探討腰圍對健康問題之影響－以南台灣民眾為例

The Implications of Waist Circumference on Medical Problems

蔡文玲(Wen-Ling Tsai)

《永達學報》 9卷1期 (2008/06) Pp. 41-50

https://doi.org/10.30179/BYTITC.200806.0005

摘要

Obesity has been recognized to be a chronic disease to be treated in recent years. Epidemiological researches have revealed the definition of obesity based on different anthropometric indices and had different extent of impact on metabolic syndrome or cardiovascular disease. This cross-sectional study collected data from 6318 Taiwanese people (3540 men and 2778 women) receiving health examinations on a health screen center and 15 medical problems were analyzed on their association with the waist circumference (WC). The results showed that the optimal predictive values (men: 81.5-83 cm, women: 76.0-80.5 cm) of WC to define obesity in both genders of our cohort are obviously lower than those recommended for the Caucasian. Men or women with a larger WC had an increasing risk of hypertension, hypercholesterolemia, hypertriglyceridemia, type II diabetes, hyperuricemia, pulmonary function impairment, fatty liver disease, and osteoarthritis (trend, p＜0.01). Furthermore, the risk of hypertension (OR: 6.6 v. 3.6), hyperuricemia (OR: 11.9 v. 3.5) and fatty liver (OR: 17.8 v. 12.0) was observed to be higher in women versus men.

關鍵字

肥胖 ； 型態學指標 ； 腰圍 ； 健康問題

並列摘要

Obesity has been recognized to be a chronic disease to be treated in recent years. Epidemiological researches have revealed the definition of obesity based on different anthropometric indices and had different extent of impact on metabolic syndrome or cardiovascular disease. This cross-sectional study collected data from 6318 Taiwanese people (3540 men and 2778 women) receiving health examinations on a health screen center and 15 medical problems were analyzed on their association with the waist circumference (WC). The results showed that the optimal predictive values (men: 81.5-83 cm, women: 76.0-80.5 cm) of WC to define obesity in both genders of our cohort are obviously lower than those recommended for the Caucasian. Men or women with a larger WC had an increasing risk of hypertension, hypercholesterolemia, hypertriglyceridemia, type II diabetes, hyperuricemia, pulmonary function impairment, fatty liver disease, and osteoarthritis (trend, p＜0.01). Furthermore, the risk of hypertension (OR: 6.6 v. 3.6), hyperuricemia (OR: 11.9 v. 3.5) and fatty liver (OR: 17.8 v. 12.0) was observed to be higher in women versus men.

並列關鍵字

Obesity ； Waist circumference ； Anthropometric indices ； Medical implications