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NTIS 바로가기대한소아소화기영양학회지 = Korean journal of pediatric gastroenterology and nutrition, v.13 no.2, 2010년, pp.180 - 192
길주현 (이화여자대학교 의학전문대학원 소아과학교실) , 이미나 (이화여자대학교 의학전문대학원 소아과학교실) , 이혜아 (이화여자대학교 의학전문대학원 예방의학교실) , 박혜숙 (이화여자대학교 의학전문대학원 예방의학교실) , 서정완 (이화여자대학교 의학전문대학원 소아과학교실)
Purpose: To evaluate the feasibility and usefulness of the waist circumference-to-height ratio (WHTR) in screening for obesity in Korean children and adolescents. Methods: Data, including body mass index (BMI), waist circumference (WC), and height, were obtained from the national growth surveys for ...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
소아청소년기 비만이 안 좋은 이유는? | 5배 가량 증가하였다2,3). 소아청소년기 비만은 성인 비만으로 이어지고4), 제2형 당뇨병, 고혈압, 심혈관계 질환과 같은 성인질환이 조기에 심하게 나타나게 되며, 특히 복부 비만은 심혈관계 질환 발생의 예측인자이다5-7). 또한 소아청소년기에 천식과 골절의 위험도가 높고, 고혈압, 인슐린 내성, 고지혈증 등의 대사위험인자가 이미 발견되고 있으며8,9), 이외에도 학업성취, 정신심리적인 건강, 학교생활에의 적응 등에서 다양한 심신의 문제를 일으킨다10). 따라서, 소아청소년기 건강을 지키고 비만 연관 질환을 예방하기 위하여 과체중과 비만을 선별하여 조기에 중재하는 것이 중요하다10). | |
과체중과 비만은 일반적으로 무엇으로 정의하는가? | BMI는 체지방과의 연관성은 좋으나11), 근육량이 많거나 키가 작은 경우 정확하게 평가할 수 없고, 체지방 분포를 반영하지 못하여 복부비만을 선별할 수 없다는 단점이 있다11,12). 과체중과 비만은 일반적으로 BMI나 상대체중을 이용한 비만도로 정의하고 있으나, BMI 25 kg/m2나 30 kg/m2, 표준체중의 120% 이상 등 단일비만기준을 사용하는 성인10,13)과는 달리, 소아청소년에서는 인종에 따른 연령별, 성별 표준체중이나 BMI 백분위수를 참고하여 판단하므로, 일반인이 비만여부를 쉽게 알 수 없다. | |
체질량지수의 단점은? | 다양한 비만의 기준이 있으나, 체질량지수(body mass index, BMI)가 인구집단을 대상으로 비만을 선별하기 위하여 보편적으로 쓰이고 있다. BMI는 체지방과의 연관성은 좋으나11), 근육량이 많거나 키가 작은 경우 정확하게 평가할 수 없고, 체지방 분포를 반영하지 못하여 복부비만을 선별할 수 없다는 단점이 있다11,12). 과체중과 비만은 일반적으로 BMI나 상대체중을 이용한 비만도로 정의하고 있으나, BMI 25 kg/m2나 30 kg/m2, 표준체중의 120% 이상 등 단일비만기준을 사용하는 성인10,13)과는 달리, 소아청소년에서는 인종에 따른 연령별, 성별 표준체중이나 BMI 백분위수를 참고하여 판단하므로, 일반인이 비만여부를 쉽게 알 수 없다. |
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