Prevalence of Obesity and Incidence of Obesity-Related Comorbidities in Koreans Based on National Health Insurance Service Health Checkup Data 2006–2015

Background : The prevalence of obesity and related comorbidities is increasing worldwide, including in Korea. The Korean Society for the Study of Obesity released the Obesity Fact Sheet 2017 to address this problem in the Korean population. Methods : Data from the National Health Insurance Service H...

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Main Authors: Mi Hae Seo, Yang-Hyun Kim, Kyungdo Han, Jin-Hyung Jung, Yong-Gyu Park, Seong-Su Lee, Hyuk-Sang Kwon, Won-Young Lee, Soon Jib Yoo, on Behalf of the Taskforce Team of the Obesity Fact Sheet of the Korean Society for the Study of Obesity
Format: Article
Language:English
Published: Korean Society for the Study of Obesity 2018-03-01
Series:Journal of Obesity & Metabolic Syndrome
Subjects:
Online Access:https://doi.org/10.7570/jomes.2018.27.1.46
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author Mi Hae Seo
Yang-Hyun Kim
Kyungdo Han
Jin-Hyung Jung
Yong-Gyu Park
Seong-Su Lee
Hyuk-Sang Kwon
Won-Young Lee
Soon Jib Yoo
on Behalf of the Taskforce Team of the Obesity Fact Sheet of the Korean Society for the Study of Obesity
author_facet Mi Hae Seo
Yang-Hyun Kim
Kyungdo Han
Jin-Hyung Jung
Yong-Gyu Park
Seong-Su Lee
Hyuk-Sang Kwon
Won-Young Lee
Soon Jib Yoo
on Behalf of the Taskforce Team of the Obesity Fact Sheet of the Korean Society for the Study of Obesity
author_sort Mi Hae Seo
collection DOAJ
description Background : The prevalence of obesity and related comorbidities is increasing worldwide, including in Korea. The Korean Society for the Study of Obesity released the Obesity Fact Sheet 2017 to address this problem in the Korean population. Methods : Data from the National Health Insurance Service Health Checkup database from 2006 to 2015 were standardized by age and sex using the 2010 Census. The definition of obesity was a body mass index (BMI) ≥25 kg/m², and that of abdominal obesity was a waist circumference ≥90 cm in men and ≥85 cm in women. Multivariate adjusted Cox regression analysis was conducted, and hazard ratios (HRs) with 95% confidence intervals were calculated for comorbidities. Results : From 2009 to 2015, the prevalence of obesity increased from 29.7% to 32.4%, and that of abdominal obesity increased from 18.4% to 20.8%. Obesity with abdominal obesity also increased from 15.1% to 17.7%. Between 2014 and 2015, the prevalence of obesity increased until 30–40 years of age, but decreased from 40–50 years of age in men. In women, it increased until the mid-70s, and decreased thereafter. Abdominal obesity increased from 20–30 years of age to 70–80 years of age, but decreased thereafter. The HRs for type 2 diabetes mellitus, hypertension, dyslipidemia, myocardial infarction, and ischemic stroke were elevated in subjects with abdominal obesity, and their incidence increased as the BMI increased, but slowed down at BMI ≥35 kg/m². Conclusion : Based on the Obesity Fact Sheet 2017, strategies for reducing the prevalence of obesity and abdominal obesity are essential.
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spelling doaj.art-d332f4a2bba4459988d9fc4c8cf7bb902022-12-21T23:42:28ZengKorean Society for the Study of ObesityJournal of Obesity & Metabolic Syndrome2508-62352018-03-01271465210.7570/jomes.2018.27.1.46jomes.2018.27.1.46Prevalence of Obesity and Incidence of Obesity-Related Comorbidities in Koreans Based on National Health Insurance Service Health Checkup Data 2006–2015Mi Hae Seo0Yang-Hyun Kim1Kyungdo Han2Jin-Hyung Jung3Yong-Gyu Park4Seong-Su Lee5Hyuk-Sang Kwon6Won-Young Lee7Soon Jib Yoo8on Behalf of the Taskforce Team of the Obesity Fact Sheet of the Korean Society for the Study of ObesityDivision of Endocrinology, Department of Internal Medicine, Soonchunhyang University Gumi Hospital, Soonchunhyang University School of Medicine, Gumi, KoreaDepartment of Family Medicine, Korea University College of Medicine, Seoul, KoreaDepartment of Biostatistics, The Catholic University of Korea, Seoul, KoreaDepartment of Biostatistics, The Catholic University of Korea, Seoul, KoreaDepartment of Biostatistics, The Catholic University of Korea, Seoul, KoreaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, KoreaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Yeouido St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, KoreaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, KoreaDivision of Endocrinology and Metabolism, Department of Internal Medicine, Bucheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Bucheon, KoreaBackground : The prevalence of obesity and related comorbidities is increasing worldwide, including in Korea. The Korean Society for the Study of Obesity released the Obesity Fact Sheet 2017 to address this problem in the Korean population. Methods : Data from the National Health Insurance Service Health Checkup database from 2006 to 2015 were standardized by age and sex using the 2010 Census. The definition of obesity was a body mass index (BMI) ≥25 kg/m², and that of abdominal obesity was a waist circumference ≥90 cm in men and ≥85 cm in women. Multivariate adjusted Cox regression analysis was conducted, and hazard ratios (HRs) with 95% confidence intervals were calculated for comorbidities. Results : From 2009 to 2015, the prevalence of obesity increased from 29.7% to 32.4%, and that of abdominal obesity increased from 18.4% to 20.8%. Obesity with abdominal obesity also increased from 15.1% to 17.7%. Between 2014 and 2015, the prevalence of obesity increased until 30–40 years of age, but decreased from 40–50 years of age in men. In women, it increased until the mid-70s, and decreased thereafter. Abdominal obesity increased from 20–30 years of age to 70–80 years of age, but decreased thereafter. The HRs for type 2 diabetes mellitus, hypertension, dyslipidemia, myocardial infarction, and ischemic stroke were elevated in subjects with abdominal obesity, and their incidence increased as the BMI increased, but slowed down at BMI ≥35 kg/m². Conclusion : Based on the Obesity Fact Sheet 2017, strategies for reducing the prevalence of obesity and abdominal obesity are essential.https://doi.org/10.7570/jomes.2018.27.1.46ObesityAbdominal obesityBody mass indexComorbidityNational Health Insurance Service
spellingShingle Mi Hae Seo
Yang-Hyun Kim
Kyungdo Han
Jin-Hyung Jung
Yong-Gyu Park
Seong-Su Lee
Hyuk-Sang Kwon
Won-Young Lee
Soon Jib Yoo
on Behalf of the Taskforce Team of the Obesity Fact Sheet of the Korean Society for the Study of Obesity
Prevalence of Obesity and Incidence of Obesity-Related Comorbidities in Koreans Based on National Health Insurance Service Health Checkup Data 2006–2015
Journal of Obesity & Metabolic Syndrome
Obesity
Abdominal obesity
Body mass index
Comorbidity
National Health Insurance Service
title Prevalence of Obesity and Incidence of Obesity-Related Comorbidities in Koreans Based on National Health Insurance Service Health Checkup Data 2006–2015
title_full Prevalence of Obesity and Incidence of Obesity-Related Comorbidities in Koreans Based on National Health Insurance Service Health Checkup Data 2006–2015
title_fullStr Prevalence of Obesity and Incidence of Obesity-Related Comorbidities in Koreans Based on National Health Insurance Service Health Checkup Data 2006–2015
title_full_unstemmed Prevalence of Obesity and Incidence of Obesity-Related Comorbidities in Koreans Based on National Health Insurance Service Health Checkup Data 2006–2015
title_short Prevalence of Obesity and Incidence of Obesity-Related Comorbidities in Koreans Based on National Health Insurance Service Health Checkup Data 2006–2015
title_sort prevalence of obesity and incidence of obesity related comorbidities in koreans based on national health insurance service health checkup data 2006 2015
topic Obesity
Abdominal obesity
Body mass index
Comorbidity
National Health Insurance Service
url https://doi.org/10.7570/jomes.2018.27.1.46
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