Journal of Korean Medicine for Obesity Research (한방비만학회지)

The Society of Korean Medicine for obesity Research (한방비만학회)
권호 표지

The Study on the Characteristics of Obese Elderly Based on Blood Test

혈액검사 결과를 바탕으로 살펴본 노인 비만 특성 고찰

  • Shin, Woosuk (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Sangji University) ;
  • Kho, Chan Hee (Department of Sasang Constitutional Medicine of Korean Medicine, College of Korean Medicine, Sangji University) ;
  • Choi, Jeong Eun (Department of Internal Medicine of Korean Medicine, Joonghwa Oriental Hospital) ;
  • Lee, Sang Wook (Department of Rehabilitation Medicine of Korean Medicine, Dongsuwon Oriental Hospital) ;
  • Park, Won Hyung (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Sangji University) ;
  • Cha, Yun Yeop (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Sangji University)
  • 신우석 (상지대학교 한의과대학 한방재활의학교실) ;
  • 고찬희 (상지대학교 한의과대학 사상체질의학교실) ;
  • 최정은 (중화한방병원 한방내과) ;
  • 이상욱 (동수원한방병원 한방재활의학과) ;
  • 박원형 (상지대학교 한의과대학 한방재활의학교실) ;
  • 차윤엽 (상지대학교 한의과대학 한방재활의학교실)
  • Received : 2013.11.11
  • Accepted : 2013.12.04
  • Published : 2013.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study was to investigate the characteristics in elderly population with obesity by analyzing their blood test. Methods: Included 130 subjects of aged 60 or older went through body composition test, and blood test. We divided them into obesity group and normal group based on body mass index (BMI) results, and then the blood test results were compared between the groups. Results: Forty out of 130 subjects had BMI of 25 or more. Two groups showed significant difference in bilirubin total, alanine aminotransferase (ALT), cholesterol total, triglyceride, high density lipoprotein (HDL), red blood cell (RBC), hematocrite, mean corpuscular hemoglobin concentration, and platelet. All but HDL levels showed significantly higher results in obesity group than normal group. When compared with BMI, blood urea nitrogen, creatinine, ALT, cholesterol total, triglyceride, white blood cell (WBC), and RBC had significant positive correlations. Among those, cholesterol total, triglyceride, WBC, and RBC showed significant difference between two groups, with correlation to BMI. Especially, the average of triglyceride was higher than normal limit in obesity group, whereas it was lower than normal limit in normal group. Conclusions: Triglyceride, cholesterol total, WBC, and RBC are highly related to obese elderly in this study. Old people with obesity need to be careful of cardiovascular and metabolic disease that can be caused by these factors.

Keywords

References

  1. Organization for Economic Co-operation and Development (OECD). OECD Factbook 2011-2012: Economic, Environmental and Social Statistics [Internet]. Paris: OECD; 2012 [cited 2013 Oct 28]. Available from: http://www.oecd-ilibrary. org/sites/factbook-2011-en/12/02/03/index.html?contentType =/ns/StatisticalPublication,/ns/Chapter&itemId=/content/cha pter/factbook-2011-109-en&containerItemId=/content/serial/ 18147364&accessItemIds=&mimeType=text/html.
  2. Ministry of Health and Welfare. Korea National Health and Nutrition Examination Survey: prevalence rate of obesity in 2011 [Internet]. Daejeon: Ministry of Health and Welfare; 2012 [cited 2013 Oct 28]. Available from: http://kosis.kr/gen_etl/ start.jsp?orgId=117&tblId=DT_11702_N101&conn_path =I3&path=NSI.
  3. Statistics Korea. General and processed statistics, statistics on population [Internet]. Daejeon: Statistics Korea; 2011 [cited 2013 Oct 28]. Available from: http://kosis.kr/gen_etl/start.jsp? orgId=101&tblId=DT_1B01001&conn_path=I3&path=NSI.
  4. World Health Organization (WHO). Definition of an older or elderly person [Internet]. Geneva: WHO; 2013 [cited 2013 Oct 28]. Available from: http://www.who.int/healthinfo/survey/ageingdefnolder/ en/.
  5. Gallagher D. Weight loss in older women: influences on body composition. Am J Clin Nutr. 2006 ; 84(5) : 957-8.
  6. Kim YH, Ou SW, Kim YS, Chun JH, Yang J, Yoon YS, et al. The factors affecting the fat distribution in the abdomen of obese women. Korean J Obes. 2005 ; 14(1) : 39-46.
  7. Jang HC. Recent progression in sarcopenia and sarcopenic obesity. J Korean Geriatr Soc. 2011 ; 15 : 1-7. https://doi.org/10.4235/jkgs.2011.15.1.1
  8. Hernández-Ono A, Monter-Carreola G, Zamora-González J, Cardoso-Saldaña G, Posadas-Sánchez R, Torres-Tamayo M, et al. Association of visceral fat with coronary risk factors in a population-based sample of postmenopausal women. Int J Obes Relat Metab Disord. 2002 ; 26 : 33-9. https://doi.org/10.1038/sj.ijo.0801842
  9. Pi-Sunyer FX. The epidemiology of central fat distribution in relation to disease. Nutr Rev. 2004 ; 62(7 Pt 2) : S120-6. https://doi.org/10.1111/j.1753-4887.2004.tb00081.x
  10. Al Snih S, Graham JE, Kuo YF, Goodwin JS, Markides KS, Ottenbacher KJ. Obesity and disability: Relation among older adults living in latin america and the caribbean. Am J Epidemiol. 2010 ; 171 : 1282-8. https://doi.org/10.1093/aje/kwq087
  11. Lahmann PH, Hoffmann K, Allen N, van Gils CH, Khaw KT, Tehard B, et al. Body size and breast cancer risk: Findings from the european prospective investigation into cancer and nutrition (EPIC). Int J Cancer. 2004 ; 111 : 762-71. https://doi.org/10.1002/ijc.20315
  12. Murphy TK, Calle EE, Rodriguez C, Kahn HS, Thun MJ. Body mass index and colon cancer mortality in a large prospective study. Am J Epidemiol. 2000 ; 152 : 847-54. https://doi.org/10.1093/aje/152.9.847
  13. Wolk A, Gridley G, Svensson M, Nyren O, McLaughlin JK, Fraumeni JF, et al. A prospective study of obesity and cancer risk (sweden). Cancer Causes Control. 2001 ; 12 : 13-21. https://doi.org/10.1023/A:1008995217664
  14. Decaria JE, Sharp C, Petrella RJ. Scoping review report: obesity in older adults. Int J Obes (Lond). 2012 ; 2. [Epub ahead of print]
  15. Whitmer RA, Gunderson EP, Barrett-Connor E, Quesenberry CP Jr, Yaffe K. Obesity in middle age and future risk of dementia: a 27 year longitudinal population based study. BMJ. 2005 ; 330 : 1360. https://doi.org/10.1136/bmj.38446.466238.E0
  16. Elia M. Obesity in the elderly. Obes Res. 2001 ; 9(4) : 244-8. https://doi.org/10.1038/oby.2001.126
  17. Moon HK, Kim EG. Comparing validity of body mass index, waist to hip ratio, and waist circumference to cardiovascular disease risk factors in Korean elderly. J Nutr Health. 2005 ; 38(6) : 445-54.
  18. Jin HM. A study of blood lipid profiles and lifestyle by obesity index in elderly women with lifestyle disease. J Korean Phys Educ Assoc Girls Women. 2009 ; 23(3) : 63-74.
  19. Jeong JY, Kim JH, Choi YH, Jang SN, Choi YJ, Kim DH. Association of obesity indices with physiological markers for cardiovascular disease among middle age and elderly in Chuncheon: Hallym Aging Study. Epidemiol Health. 2008 ; 30(1) : 89-99.
  20. Yoon JH, Kim JW, Lee SY, Kim KN, Cho IY, Cho YM. What is the most reliable obesity index in korean elderly population? Korean J Obes. 2012 ; 21(3) : 140-7. https://doi.org/10.7570/kjo.2012.21.3.140
  21. Nam SM, Ha EH, Suh YJ, Park HS, Chang MH, Seo JH, et al. Effect of obesity and blood lipid profiles on hyerlipidemia in adults aged over 40 years. Korean J Obes. 2008 ; 17(1) : 20-8.
  22. Korean Society of Nursing Science. The great encyclopedia of nursing science. Seoul : Korea Dictionary Research Publish. 1996 : 716-20.
  23. Shin HH, Sung JD, Kim CJ, Nam MS, Lee JH, Park HS, et al. Clinical Practice Guide of Dyslipidemia IV. 2nd ed. Seoul : Cheongwoon Publish. 2009 : 12-31.
  24. Lee YC, Kim SY. Hypertriglyceridemia and nutrition. Korean Society of Lipidology and Atherosclerosis Symposium. 1997 ; 7(2) : 151-9.
  25. Zamboni M, Mazzali G, Fantin F, Rossi A, Di Francesco V. Sarcopenic obesity: a new category of obesity in the elderly. Nutr Metab Cardiovasc Dis. 2008 ; 18 : 388-95. https://doi.org/10.1016/j.numecd.2007.10.002
  26. Yoon WS, Lee MS, Yu BC, Lee YH. Association between white and red blood cell counts in peripheral blood and metabolic syndrome. Korean J Obes. 2007 ; 16(4) : 154-61.
  27. Friedman GD, Teskawa I, Grimm RH, Manolio T, Shannon SG, Sidney S. The leukocycte count: correlates and relationship to coronary risks factors: the CARDIA study. Int J Epidmiol. 1990 ; 19(4) : 889-93. https://doi.org/10.1093/ije/19.4.889
  28. Lowe G, Rumley A, Norrie J, Ford I, Shepherd J, Cobbe S, et al. Blood rheology, cardiovascular risk factors, and cardiovascular disease: the West of Scotland Coronary Prevention Study. Thromb Haemost. 2000 ; 84(4) : 553-8.
  29. Shimakawa T, Bild DE. Relationship between hemoglobin and cardiovascular risk factors in young adults. J Clin Epidemiol. 1993 ; 46(11) : 1257-66. https://doi.org/10.1016/0895-4356(93)90090-N