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The Novel Method of Segmental Bio-Impedance Measurement Based on Multi-Frequency for a Prediction of risk Factors Life-Style Disease of Obesity

비만관련 생활습관병 위험인자 예측을 위한 다중 주파수 기반의 분할 체임피던스 측정법

  • Received : 2010.05.26
  • Accepted : 2010.10.19
  • Published : 2010.10.31

Abstract

The purpose of this study is to determine whether there is a correlation between the segmental bio-impedance measurement with the frequency modulations and the life-style disease of obesity. An obesity is not simply the factor for estimating the life-style disease of obesity, but also the risk factor occurring. There are many methods (BMI, WHR, Waist, CT, DEXA, BIA, etc.) for measuring a degree of obesity; the bio-impedance measurement is more economic and more effective than others. The physical examination, the blood test, the medical imaging diagnosis and the bio-impedancemeasurementswithmultiple frequencies for each body parts have been conducted for 77 people. The estimated value has been calculated through a segmental bio-impedance model based on multi-frequency that was created to reflect the highest correlation by analyzing correlation with linear regression analysis method for the measured bio-impedance and the risk factors. Then we compared with the clinical diagnosis. In case of high level cholesterol, low HDL-C and high LDL-C for life-style disease, the sensitivity is 80~100%and the specificity is 83~100%. This study has shown conclusively that bio-impedance can be a possible predictor to analyze the disease risk rate of population and individual health maintenance. And also the multi-frequency segmental bio-impedance can be used as early predictor to estimate the life-style disease of obesity.

Keywords

References

  1. C.G. Solomon, and J.E. Manson, "Obesity and mortality: a review of the epidemiologic data," American Journal of Clinical Nutrition., vol.66, pp.1044S-1050S, 1997. https://doi.org/10.1093/ajcn/66.4.1044S
  2. A.R. Sinaiko, D.R. Jr Jacobs, J. Steinberger, A. Moran, R. Luepker, and A. Rocchini, "Insulin resistance syndrome in childhood: associations of the euglycemic insulin clamp and fasting insulin with fatness and other risk factors," J Pediatr., vol.139, pp.700-707, 2001. https://doi.org/10.1067/mpd.2001.118535
  3. J. Steinberger, and S.R. Daniels, "Obesity, Insulin resistance, Diabetes and Cardiovascular risk in children," Circulation., vol.107, pp.1448-1453, 2003. https://doi.org/10.1161/01.CIR.0000060923.07573.F2
  4. J.P. Despres, "Health consequences of visceral obesity," Ann Med., vol.33, pp.534-541, 2001. https://doi.org/10.3109/07853890108995963
  5. J.F. Ascaso, P. Romero, J.T. Real, R.I. Lorente, J. Martinez-Valls, and R. Carmena, "Abdominal obesity, insulin resistance, and metabolicsyndrome in a southern European population," Eur J Intern Med., vol.14, pp.101-106, 2003. https://doi.org/10.1016/S0953-6205(03)00022-0
  6. E.H. Kong, "Obesity and dyslipidemia," Journal of the Korean Academy of Family Medicine., Training course for a opening hospital, pp.55-59, 2005.
  7. J.P. Despres, "Is visceral obesity the cause of the metabolic syndrome?," Ann Med., vol.38, pp.52-63, 2006. https://doi.org/10.1080/07853890500383895
  8. D.B. Carr, K.M. Utzschneider, R.L. Hull, K. Kodama, B.M. Retzlaff, J.D. Brunzell, "Intra-abdominal fat is a major determinant of the National Cholesterol Education Program Adult Treatment Panel III criteria for the metabolic syndrome," Diabetes., vol.53, pp.2087-2094, 2004. https://doi.org/10.2337/diabetes.53.8.2087
  9. M.J. Williams, G.R. Hunter, T. Kekes-Sazabo, S. Snyder, and M.S. Treuth "Regional fat distribution in women and risk of cardiovascular disease," American Journal of Clinical Nutrition., vol.65, pp.613-617, 1997.
  10. Korea Center for Disease Control and Prevention "National health and nutrition survey 3rd(2005) Health Examination Survey," 2006
  11. Y. Matsuzawa, "White adipose tissue and cardiovascular disease," Best Prac Res Clin Endocrinol., vol.19, pp.637-647, 2005. https://doi.org/10.1016/j.beem.2005.07.001
  12. A.L. Rosenbloom, J.R. Joe, R.S. Young, and N.E. Winter, "Emerging epidemic of type2 diabetes in youth," Diabetes Care., vol.22, pp.345-354, 1999. https://doi.org/10.2337/diacare.22.2.345
  13. K.M. Flegal, M.D. Carroll, R.J. Kuczmarski, and C.L. Johnson, "Overweight and obesity in the United States: Prevalence and trends, 1960-1994," Int J Obes Relat Metab Disord., vol.22, pp.39-47, 1998. https://doi.org/10.1038/sj.ijo.0800541
  14. A. Pietrobelli, P. Morini, N. Battistini, G. Chiumello, C. Nunez, and S.B. Heymsfield, "Appendicular skeletal muscle mass: prediction from muliple frequency segmental bioimpedance analysis," Eur. J . Clin. Nutr., vol.52(7), pp.507-511, 1998 https://doi.org/10.1038/sj.ejcn.1600592
  15. B.H. Cornish, A. Jacobs, B.J. Thomas, and L.C. Ward, "Optimizing electrode sites for segmental bioimpedance measurements," Physiol. Meas., vol.20, pp.241-250, 1999. https://doi.org/10.1088/0967-3334/20/3/302
  16. N.J. Fuller, and M. Elia, "Potential use of bioelectrical impedance of the 'whole body' and of body segments for the assessment of body composition: comparison with densitometry and anthropometry," Eur. J Clin. Nutr., vol.43, pp.779-791, 1991.
  17. N.M. Kaplan, "The Deadly Quartet," Arch Intern Med., vol.149, pp.1514-1520, 1989. https://doi.org/10.1001/archinte.149.7.1514
  18. P. Bjorntorp, "Abdominal obesity and metabolic syndrome," Ann Med., vol.24, pp.465-468, 1992. https://doi.org/10.3109/07853899209166997
  19. A.R. Folsom, L.H. Kushi, K.E. Anderson, P.J. Mink, J.E. Olson, C.P. Hong, T.A. Sellers, D. Lazovich, and R. Prineas, "Associations of general and abdominal obesity with multiple health outcomes in older women: the Iowa Women's Health Study," Arch Intern Med., vol.160, pp.2117-2128, 2000. https://doi.org/10.1001/archinte.160.14.2117
  20. C. Bouchard, G.A. Bray, and V.S. Hubbard, "Basic and clinical aspects of regional fat distribution," Am J Clin Nutr., vol.52 pp.946-950, 1990.
  21. R.J. Prineas, A.R. Folsom, S.A. Kaye, "Central adiposity and increased risk of coronary artery disease mortality in older women," Ann Epidemiol., vol.3, pp.35-41, 1993. https://doi.org/10.1016/1047-2797(93)90007-Q
  22. P. Angulo, "Nonalcoholic fatty liver disease," N Engl J Med., vol.346, pp.1221-1231, 2002. https://doi.org/10.1056/NEJMra011775
  23. A. Schaffler, J. Schölmerich, and C. Büchler, "Mechanisms of disease: adipocytokines and visceral adipose tissue--emerging role in nonalcoholic fatty liver disease," Nat Clin Pract Gastroenterol Hepatol., vol.2, pp.273-280, 2005. https://doi.org/10.1038/ncpgasthep0186
  24. E.D. Jung, H.S. Sohn, and J.H. Lee, "Original Articles : The Correlation between Central Obesity and Glucose, Lipid Metabolism and Macrovascular Complication in Elderly Type 2 Diabetes," Korea Diabetes Association., vol.31(4), pp.343-50, 2007. https://doi.org/10.4093/jkda.2007.31.4.343