Future Medicine Division, Korea Institute of Oriental Medicine, Deajeon, 305-811, Republic of Korea.
Sci Rep. 2021 May 11;11(1):9931. doi: 10.1038/s41598-021-89422-x.
Whether anthropometric or body composition indices are better indicators of metabolic risk remains unclear. The objectives of this study were to compare the association of metabolic risk factors with anthropometric and body composition indices and to identify the better indicators for risk factors in a large-scale Korean population. In this cross-sectional study, the associations of body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) as anthropometric indices and trunk fat mass (TFM), percent trunk fat mass (%TFM), whole-body total fat mass (WBTFM), and percent whole-body total fat mass (%WBTFM) as body composition indices with metabolic risk factors were compared by complex-samples multiple logistic regression models based on complex-sample survey data. In men, WHtR, BMI, and TFM were similarly associated with hypertension. Diabetes, hyperlipidemia, and hypo-high-density lipoprotein (HDL) cholesterolemia tended to be more strongly associated with WHtR and WC than body composition indices. Hypertriglyceridemia and hypercholesterolemia were more strongly associated with WHtR and %TFM than other indices. In women, hypertension tended to be more strongly associated with WHtR than other indices. TFM, %TFM, and WHtR were similarly associated with hyperlipidemia. Diabetes and hypo-HDL cholesterolemia were more strongly associated with WHtR and WC than body composition indices. Hypertriglyceridemia and hypercholesterolemia were more strongly associated with WHtR and %TFM than other indices. Among six metabolic risk factors, the validity and utility of the anthropometric indices in identifying risk factors tended to be similar to or better than those of the body composition indices, except for hypertension and hypercholesterolemia in men and hyperlipidemia and hypercholesterolemia in women.
无论人体测量学或身体成分指数是更好的代谢风险指标仍不清楚。本研究的目的是比较代谢危险因素与人体测量学和身体成分指数的相关性，并确定在大规模韩国人群中危险因素的更好指标。在这项横断面研究中，根据复杂样本调查数据，采用复杂样本多元逻辑回归模型，比较了体质指数（BMI）、腰围（WC）和腰高比（WHtR）作为人体测量学指标，以及躯干脂肪量（TFM）、躯干脂肪百分比（%TFM）、全身总脂肪量（WBTFM）和全身总脂肪百分比（%WBTFM）作为身体成分指标与代谢危险因素的相关性。在男性中，WHtR、BMI 和 TFM 与高血压的相关性相似。糖尿病、高脂血症和低高密度脂蛋白（HDL）血症与 WHtR 和 WC 的相关性比身体成分指数更密切。高甘油三酯血症和高胆固醇血症与 WHtR 和 %TFM 的相关性比其他指数更强。在女性中，高血压与 WHtR 的相关性比其他指数更强。TFM、%TFM 和 WHtR 与高脂血症的相关性相似。糖尿病和低 HDL 血症与 WHtR 和 WC 的相关性比身体成分指数更密切。高甘油三酯血症和高胆固醇血症与 WHtR 和 %TFM 的相关性比其他指数更强。在六个代谢危险因素中，除了男性的高血压和高胆固醇血症以及女性的高脂血症和高胆固醇血症外，人体测量学指标在识别危险因素方面的有效性和实用性与身体成分指数相似或更好。
