What Is The Optimal Body Mass Index in Koreans?: Djkim@ajou - Ac.kr
What Is The Optimal Body Mass Index in Koreans?: Djkim@ajou - Ac.kr
What Is The Optimal Body Mass Index in Koreans?: Djkim@ajou - Ac.kr
아주의대 내분비대사내과
djkim@ajou.ac.kr
순 서
• History of body mass index
• Body mass index and diabetes
• Body mass index and cardiovascular
diseases: IHD, stroke
• Body mass index and cancer
• Body mass index and mortality
• What is the optimal BMI in Koreans?
History of Body mass index
• Lambert-Adolphe-Jacques Quetelet
– Belgian mathematician
– In 1832, Quetelet Index
– Among adults weight in kgs
seemed to increase in proportion
to the square of stature in meter.
– W/Sb (historically)
• Based on age, gender, race, diseases
• W/S2; Kg/m2, lb/in2*703
From wikipedia
History of Body mass index
• Ancel Keys, American scientist
– “Indices of relative weight and
obesity” (Journal of Chronic Diseases, 1972)
– 7,424 healthy men in 12 cohorts
– New term “body mass index”
– Useful index for grading adiposity
in population studies; kg/m2
From wikipedia
BMI Adult Chart
• Metropolitan Life
Insurance Company
(MLIC) mortality
tables in 1908
• Healthy weights
• Overweight
• obese
http://health.howstuffworks.com/wellness/diet-fitness/weight-loss/bmi4.htm
What is a healthy weight?
• Normative data based on the frequency
distribution of weights within the
population
– 85th (overweight) and 95th (obese) percentile
• Determining healthy body weight in
relation to the risk of morbidity and
overall mortality
20
15
10
0
1 2 3 4 5 6 7 8 9 10
M 23.6 24.3 25.1 26.0
BMI
F 22.9 23.8 24.7 25.7
Waist and diabetes in Korea
-2011 KNHANES
(%) Male Female
25
20
15
10
0
1 2 3 4 5 6 7 8 9 10
M 84.3 86.4 88.7 91.2 Waist
F 77.7 80.4 83.2 86.4
한국인 당뇨병 위험지수
<35세 – 0
No – 0
흡연 나이 35-44세 – 2
Yes – 1
≥45세 - 3
<84/77cm – 0 복부 No – 0
84-90/77-84cm – 2 가족력
비만 Yes – 1
≥90/84cm – 3
<1잔 – 0
음주 고혈압 No – 0
1-5잔 – 1
Yes – 1
≥5잔 – 2
2.5
2
1.78
1.5
1.18 1.27
1 1
0.5
0
<23.0 23.0-24.9 25.0-29.9 30+ (BMI)
Clinical model 2. AROC 0.77
Lim NK, et al. Circulation J 2012
BMI AND CARDIOVASCULAR
DISEASES
BMI and incident IHD
• Korea Medical Insurance Corporation
(KMIC)
• In 1990 & 1992,
• 62,657 female and 106,803 male workers
– 35-59years; 44.8(M), 42.1(F)
• Follow-up for 9 years (1993-2001)
1.5
1.4
1.3 1.33
1.2
1.1
1.03
1 1 1 1
0.9
0.8
<20 20-22.9 23-24.9 25-29.9 30+
Referent BMI 23-24.9 Jee SH, et al. N Engl J Med 2006; 355: 779-87
BMI and mortality in Korean
: Cancer death
Referent BMI 23-24.9 Jee SH, et al. N Engl J Med 2006; 355: 779-87
BMI and mortality in Korean
: Cardiovascular death
Referent BMI 23-24.9 Jee SH, et al. N Engl J Med 2006; 355: 779-87
BMI and mortality in Korean
: Respiratory cause
Referent BMI 23-24.9 Jee SH, et al. N Engl J Med 2006; 355: 779-87
BMI and CV death;
KMIC, men, 11% increase
1.21
1.06
• Increased risk?
• High risk?
Optimal BMI in Koreans?
–Obese: ≥27.0
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