청소년의 근감소성 비만과 비근감소성 비만이 대사증후군 구성요소에 미치는 영향

초록

Purpose: The purpose of this study was to investigate the influences of sarcopenic and non-sarcopenic obesity on the componentsof Metabolic Syndrome (MetS) in adolescents. Methods: This study used the fifth Korean National Health and Nutrition ExaminationSurvey data from 2010 to 2011. The study included 859 adolescents aged 12 to 18 years. Descriptive statistics and simple and multiplelogistic regression analyses were conducted using SAS 9.2. Results: Based on the results, adolescents with sarcopenic obesity hada higher risk of central obesity (AOR: 23.41, 95% CI: 12.76-43.97), high triglyceride (OR: 4.58, 95% CI: 2.69-7.79), low HDL-cholesterol(AOR: 2.66, 95% CI: 1.74-4.05), high blood pressure (AOR: 3.44, 95% CI: 1.37-8.68), and high fasting glucose (AOR: 2.37, 95% CI: 1.13-4.96) than their normal counterparts. Adolescents with non-sarcopenic obesity had a higher risk of central obesity (AOR: 19.75, 95%CI: 9.73-44.67), high triglyceride (OR: 3.09, 95% CI: 1.22-7.81), and low HDL-cholesterol (AOR: 2.73, 95% CI: 1.37-5.45) than normalyouths, and these were not significantly related to high blood pressure and fasting glucose. Conclusion: Sarcopenic obesity wasmore related to the components of MetS than non-sarcopenic obesity. Since adolescents with sarcopenic obesity are a more vulnerablepopulation, a prevention and management program for MetS and cardiovascular risk should be implemented in this population.

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