Journal of the Korean Pediatric Society 2003;46(3):217-223.
Published online March 15, 2003.
Effective Screening Test for Obesity in Obese Adolescents and the Correlation Among Obesity Index, Body Mass Index and Serum Lipid Profile
Tae Jung Sung1, Dal Hyun Kim1, Young Jin Hong1, Byong Kwan Son1, Kyung Ja Chang2, Jun Young Park3, Soon Ki Kim1
1Department of Pediatrics, College of Medicine, Inha University, Incheon, Korea
2Department of Food and Nutrition, Inha University, Incheon, Korea
3Korea Association of Health Promotion
청소년에서 유용한 비만의 선별검사와 비만도, BMI 및 혈청지질과의 관계
성태정1, 김달현1, 홍영진1, 손병관1, 장경자2, 박준영3, 김순기1
1인하대학교 의과대학 소아과학교실
2인하대학교 식품영양과
3한국 건강관리협회
Correspondence: 
Soon Ki Kim, Email: pedkim@inha.ac.kr
Abstract
Purpose
: Every year, there is a remarkable increase in the prevalence of children with excess body fat. The aim of this study is to find a useful screening method in assessing adolescent, obesity and to specify the predictable risk factors that are related to adult cardiovascular disease according to BMI and obesity index.
Methods
: From July to November in 2001, a total of 2,814(male : female=2,011 : 803) mid to high school students who were in the obesity range according to obesity index(>20%) were evaluated according to height, weight, body mass index(BMI), obesity index, and serum lipid levels.
Results
: Among the obese students over 20% by obesity index, 86.6% were over the range of 95 percentile by BMI. Among students defined as obese by BMI, 21.0% of males and 21.4% of females students had hypercholesterolemia; by obesity index, the ratio was 20.7% male and 19.0% female. The frequency of hypertriglyceremia in male students was 15.0% in group I(overweight group, 85P< BMI<95P), 23.2% in group II(obese, 95P 97p); in female students 11.8%, 20.7% and 28.2% respectively.
Conclusion
: In this study, using BMI alone to test the serum lipid level in adolescent obesity had a limit of 10.0-17.0% omission. Therefore using obesity index as a screening method to find the adult cardiovascular disease would rather reduce the omission rate. The risk factor of cardiovascular disease according to BMI was the increasing level of triglyceride in both male and female students. We think that using the obesity index has more rationale rather than BMI in assessing lipid profiles.
Key Words: Obesity index, Body mass index(BMI), Serum lipid profile


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