Combined effect of body mass index and body size perception on metabolic syndrome in South Korea: results of the fifth Korea National Health and Nutrition Examination Surveys (2010-2012)

BMC Public Health

Research Article

Sun Jung Kim¹  Sook Hee Yoon²  Tae Yong Sohn³  Byungyool Jeon⁴  Eun-Cheol Park⁴  Kyu-Tae Han⁵  Woorim Kim⁵ 

[1] Department of Health Administration, Namseoul University, Cheonan, Republic of Korea;Department of Health Policy and Management, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea;Department of Health Services Administration, Yuhan University, Bucheon, Republic of Korea;Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea;Department of Public Health, Graduate School, Yonsei University, Seoul, Republic of Korea;Institute of Health Services Research, Yonsei University College of Medicine, Seoul, Republic of Korea;

关键词: Metabolic syndrome;    Body mass index;    BMI;    Perception of body size;    Combined effect;   

DOI  :  10.1186/s12889-015-1839-6

 received in 2015-02-24, accepted in 2015-05-13,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundBody mass index (BMI) has been used as an indirect predictor for the risk of metabolic syndrome. However, there are challenges in evaluating the risk of metabolic syndrome using BMI in certain parts of the world. Therefore, it is worth exploring additional factors that could supplement BMI to predict the risk of metabolic syndrome. In this study, we assessed the combined effect of BMI and perception for predicting metabolic syndrome.MethodsWe used the fifth Korea National Health and Nutrition Examination Surveys (KNHANES V, 2010–12, N = 16,537) in this study. Multivariable logistic regression analysis was performed to examine the association while controlling for potential confounding variables. We also performed an analysis for the combined effect of BMI and perception of body size, and subgroup analysis by age group or moderate physical activity.ResultsData from 16,537 participants were analyzed in this study (males: 6,978, females: 9,559). Among them, metabolic syndrome was diagnosed in 1,252 (17.9 %) males and 2,445 (25.6 %) females, respectively. The combination of BMI and body size perception had a positive relation with the presence of metabolic syndrome. People who perceived themselves to be overweight for their body size had a higher risk for metabolic syndrome even if they have the same BMI.ConclusionOur findings suggest that the combination of body size perception and BMI is useful in predicting the risk of metabolic syndrome. The use of complementary predictors could reduce the risk for inaccurate prediction of metabolic syndrome.

【 授权许可】

Unknown   
© Yoon et al. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.