Department of Statistics and Actuarial Science, Soongsil University, Seoul, Korea.
Department of Medicine, Seoul National University College of Medicine, Seoul, Korea.
Endocrinol Metab (Seoul). 2024 Oct;39(5):678-685. doi: 10.3803/EnM.2024.2056. Epub 2024 Aug 2.
The prevalence of obesity in Korea has steadily increased over the past decade, reaching 38.4% in 2021. Notably, the rate of class II- III obesity, defined as a body mass index (BMI) of 30 kg/m2 or higher, exceeded 7% in the same year. Since January 2019, the National Health Insurance Service (NHIS) has provided coverage for bariatric surgery (BS) for eligible patients. Coverage is available for individuals with a BMI of 35 kg/m2 or higher, or those with a BMI of 30 kg/m2 or higher who also have obesity-related comorbidities. Additionally, partial reimbursement is offered for BS in patients with type 2 diabetes mellitus who have BMI values between 27.5 and 30 kg/m2. From 2019 to 2022, the NHIS recorded 9,080 BS procedures, with sleeve gastrectomy being the most commonly performed. The average percentage of weight loss 198±99.7 days post-surgery was 17.9%, with 80.0% of patients losing more than 10% of their body weight. This article presents the trends in obesity and BS in Korea.
在过去的十年中，韩国的肥胖患病率稳步上升，2021 年达到 38.4%。值得注意的是，同年，二类和三类肥胖（BMI 指数达到 30kg/m2 或更高）的发生率超过了 7%。自 2019 年 1 月起，国家健康保险服务（NHIS）开始为符合条件的患者提供减重手术（BS）的保险。该保险覆盖 BMI 指数达到 35kg/m2 或更高的人群，或 BMI 指数达到 30kg/m2 或更高且患有肥胖相关合并症的人群。此外，对于 BMI 值在 27.5 到 30kg/m2 之间的 2 型糖尿病患者，BS 也可获得部分报销。2019 年至 2022 年，NHIS 共记录了 9080 例 BS 手术，其中最常见的是袖状胃切除术。术后 198±99.7 天的平均减重百分比为 17.9%，80.0%的患者体重减轻超过 10%。本文介绍了韩国肥胖和 BS 的趋势。
