Open Access, Peer-reviewed
pISSN 2287-2892
eISSN 2288-2561
    J Lipid Atheroscler. 2016 Dec;5(2):155-162. Korean.
    Published online Dec 31, 2016.
    https://doi.org/10.12997/jla.2016.5.2.155
    © 2016 The Korean Society Lipidology and Atherosclerosis.
    Original Article

    Characteristics of Young Korean Metabolically Healthy Obese Patient: Based on Retrospective Analysis of Republic of Korea Navy Soldiers' Medical Examination

    Seonggyu Byeon,1,2 Ji-Hwan Lee,2 and Seung-Eun Lee3
      • 1Sungkyunkwan University School of Medicine, Korea.
      • 2Republic of Korea Navy, Korea.
      • 3Sungkyunkwan University School of Medicine, Division of Endocrinology, Department of Medicine, Samsung Medical Center, Seoul, Korea.
    • Corresponding Author: Seonggyu Byeon, Republic of Korea Navy, Chungmu-ro 70, Ocheon-eup, Nam-gu, Pohang, Gyeongsangbuk-do 37897, Korea. Tel: +82-54-290-7280, Fax: +82-54-290-7283, Email: bichon3@naver.com
    Received November 24, 2016; Revised December 21, 2016; Accepted December 21, 2016.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Objective

    The aim of this study was to evaluate the characteristics of the young Korean obese but metabolically healthy subjects and to identify the factors associated with metabolic health status among them.

    Methods

    We reviewed the medical record of South-Korea Navy soldiers at 1st marine division with routine medical examination. Within this population, we selected obese subjects whose body mass index (BMI) were more than 25 kg/m2. The clinical characteristics between obese subjects with metabolically healthy and unhealthy factors were retrospectively compared.

    Results

    Of the 1,522 subjects with medical record, 319 (20.9%) subjects were identified as obese. Among them, 60 subjects (18.8%) were classified as metabolically unhealthy, whereas 259 (81.2%) subjects were metabolically healthy. Multivariate analysis revealed that higher BMI (odds ratio, OR 1.26, 95% confidence interval, CI, 1.07-1.49), higher alanine transaminase (ALT) (OR 1.03, 95% CI 1.01-1.06), and drinking alcohol (OR 3.65, 95% CI 1.02-13.02) were associated with metabolically unhealthy status in obese subjects. Meanwhile, regular physical activity was associated with metabolically healthy status in obese subjects. (OR 0.33, 95% CI 0.17-0.62)

    Conclusion

    This study found that higher BMI, higher ALT, and drinking alcohol were related to metabolically unhealthy status in young Korean obese subjects; meanwhile, regular physical activity was related to metabolically healthy status.

    Keywords
    Metabolically healthy obese (MHO); Metabolically unhealthy obese (MUO); Metabolic disease; Obesity; Young Korean

    Supplementary Materials

    Supplementary Table 1

    Multiple logistic regression analysis for metabolically unhealthy subjects regardless of obesity

    Click here to view.(215K, pdf)

    Tables

    Table 1
    Characteristics of study population

    Table 2
    Characteristics of obese subjects according to metabolic health status

    Table 3
    Multiple logistic regression analysis for metabolically unhealthy obese subjects

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    MeSH Terms
    Alanine Transaminase
    Body Mass Index
    Drinking
    Healthy Volunteers
    Humans
    Medical Records
    Metabolic Diseases
    Military Personnel
    Motor Activity
    Multivariate Analysis
    Obesity
    Republic of Korea*
    Retrospective Studies*
    Metrics
    Share
    Tables
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