Sociodemographic Characteristics of Underweight Korean Adults: Korea National Health and Nutrition Examination Survey, 2007-2010

박성일,조영규,강재헌,박현아,김경우,허양임,강혜진 대한가정의학회 2013 Korean Journal of Family Medicine Vol.34 No.6

Background: Underweight is associated with increased risk of mortality and morbidity. It is reported that the prevalence of underweight is increasing among Korean young women. However, there have been few studies on sociodemographic factors related to being underweight. This study was conducted to elucidate the sociodemographic characteristics of Korean underweight adults.Methods: This study is a cross-sectional study of 7,776 adults aged 25 to 69 years using data from the Korea National Health and Nutrition Examination Survey, 2007–2010. Study subjects were composed of underweight and normal-weight adults excluding overweight adults. Body mass index was calculated from measured height and weight. Health behaviors such as smoking, drinking, and physical activity were surveyed through self-administered questionnaires, and socioeconomic status, marital status, and history of morbidity were surveyed through face-to-face interviews.Results: Women had a higher frequency of underweight (10.4% vs. 7.0%, P < 0.001) than men. Among men, current smoking (odds ratio [OR], 1.62) and past history of cancer (OR, 2.55) were independently related to underweight. Among women, young age (OR, 2.06), former smoking (OR, 1.69), and being unmarried (OR, 1.56) were identified as independently related factors of underweight. In addition, among both men and women, alcohol drinking (men OR, 0.57; women OR, 0.77) and past history of chronic diseases (men OR, 0.55; women OR, 0.43) were independently related to a lower frequency of underweight.Conclusion: We showed that various sociodemographic factors were associated with underweight. It was ascertained that there were differences in the sociodemographic factors related to underweight between Korean men and women.

Underweight: another risk factor for cardiovascular disease? : A cross-sectional 2013 Behavioral Risk Factor Surveillance System (BRFSS) study of 491,773 individuals in the USA

Park, Donghwi,Lee, Jong-Hak,Han, Seungwoo Wolters Kluwer Health 2017 Medicine Vol.96 No.48

<▼1><P>Supplemental Digital Content is available in the text</P></▼1><▼2><P><B>Abstract</B></P><P>Obesity is a well-established risk factor for cardiovascular disease (CVD), but the underweight population of body mass index (BMI) below 18.5 kg/m<SUP>2</SUP> has not been an object of concern. The objective of this study is to investigate whether underweight could be an independent risk factor for CVD in a population-based cross-sectional study.</P><P>Cross-sectional data of 2013 Behavioral Risk Factor Surveillance System (BRFSS) database encompassing 491,773 US adult subjects were used to assess risk for CVD. Primary outcomes were the incidence and relative risks (RRs) of CVD including stroke, heart attack/myocardial infarction, or coronary artery disease according to BMI category. All analyses used weighted sampling probabilities of data source.</P><P>The underweight population had a 19.7% greater risk of CVD than did the normal-weight, and the overweight and obese population had a 50% and 96% increased risk, respectively. When adjusted with covariates, the relative risk for CVD elevated in underweight population (adjusted RR 1.34 [95% confidence interval (CI) 1.335–1.348]). Conversely, the adjusted relative risk was significantly attenuated in the obese group (adjusted RR 1.149 [95% CI 1.147–1.151]) and it was even insignificant in the overweight group (adjusted RR 1.00 [95% CI 1.000–1.003]). In subanalysis for each CVD category, being underweight among BMI status was the strongest independent risk factor for stroke (adjusted RR 1.441 [95% CI 1.431–1.450]), heart attack/ myocardial infarction (MI) (adjusted RR 1.23 [95% CI 1.217–1.233]), and angina/coronary artery disease (adjusted RR 1.20 [95% CI 1.189–1.206]). Especially among the population below 40-year old, relative risk estimates remained increased in the underweight population; persons who were underweight had a 2.3-fold greater adjusted relative risk of CVD as compared with those with normal weight when we stratified with age.</P><P>Underweight below BMI 18.5 kg/m<SUP>2</SUP> may be another risk factor for CVD, and CVD risk of the overweight and obese population largely depended on other comorbidities accompanied by obesity.</P></▼2>

대구지역 초등학생의 저체중 현황파악 및 관련요인 분석

윤영희(Young-Hee Yun),박경(Kyong Park) 한국식품영양과학회 2013 한국식품영양과학회지 Vol.42 No.10

본 연구는 학령기아동의 저체중 현황 및 관련요인을 살펴보기 위하여 대구지역 초등학교 5, 6학년을 대상으로 저체중군 86명과 정상체중군 407명의 식습관, 건강상태, 자아체형인식 및 체중조절의지, 영양소 섭취수준과 출생 시 정보를 수집하여 비교 분석하였다. 그 결과를 요약하면 첫째, 저체중군 비율의 66.3%가 여학생으로 남학생에 비해 유의적으로 높았고, 저체중 자녀를 둔 아버지의 신장은 정상체중군과 비교하여 약 1.8 cm 정도 더 큰 것으로 관찰되었다. 둘째, 저체중군이 정상체중군보다 최근 1년간 병원진료 및 감기증상 빈도가 유의적으로 더 높았고, 특히 저체중군에서 월 1회 이상 병원진료를 경험한 비율은 14.5%로, 정상체중군 5.5%에 비해 약 9% 높은 수준을 보였다. 셋째, 저체중 남학생은 본인 체형에 대하여 비교적 정확하게 인식하고 있는 반면, 정상체중 남학생은 본인 체형에 대해 실제 체형보다 왜소하다고 평가하는 비율이 36.6%를 차지하였다. 저체중 여학생의 경우 33.3%는 본인이 마른 체형임에도 불구하고 보통체중 혹은 과체중이라고 응답하는 등 잘못된 체형 인식 수준이 비교적 높은 경향을 보였다. 넷째, 저체중 여학생은 현재 자신의 체중을 그대로 유지하거나 더 줄이려고 노력하는 비율이 31.6%였고, 정상체중 여학생의 35.5%가 정상체중임에도 체중을 더 줄이기 위하여 노력한다고 응답하였다. 다섯째, 한국인 영양섭취기준 대비 영양소 섭취비율을 남녀별 체중군에 따라 비교한 결과, 단백질은 두 체중군 모두 권장량보다 2배 가량 높은 섭취비율을 보였으나 정상체중군이 저체중군에 비해 유의적으로 더 많이 섭취하고 있었으며, 그 차이는 남학생에게서 더 두드러졌다. 반면 식이섬유, 칼슘, 칼륨, 엽산은 두 체중군에서 권장량보다 낮은 섭취수준을 보였다. 여섯째, 출생체중과 현재체중, 현재신장, 현재 Rohrer"s index 간의 상관관계를 분석한 결과, 여학생의 출생체중은 현재체중과 현재신장에서 유의적인 양의 상관관계를 보였다. 위에 제시한 것과 같이 본 연구에서는 저체중 아동의 건강상 문제에 대한 가능성, 여학생의 왜곡된 자아체형인식 및 체중조절의지, 그리고 출생 시 체중과 현재 체중과의 연관성을 제시하였다. 따라서 이러한 결과를 토대로 가정과 학교에서 학령기 아동의 저체중 문제를 해소할 수 있는 지속적이고 다각적인 노력이 필요하다. Despite numerous studies regarding overweight or obese children, only a limited number of studies have investigated the effect of underweight. The purpose of this study is to investigate the determinants of underweight among school-aged children. A total of 493 students (86 underweight and 407 normal weight students) aged 11 to 13 years were included in our study. Socio-demographic characteristics, eating habits, health information, self-perception of weight, weight-control efforts and birth-related information were collected by using survey questionnaires for children and parents. Dietary information was obtained by two 24-hour food records, which were completed by both children and their parents. The prevalence of underweight was significantly higher in girls than boys, and the frequency of medical treatment and flu symptoms were higher in underweight children than normal ones. Overall, girls tended to overestimate their own weight; this misclassification was greater among underweight girls. Birthweight was positively correlated with current weight (P<0.05) and height (P<0.01) in girls, but these correlations were not seen in boys. In conclusion, underweight girls had inappropriate self-perception of weight, and underweight in girls may be related with birthweight and inadequate dietary intakes. Therefore, it is important to build a well-designed framework that integrates efforts of home, school, and community to maintain a healthy weight with balanced diet and exercise throughout the lifetime.

다문화 청소년과 비다문화 청소년의 저체중 위험에 관한 비교 연구

박현주 한국학교보건학회 2017 韓國學校保健學會誌 Vol.30 No.3

Purpose: The purpose of this study was to compare the risk of being underweight between multicultural and Korean-origin adolescents. Methods: This study used the Korea Youth Risk Behavior Web-Based Survey data of 2016. A total of 46,457 underweight and normal-weight adolescents were included. General characteristics, health status and health behavior variables, and weight related variables were included. Weighted percentage and means were used to describe the sample. Simple and multiple logistic regressions were conducted using SAS 9.2. Results: From the simple and multiple logistic regression, multicultural adolescents showed a higher risk of being underweight (OR: 1.63, 95% CI: 1.20-2.20; AOR: 1.51, 95% CI: 1.01-2.27) than Korean-origin adolescents. Among the covariates, being female (AOR: 1.90, 95% CI: 1.72-2.10), being older (AOR: 1.18, 95% CI: 1.15-1.22), having poor self-health perception (AOR: 1.56, 95% CI: 1.24-1.82), having longer hours of sleep (AOR: 1.12, 95% CI: 1.09-1.16), having fewer days of exercise (AOR: 0.94, 95% CI: 0.91-0.96), and doing vigorous exercise less (AOR: 0.78, 95% CI: 0.68-0.89) showed a higher risk of being underweight. Self-rated health and effort to control weight were also significantly related to being underweight. Conclusion: Since multicultural adolescents are vulnerable to being underweight, it is necessary to develop intervention programs to reduce the number of underweight multicultural adolescents.

노인의 저체중 및 악력 수준과 모든 원인 사망 위험의 연관성

김민준,오태웅 국민체육진흥공단 한국스포츠정책과학원 2023 체육과학연구 Vol.34 No.4

PURPOSE This study investigated the impact of underweight and hand grip strength (HGS) levels on the risk of all-cause mortality in older adults. METHODS Data from the 2006 baseline and 2020 follow-up assessments of the Korean Longitudinal Study of Aging (KLoSA), involving 3,009 older Koreans (≥65 years) were used in the study. Participants were categorized based on body mass index (BMI) as underweight, normal, overweight, or obese and grouped according to the Asian Working Group Sarcopenia criteria into high or low HGS. Cox proportional hazard models were used to estimate the hazard ratio (HR) and 95% confidence interval (CI) of all-cause mortality according to BMI and HGS categories. RESULTS During the 11.3±4.0 years follow-up period, 1,334 deaths from all causes occurred. The risk of death by BMI and HGS level was analyzed. The results showed that the risk of death in the overweight and high HGS group (HR=0.773, p=.016) was significantly lower than that in the normal weight & high HGS group (HR=1). In comparison, the risk of death in the underweight & low HGS group (HR=1.930, p<.001) and the normal weight & high HGS group (HR=1.225, p=.014) were significantly higher than normal weight & high HGS. However, the risk of death in the underweight and high HGS group showed no significant difference compared to the normal weight and high HGS group. CONCLUSIONS The current findings suggest that improving muscle strength through regular exercise may be important in preventing the risk of all-cause mortality due to being underweight. [목적] 본 연구는 노인의 저체중과 악력 수준이 모든 원인으로 인한 사망 위험에 미치는 영향을 조사하는데 목적이있다. [방법] 고령화연구패널조사에 참여한 65세 이상 노인 3,009명을 대상으로 하였으며, 체질량지수에 근거하여 저체중, 정상 체중, 과체중, 비만으로 집단을 세분화하였다. 또한 Asian Working Group for Sarcopenia의 근감소증 진단 기준에 근거하여 악력을 상위 집단과 하위 집단으로 분류하였다. 콕스비례위험회귀모델을 이용하여 체질량지수 및 악력수준에 따른 모든 원인 사망 위험비(HR, hazard ratio)를 95% 신뢰구간(CI, confidence interval)에서 산출하였다. [결과] 대상자의 평균 추적기간은 11.3±4.0년이었으며, 추적 기간 1,334명이 사망한 것으로 나타났다. 체질량지수및 악력 수준에 따른 사망 위험 분석 결과, 정상 체중 및 높은 악력 집단(HR=1)과 비교하여 과체중 및 높은 악력 집단(HR=0.773, 95% CI=0.627-0.954, p =.016)의 사망 위험은 유의하게 낮은 것으로 나타났으며, 저체중 및 낮은 악력집단(HR=1.930, 95% CI=1.523-2.446, p <.001), 정상 체중 및 낮은 악력 집단(HR=1.225, 95% CI=1.042-1.440, p =.014)의 사망 위험은 유의하게 높은 것으로 나타났다. 반면 저체중 및 높은 악력 집단의 사망 위험은 정상 체중 및높은 악력 집단과 비교하여 유의한 차이가 없는 것으로 나타났다. [결론] 본 연구의 결과는 노년기 규칙적인 운동을 통해 근력을 유지하는 것이 저체중으로 인한 사망 위험을 감소시키는데 중요한 역할을 할 수 있음을 시사한다.

Low body mass index is associated with poor treatment outcome following radiotherapy in esophageal squamous cell carcinoma

Ji-young Lee(Ji-young Lee),Yunseon Choi(Yunseon Choi) 대한방사선종양학회 2023 Radiation Oncology Journal Vol.41 No.1

Purpose: We aimed to determine whether patients with esophageal cancer with a low baseline body mass index (BMI) have a poor prognosis following radiotherapy (RT). Materials and Methods: We retrospectively analyzed data from 50 patients with esophageal cancer to determine whether a low starting BMI (before RT) was associated with a poor outcome. All study participants were diagnosed with non-metastatic esophageal squamous cell carcinoma (SCC). Results: The number of patients at each T stage were as follows: 7 (14%) patients at T1, 18 (36%) at T2, 19 (38%) at T3, and 6 (12%) at T4. Based on BMI, 7 (14%) patients were defined as underweight. A low BMI was common in patients with T3/T4 stage esophageal cancer (7/43, p = 0.01). Overall, the 3-year progression-free survival (PFS) and overall survival (OS) rates were 26.3% and 69.2%, respectively. In univariate analysis, clinical factors associated with poor PFS included being underweight (BMI <18.5 kg/m2; p = 0.011) and a positive N status (p = 0.017). Univariate analysis also revealed that being underweight was associated with a decrease in OS (p = 0.003). However, being underweight was not an independent prognostic factor for PFS and OS. Conclusion: Patients with esophageal SCC with a low starting BMI (BMI <18.5 kg/m2) are more prone to have a negative survival outcome following RT than patients who are considered to be normal weight or overweight. For this reason, it is important that clinicians pay more attention to BMI when treating patients with esophageal SCC.

What is body underweight?

Beeram, Eswari,Eshita, Ishrat Rafique Korea FoodHealth Convergence Association 2019 식품보건융합연구 (KJFHC) Vol.5 No.5

Arginine is one of the basic aminoacid found to be associated with histones and also one of the essential aminoacids now. Arginine is provided by diet, and also found to be synthesised in the body through intestinal-renal axis. Justification---BMI---Associated Risks-How to gain body weight---Healthy. Foods to Gain Weight Fast---High-Protein Vegetables and Fruits(with Image)-Recipes---Physical exercises-List of fruits and vegetables grown in Bangladesh with local names, English names and Botanical names-taxonomic family names. Arginine as drug was first approved by FDA and has recognised as a excellent dietary supplement for curing diseases like preeclampsia during gestation, diabetes and insulin resistance in obese patients. Preeclampsia is characterised by high blood pressure and proteinuria in gestational period of after 20 weeks. Severe preeclampsia is characterised by headaches, blurred vision, and inability to have high photovision, nausea and vomiting. L-Arginine along with Vit C and E are given as medical food to the patients and decrease in condition symptoms is the project now under phase II clinical trial. However the role of arginine in ameolirating preeclampsia symptoms is uncertain except with that of hypertension. Arginine is used to treat pain in sickle cell anaemia, lung damage, reperfusion injury, Trauma and shock but should be excluded during sepsis.

Weight Control Attempts in Underweight Korean Adults: Korea National Health and Nutrition Examination Survey, 2007-2010

최오진애,조영규,강재헌,박현아,김경우,허양임,임현지 대한가정의학회 2013 Korean Journal of Family Medicine Vol.34 No.6

Background: Underweight refers to the weight range in which health risk can increase, since the weight is lower than a healthy weight. Negative attitudes towards obesity and socio-cultural preference for thinness could induce even underweight persons to attempt weight control. This study was conducted to investigate factors related to weight control attempts in underweight Korean adults.Methods: This was a cross-sectional study on 690 underweight adults aged 25 to 69 years using data from the Korea National Health and Nutrition Examination Survey, 2007–2010. Body image perception, weight control attempts during the past one year, various health behaviors, history of chronic diseases, and socioeconomic status were surveyed.Results: Underweight women had a higher rate of weight control attempts than underweight men (25.4% vs. 8.1%, P < 0.001). Among underweight men, subjects with the highest physical activity level (odds ratio [OR], 7.75), subjects with physician-diagnosed history of chronic diseases (OR, 7.70), and subjects with non-manual jobs or other jobs (OR, 6.22; 12.39 with reference to manual workers) had a higher likelihood of weight control attempts. Among underweight women, subjects who did not perceive themselves as thin (OR, 4.71), subjects with the highest household income level (OR, 2.61), and unmarried subjects (OR, 2.08) had a higher likelihood of weight control attempts.Conclusion: This study shows that numbers of underweight Korean adults have tried to control weight, especially women. Seeing that there are gender differences in factors related to weight control attempts in underweight adults, gender should be considered in helping underweight adults to maintain a healthy weight.

일부 저체중과 과체중 청소년의 생활습관, 학업성취도 및 간식섭취행동의 비교

김혜경(Kim,Hye-Kyung),김진희(Kim,Jin-Hee) 韓國營養學會 2011 Journal of Nutrition and Health Vol.44 No.2

The purpose of this study was to obtain information related to life style characteristics, school achievement and snacking behaviors among underweight and overweight adolescents in Ulsan area. The survey was carried out by selfquestionnaires with 464 adolescents (333 underweight and 131 overweight). The results were as follows: Average BMI of the subjects was 19.81±3.10 kg/㎡ which was normal range, but average BMI of underweight and overweight were 16.90±1.19 kg/㎡ and 25.38±2.16 kg/㎡ respectively. The 49.5% of underweight and 94.7% of overweight students have correct perception about their body image. In the sleeping time, 58.9% of underweight and 66.4% of overweight students go to bed after PM 12 o’clock. In the regularity of eating breakfast, 68.5% of underweight and 67.9% of overweight students skipping breakfast at least 5 times per week. 32.6% of the subjects had snack once or more a day. Underweight students had more frequently ate snack than overweight students. The criteria of choosing snack were taste (77.4%), nutrition (9.3%), and price (6.3%). Food as snack they frequently had fruits, milk & milk products, cookies in order. Underweight students had more dodkboki & sundae, candy & chocolate and cake & bread than overweight students, although overweight students had more milk & yogurt than underweight students. The group who had a higher school record, they significantly had more fruits, milk & milk products (p < 0.01) and had not less nutritious foods (p < 0.001). This study may provide basic information on weight status, sleeping and snacking behaviors of adolescents. Therefore they should have nutrition education program to improve their life style and snacking patterns for underweight and overweight adolescents toward healthy weight. (Korean J Nutr 2011; 44(2): 131 ~ 139)

20대 저체중 한국여성의 건강 및 영양 상태

정사랑(Jeong, Sa Rang),김성희(Kim, Sunghee),양윤정(Yang, Yoon Jung) 한국영양학회 2016 Journal of Nutrition and Health Vol.49 No.2

본 연구는 저체중인 20대 성인 여성의 건강 상태와 영양상태를 규명하기 위해 수행되었다. 1) 20대 여성의 저체중군과 다른 군들의 인구 · 사회학적 요인을 분석한 결과 교육수준은 저체중군이 가장 높았고 저체중군은 운동을 하지 않는 비율이 가장 높았다. 저체중군은 세 군에 비해 소득수준과 경제활동을 하지 않는 비율 또한 가장 높았다. 저체중군의 미혼 비율은 비만군보다 높았다. 2) 혈액 및 혈압 검사를 분석한 결과 각 항목의 평균은 비만도의 네 군 모두 정상수치에 해당하였다. 그러나 비만도별 네 군을 비교한 결과 저체중은 과체중, 비만보다 만성질환 위험이 낮아질 수 있음을 알 수 있었다. 3) 여성력 분석 결과 저체중군의 모유수유 경험 비율이 가장 낮았다. 이는 출산 경험 비율이 가장 낮은 것과 관련이 있는 것으로 해석된다. 비만군보다 저체중군의 무월경의 비율은 낮았고 규칙적으로 월경을 하는 비율은 높았다. 4) 비만도군별 질환을 분석한 결과 저체중군의 고콜레스테롤혈증의 유병률이 과체중군과 비만군 보다 낮았으며 빈혈의 유병률은 높았다. 고혈압 유병여부의 ‘고혈압 전단계’ 비율은 저체중군이 정상군보다 높았으나 과체중군과 비만군보다 낮았다. 당뇨병 유병여부는 저체중군, 정상군에 비해 과체중군, 비만군이 ‘공복혈당장애’와 ‘당뇨병’비율이 높았다. 그러나 20대의 젊은 연령을 대상으로 조사하였기 때문에 질환 유병에 해당되는 대상자가 극소수로, 저체중인 20대 여성의 비만도군별 질환의 특성을 규명하기 어려웠다. 또한 고혈압, 당뇨병, 이상지질혈증, 고콜레스테롤혈증의 유병 여부는 극소수였으나 저체중군이 과체중, 비만군보다 유병률이 낮았음을 알 수 있었다. 반면 빈혈은 비만도가 낮을수록 유병률이 높았다. 5) 20대 여성의 에너지, 탄수화물, 단백질, 지방 섭취량은 네 군 간에 차이가 없었고 영양섭취는 양호하였다. 6) 식품의 섭취빈도와 1일 섭취량 (g)을 분석한 결과 저체중군의 유제품 섭취빈도는 정상군, 과체중군에 비해 섭취빈도가 낮았다. 또한 곡류의 섭취량은 저체중군이 정상군, 과체중군보다 매우 높았으며 난류의 섭취량은 저체중군이 비만군보다 높았다. 본 연구 결과 20대 저체중 여성의 건강은 정상체중 여성의 건강과는 유의적인 차이가 없었다. 저체중 여성은 과체중과 비만 여성보다 당뇨병, 고혈압, 이상지질혈증 등의 만성질환 유병률이 낮았고 빈혈의 유병률은 높았으며 영양소 섭취는 비만도군 별로 차이가 없었다. 하지만 나트륨 섭 취는 과다하고 칼슘 섭취가 부족하여서 향후 양호한 영양상태 및 건강 상태를 유지하기 위해 올바른 식습관 등 건강행태와 적절한 영양소 섭취가 필요할 것이라 사료된다. 또한 이번 연구에서 저체중 여성을 극저체중 여성과 구분하지 않았으므로 극저체중 여성의 건강 상태와 영양 상태를 살펴보는 후속 연구가 필요하다. Purpose: The current study was conducted in order to identify health and nutritional status of Korean underweight women in their twenties by comparing with normal, overweight, and obese women. Methods: Data from the 2010~2012 Korea National Health and Nutrition Examination Survey were used in this study. Subjects were 897 women aged 20~29 years. Subjects were classified according to underweight, normal weight, overweight, and obese groups based on body mass index. Health status was assessed using data from the health questionnaire and examination. Nutritional status was assessed using data from 24-hour dietary recall and a food frequency questionnaire. Results: The underweight group had higher education and exercised less than the obese group. Means of blood chemistry and blood pressure of the underweight group did not differ from those of the normal weight group. Means of fasting glucose, insulin, lipid profiles, blood cell counts, and blood pressure in the underweight group were different from those of the overweight or obese group. Proportions of delivery, breast feeding, and irregular menstruation in the underweight group were lower compared with the other groups. Except retinol intake, means of nutrient intake did not differ among four groups. There were significant differences among four groups in the intakes of cereals and eggs and frequency of consumption of dairy products. Conclusion: The current findings showed that health and nutritional status of underweight women in their twenties did not differ from those of normal weight women. In particular, health status of underweight women in their twenties was better than that of obese women of the same ages. Further study on health and nutritional status of extremely underweight women is necessary.