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한국 제2형 당뇨병환자에서 죽상동맥경화증 유무의 예측인자로서 허리둘레 기준치 분석

Other Titles
 The Proper Value of Waist Circumference for Prediction of Atherosclerosis in Type 2 Diabetic Patients in Korea 
 유정선  ;  박종숙  ;  한정우  ;  이윤범  ;  노정민  ;  오경진  ;  남지선  ;  조민호  ;  차봉수  ;  이은직  ;  임승길  ;  김경래  ;  이현철  ;  안철우 
 Korean Clinical Diabetes (임상당뇨병), Vol.9(3) : 219-227, 2008 
Journal Title
Korean Clinical Diabetes(임상당뇨병)
Issue Date
Background: Macrovascular complications are the main causes of death among the diabetic patients and abdominal obesity is well known as the important component of metabolic syndrome. We investigated to decide the proper value of waist circumference which could predict subclinical atherosclerosis in type 2 diabetic patients in Korea.

Methods: We supposed that increased carotid intima-media thickness (IMT) was equivalent to subclinical atherosclerosis and abdominal obesity was judged by four well-known criteria of Korean Society for the Study of Obesity (KSSO), Japan Society for the Study of Obesity (JASSO), International Diabetes Federation (IDF), National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP III). Mean IMT was measured at both carotid arteries by high resolution B-mode ultrasonography in 771 type 2 diabetic patients. We calculated the relative risk of increased IMT when patients’ waist circumference was over the value of each criterion.

Results: The risk of subclinical atherosclerosis was increased in men with abdominal obesity according to three criteria except JASSO. The relative risk of increased IMT was 1.682 (95% CI = 1.147, 2.466) in whose waist circumference was over 90 cm compared with less than 90 cm. But in women, the risk was not increased at all criteria.

Conclusion: The waist circumference has practical value as marker of subclinical atherosclerosis in type 2 diabetic males in Korea, and the proper cut-off value of waist circumference is 90 cm, which is offered by IDF and KSSO as abdominal obesity
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1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Kyung Rae(김경래)
Nam, Ji Sun(남지선) ORCID logo https://orcid.org/0000-0001-8655-5258
Park, Jong Suk(박종숙) ORCID logo https://orcid.org/0000-0002-5385-1373
Ahn, Chul Woo(안철우) ORCID logo https://orcid.org/0000-0003-3733-7486
Lee, Eun Jig(이은직) ORCID logo https://orcid.org/0000-0002-9876-8370
Lee, Hyun Chul(이현철)
Lim, Sung Kil(임승길)
Cho, Min Ho(조민호)
Cha, Bong Soo(차봉수) ORCID logo https://orcid.org/0000-0003-0542-2854
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