyuk-Sang, Lee Won-Young, Yoo Soon Jib
Division of Endocrinology, Department of Internal Medicine, Soonchunhyang University Gumi Hospital, Soonchunhyang University School of Medicine, Gumi, Korea.
Department of Family Medicine, Korea University College of Medicine, Seoul, Korea.
J Obes Metab Syndr. 2018 Mar 30;27(1):46-52. doi: 10.7570/jomes.2018.27.1.46.
The prevalence of obesity and related comorbidities is increasing worldwide, including in Korea. The Korean Society for the Study of Obesity released the Obesity Fact Sheet 2017 to address this problem in the Korean population.
Data from the National Health Insurance Service Health Checkup database from 2006 to 2015 were standardized by age and sex using the 2010 Census. The definition of obesity was a body mass index (BMI) ≥25 kg/m, and that of abdominal obesity was a waist circumference ≥90 cm in men and ≥85 cm in women. Multivariate adjusted Cox regression analysis was conducted, and hazard ratios (HRs) with 95% confidence intervals were calculated for comorbidities.
From 2009 to 2015, the prevalence of obesity increased from 29.7% to 32.4%, and that of abdominal obesity increased from 18.4% to 20.8%. Obesity with abdominal obesity also increased from 15.1% to 17.7%. Between 2014 and 2015, the prevalence of obesity increased until 30-40 years of age, but decreased from 40-50 years of age in men. In women, it increased until the mid-70s, and decreased thereafter. Abdominal obesity increased from 20-30 years of age to 70-80 years of age, but decreased thereafter. The HRs for type 2 diabetes mellitus, hypertension, dyslipidemia, myocardial infarction, and ischemic stroke were elevated in subjects with abdominal obesity, and their incidence increased as the BMI increased, but slowed down at BMI ≥35 kg/m.
Based on the Obesity Fact Sheet 2017, strategies for reducing the prevalence of obesity and abdominal obesity are essential.
肥胖及相关合并症在全球范围内呈上升趋势，韩国也不例外。韩国肥胖研究学会发布了《2017年肥胖情况说明书》以应对韩国人群中的这一问题。
利用2010年人口普查数据，对2006年至2015年国民健康保险服务健康检查数据库中的数据按年龄和性别进行标准化处理。肥胖的定义为体重指数（BMI）≥25kg/m²，腹型肥胖的定义为男性腰围≥90cm，女性腰围≥85cm。进行多变量调整的Cox回归分析，并计算合并症的风险比（HRs）及95%置信区间。
2009年至2015年，肥胖患病率从29.7%增至32.4%，腹型肥胖患病率从18.4%增至20.8%。伴有腹型肥胖的肥胖患病率也从15.1%增至17.7%。2014年至2015年期间，肥胖患病率在30至40岁之前呈上升趋势，但在男性40至50岁时开始下降。在女性中，肥胖患病率在70多岁中期之前呈上升趋势，之后下降。腹型肥胖患病率从20至30岁升至70至80岁，但此后下降。腹型肥胖患者患2型糖尿病、高血压、血脂异常、心肌梗死和缺血性中风的HRs升高，且其发病率随BMI增加而上升，但在BMI≥35kg/m²时增速放缓。
基于《2017年肥胖情况说明书》，制定降低肥胖和腹型肥胖患病率的策略至关重要。
