Department of Sports Science, Seoul National University of Science and Technology, 232 Gongneung-ro, Nowon-gu, Seoul 01811, Korea.
School of Sport and Exercise Science, University of Ulsan, 93 Daehak-ro, Nam-gu, Ulsan 44610, Korea.
Int J Environ Res Public Health. 2020 Nov 30;17(23):8925. doi: 10.3390/ijerph17238925.
The aim of this study was to investigate the cardiometabolic risk factors (CRFs) in community dwelling men based on a combination of body mass index (BMI) and waist circumference (WC). This cross-sectional study was based on 867 males between the ages of 20 and 71 years. Subjects were categorized into 4 groups by BMI and WC (Group 1, BMI < 25 kg/m and WC < 90 cm; Group 2, BMI < 25 kg/m and WC > 90 cm; Group 3, BMI > 25 kg/m and WC < 90 cm; and Group 4 BMI > 25 kg/m and WC > 90 cm). The proportion of subjects with a normal weight with high WC was 3.2%. Among normal weight men with the high range of WC, significantly high Odds ratios (ORs) and 95% CI were found for hypertriglyceridemia (3.8, 1.8-8.2) and high blood glucose (3.2, 1.5-6.9). The probability that the general obesity group (Group 3) had one CRF was around twice that of the reference group (Group 1) (1.9 to 2.1 times), but Group 2 had probability more than 4 times higher (4.3 to 4.6 times). In community dwelling adult men, normal weight with high waist circumference was associated with the highest cardiometabolic risk. In conclusion, follow-up screening of those with high WC may be necessary to detect and prevent cardiometabolic diseases, particularly for men with a normal weight.
本研究旨在探讨基于体重指数（BMI）和腰围（WC）组合的社区男性居民的心血管代谢危险因素（CRFs）。本横断面研究基于 20 至 71 岁的 867 名男性。根据 BMI 和 WC 将受试者分为 4 组（第 1 组，BMI<25kg/m 且 WC<90cm；第 2 组，BMI<25kg/m 且 WC>90cm；第 3 组，BMI>25kg/m 且 WC<90cm；第 4 组，BMI>25kg/m 且 WC>90cm）。WC 高但体重正常的受试者比例为 3.2%。在 WC 处于高范围但体重正常的男性中，发现高甘油三酯血症（3.8，1.8-8.2）和高血糖（3.2，1.5-6.9）的比值比（OR）和 95%CI 显著升高。一般肥胖组（第 3 组）发生 1 项 CRF 的概率约为参考组（第 1 组）的两倍（1.9 至 2.1 倍），但第 2 组的概率高 4 倍以上（4.3 至 4.6 倍）。在社区成年男性中，腰围高但体重正常与最高的心血管代谢风险相关。总之，对于腰围高的人群，可能需要进行随访筛查以发现和预防心血管代谢疾病，尤其是对于体重正常的男性。
