Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Tracking Obesity Phenotypes in Korean Adults Based on KNHANES (2015-2019)

Version 1 : Received: 1 November 2022 / Approved: 1 November 2022 / Online: 1 November 2022 (09:36:30 CET)

How to cite: Shin, J.; Kim, O.; Lee, M. Tracking Obesity Phenotypes in Korean Adults Based on KNHANES (2015-2019). Preprints 2022, 2022110026. https://doi.org/10.20944/preprints202211.0026.v1 Shin, J.; Kim, O.; Lee, M. Tracking Obesity Phenotypes in Korean Adults Based on KNHANES (2015-2019). Preprints 2022, 2022110026. https://doi.org/10.20944/preprints202211.0026.v1

Abstract

The prevalence of obesity in Korean adults was 56.1% in 2019. This study aimed to find obesity phenotypes from the KNHANES(2015–2019) and determine the risk factors associated with each type. In 15,179 participants, three obesity phenotypes, high BMI (short heavy obesity, n=1,685), high waist circumference (WC) (tall abdominal obesity, n=549), and BMI/WC combination (heavy abdominal obesity, n=3,538), were compared to non-OB (n=9,425). Marital status, lower income and education levels were highly associated with abdominal obesity. Insufficient exercise or skipping breakfast were associated with the WC or BMI/WC obesity type. The BMI/WC risk was 3.25 times higher in males with high TG and 4.6–4.8 times higher in females with high FAS or TG, and the risk increased to 7-8 times higher in three combinations (HYP+HDLc+FBS) compared to the control. The K-Score to test balanced diets was lower in BMI/WC than in others. Low intakes of FI-4(fruits) in men and FI-2(meat), FI-3 (vegetables), and FI-5 (milk/milk products) in women with BMI/WC and WC types, but BMI type was not associated with diets. Compared to BMI, the BMI/WC or WC obesity type was an indicator of metabolically unhealthy obesity associated with obesogenic environments including food/diets pattern and unhealthy behaviors.

Keywords

obesity phenotypes, obesogenic environments, metabolic syndrome, K-score, food pattern

Subject

Medicine and Pharmacology, Dietetics and Nutrition

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