- Author:
Gyu Lee KIM
1
;
Hye Rim HWANG
;
Yun Jin KIM
;
Sang Yeoup LEE
;
Jeong Gyu LEE
;
Dong Wook JEONG
;
Yu Hyeon YI
;
Young Jin TAK
;
Seung Hun LEE
;
A Rum PARK
Author Information
- Publication Type:Original Article
- Keywords: Obesity; Body Composition; Vascular Stiffness; Sex Characteristics
- MeSH: Adipose Tissue*; Body Composition; Cross-Sectional Studies; Female; Humans; Male; Mass Screening; Muscle, Skeletal; Obesity; Pulse Wave Analysis*; Sex Characteristics; Vascular Stiffness*
- From:Korean Journal of Family Medicine 2018;39(6):347-354
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: BMI alone may not serve as an index of obesity because it does not reflect body composition. The present study aimed to compare arterial stiffness as assessed by the brachial-ankle pulse wave velocity (ba-PWV) among groups defined by body fat percentage (pBF) and BMI. METHODS: This cross-sectional study was based on 1,700 participants (1,044 men and 656 women) who completed a health screening examination at a national hospital between January 2011 and February 2016. Participants were divided into four groups according to BMI and pBF: normal fat and normal weight (NFNW); excessive fat and normal weight (EFNW); normal fat and obese (NFO); and excessive fat and obese (EFO). The ba-PWV and other cardiometabolic factors were compared among the four groups in men and women separately. RESULTS: For both sexes, the NFNW group had a lower metabolic risk compared to that in the other groups (EFNW, NFO, and EFO). After adjusting for multiple variables, the NFO males had a significantly lower ba-PWV compared to those in the other groups, including NFNW males. The NFO group had significantly more skeletal muscle mass and muscle mass compared the other groups (P < 0.05). Among women, the NFNW group had a significantly lower ba-PWV compared the other groups, even after adjusting for multiple variables. CONCLUSION: Lower pBF in obese men may be associated with improved cardiovascular risk.