J Korean Soc Study Obes.  2004 Mar;13(1):14-21.

The Cut-off Values of Body Fat to Identify Cardiovascular Risk Among Korean Adults

• Sim SJ
• Park HS

Abstract

OBJECTIVE
Obesity is characterized by an excess of body fat. Excess body fat is related to increase cardiovascular risk, but most of previous studies were obtained by anthropometry, such as body mass index as indices of obesity. In this study we attempted to establish appropriate cut-off levels of % body fat to increase cardiovascular risk in Korean.
METHODS
The study subjects were recruited from Health Examination Center. The analysis included 44,136 individual(27,247 males and 16,889 females, aged 20~80yr), who did not have a history of malignant disease, diabetes, and thyroid disease. Health risk questionnaire, clinical examination for cardiovascular risk factors, and anthropometric measurements were performed, The percent body fat was assessed by bioelectrical impedance analyser. We calculated adjusted odds ratio(OR) for cardiovascular risk factors (blood pressure> or =140/90mmHg, fasting glucose> or =126mg/dL, total cholesterol> or =240 mg/dL, triglyceride> or =200mg/dL, HDL-cholesterol<35 mg/dL) according to percent body fat by multiple logistic regression analysis. RESULT: Percent body fat was divided by 6 groups (<15, 15~20, 20~25, 25~30, 30~35, and > or =35% in male, <20, 20~25, 25~30, 30~35, 35~40, and > or =40% in female). In male, adjusted OR for cardiovascular risk factors according to % body fat were 1.7, 2.7, 3.8, 5.0, and 9.9 for hypertension, 2.4, 4.1, 5.9, 7.0, and 12.5 for hyperglycemia, 1.8, 2.8, 3.8, 4.4, and 2.6 for hypercholesterolemia, 4.3, 8.5, 12.1, 14.0, and 22.0 for hypertriglyceridemia, and 2.3, 3.4, 4.3, 4.8, and 8.0 for low HDL-cholesterol. In female, adjusted OR were 1.2, 2.0, 2.7, 4.0, and 6.6 for hypertension, 1.1, 1.8, 2.9, 3.5, and 4.6 for hypercholesterolemia, 1.9, 4.6, 7.3, 9.8, and 10.6 hypertriglyceridemia, and 1.8, 2.7, 3.5, 3.8, and 3.7 for low HDL-cholesterol. The OR for clustering of cardiovascular risk factors increased abruptly at the point of 25% and 30% of body fat in male and female, respectively.
CONCLUSION
The cut-off value of percent body fat to increase cardiovascular risk was 25% in male, 30% in female among Korean.

Keyword

Percent body fat; Cut-off value; Cardiovascular risk factors; Korean

MeSH Terms

Adipose Tissue*
Adult*
Anthropometry
Body Mass Index
Electric Impedance
Fasting
Female
Humans
Hypercholesterolemia
Hyperglycemia
Hypertension
Hypertriglyceridemia
Logistic Models
Male
Obesity
Surveys and Questionnaires
Risk Factors
Thyroid Diseases