Background
: Obesity level and fat distribution are thought to be the risk factors of hypertension, Diabetus Mellitus, and hyperlipideman. But diagnositc methods and criteria of obesity are various. In this study, the impact of obesity level and fat distribution to blood pressure,blood glucose, and serum lipids alipoproteins were evaluated, using new diagnostic method and criteria of obesity mixed with standard weight and body mass index(BMI), and waist-to-hip circumference ratio(WHR).

Methods : This study was carried out with 902 individuals who had no specific past history and no abnormal laboratory data in 1330 individuals who visited 'Soon Chun Hyng Human Dock Center' from May to June 1993. Subjects were checked sex, age, height, weight, waist circumferece, hip circumference, blood pressure, fasting blood sugar, oral glucose tolerance test after 1 hour, cholesterol, triglyceride, high density lipoprotein cholesterol, and low density liporotein cholesterol. Relationship of obesity level and fat distribution to blood pressure, blood glucose, and serum lipids and lipoproteins were evaluated after adjustment for age and BMI.

Results : Four groups by new diagnostic method and criteria of obesity were compared after adjustment for age. Blood pressure, blood sugar, and serum lipids and lipoproteins were significantly different in men, but only diastolic blood pressure and high density lipoprotein cholesterol were significantly different in women. Two groups by WHR were compared after adjustment for age and BMI. Fasting blood sugar, cholesterol, triglyceride, and high density lipoprotein cholesterol were significantly different in men, but only blood pressure was significantly different in women.

Conclusion : New diagnostic method of obesity is valuable for that mixed BMI and Doqquei's obesity index(standard weight÷22X(height(m))²) that is relatively normal distribution, and similar with BMI in distribution. Although somewhat different results were shown in men and women group, obesity level and fat distribution are thought to be the risk factors of hypertension, Diabetus Mellitus, and hyperlipidemia.