Journal of the Korean Academy of Family Medicine 1990;11(5):21-31.
Published online May 1, 1990.

피보험자가 정기 건강진단에서 본 비만의 빈도 및 관련된 검진 성적에 관한 연구 (A Study on the Prevalence of Obesity and its Associated Problems: Results from Periodic Health Kxaminations of Insured Adults)

이혜리(Lee Hye Ree),김원경(Kim Won Kyung),이서용(Sel Yong Rhee),배도호(Bae Do Ho),권정완(Kwon Jung Kan)

연세대학교의과대학 가정의학교실

Abstract

Studies on the prevalence of obesity and its associated problems in public officials and teachers were carried out at Yongdong Severance Hospital from April 1 to June 30, 1988. The following results were obtained :
1. The prevalence of obesity(according to Kei's formula) in 2649 cases showed 14.3% in males, 10.0% in females, and 12.8% both sexes.
2. According to age group, the prevalence of obesity in males was 2.5% in the twenties, 13.0% in the thirties, 15.5% in the forties, 15.7% in the fifties, 16.1% in the sixties, and 16.7% in the seventies ; and in females, it was 2.0% in the twenties, 6.7% in the thirties, 13.4% in the forties,21.0% in the fifties, and 47.1% in the sixties. The prevalence of obesity increased as the age group increased in both sexes.
3. According to occupation, the prevalence of obesity decreased as follow : 20.3% in police officers, 14.9% in annuitants, 12.5% in cultural property preservers and professional soldiers, 12.2% in teachers, and 7.8% in hospital workers.
4. The prevalence of hyperglycemia (AC≥140 mg/dl)was 1.4% in all participants and was inclined to increase as the relative body weight increased, as follows : 0.4% in the underweight group, 1.3% in the normal weight group, 1.4% in the overweight group, and 2.7% in the obese group.
5. The prevalence of hypercholesterolemia (≥250 mg/dl) was 8.5% in all participants and increased as the relative body weight increased, as follows : 1.3% in the underweight group, 6.3% in the normal weight group, 12.3% in the overweight group, and 15.7% in the obese group.
6. The prevalence of systolic hypertension (≥140 mmHg) was 17.1% in all participants and according to relative boby weight, it was 5.6% in the underweight group, 12.3% in the normal weight group, 24.2% in the overweight group, and 32.5% in the obese group. The prevalence of diastolic hypertension(≥90 mmHg) was 31.5% in all participants, and was 1.8 times higher than that of systolic hypertension. According to relative body weight, the prevalence of diastolic hypertension was 10.8% in the underweight group, 25.0% in the normal weight group, 41.4% in the overweight group, and 55.0% in the obese group. The prevalence of both systolic and diastolic hypertension increased as relative body weight increased.
7. The prevalence of hypertensive retinopathy was 22.4% in the group with hypertension (≥140 / 90 mmHg) and was inclined to decrease as relative body weight increased, as follows : 60.0% in the underweight group, 29.2% in the normal weight group, 19.2% in the overweight group, and 16.4% in the obese group.
8. The prevalence of hypercholesterolemia was 15.6% in the group with hypertension and was inclined to increase as relative body weight increased, as follows : 0.0% in the underweight group, 7.7% in the normal weight group, 18.1% in the overweight group, and 22.5% in the obese group.
9. Abnormalities of the electrocardiographic findings in the group with hypertension and abnormalities of serum creatinine levels were not significantly related to the relative body weight.
In summary, the prevalence of obesity was 12.8% in public officials and teachers, was higher in males, and increased as age increased. As the relative body weight increased, the prevalence of hypercholesterolemia and systolic and diastolic hypertension was increased, hyperglycemia and hypercholesterolemia in the group with hypertension was inclined to increase, but hypertensive retinopathy in the group with hypertension was inclined to decrease.