Association between cardiorespiratory fitness and the prevalence of metabolic syndrome among Korean adults: A cross sectional study

Sunghyun Hong, Junga Lee, Jihye Park, Mikyung Lee, Ji Young Kim, Kyong Chol Kim, Sun Hyun Kim, Jee Aee Im, Sang Hui Chu, Sang-Hoon Suh, Sang Hwan Kim, Justin Y. Jeon

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Abstract

Background: The purpose of the current study was to investigate the association between cardiorespiratory fitness (CRF), measured by a simple step test, and the prevalence of metabolic syndrome among Korean adults, in a cross sectional design. Methods. A total of 1,007 Korean adults (488 men and 519 women) who underwent routine health checkups were recruited. CRF was measured by Tecumseh step test. The National Cholesterol Education Program's Adult Treatment Panel III guideline was used to determine the prevalence of metabolic syndrome. A logistic regression was performed to reveal possible associations. Results: The results of the study showed that a lower level of CRF was significantly associated with a higher prevalence of metabolic syndrome in men, but not in women. On the other hand, higher BMI was associated with a higher prevalence of metabolic syndrome in both men and women. However, BMI was not associated with fasting glucose nor hemoglobinA1c in men. When the combined impact of BMI and CRF on the prevalence of metabolic syndrome was analyzed, a significantly increased prevalence of metabolic syndrome was found in both men (odds ratio [OR]: 18.8, 95% Confidence Interval [CI]: 5.0 - 70.5) and women (OR: 8.1, 95% CI: 2.8 - 23.9) who had high BMI and low cardiorespiratory fitness. On the other hand, the prevalence of metabolic syndrome was only increased 7.9 times (95% CI: 2.0 - 31.2) in men and 5.4 times (95% CI: 1.9 - 15.9) in women who had high level of CRF and high BMI. Conclusion: In conclusion, the current study demonstrated the low CRF and obesity was a predictor for metabolic syndrome in Korean adults.

Original languageEnglish
Article number481
JournalBMC Public Health
Volume14
Issue number1
DOIs
Publication statusPublished - 2014 May 21

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Cross-Sectional Studies
Confidence Intervals
Exercise Test
Odds Ratio
Cardiorespiratory Fitness
Fasting
Obesity
Logistic Models
Cholesterol
Guidelines
Education
Glucose
Health

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Cite this

Hong, Sunghyun ; Lee, Junga ; Park, Jihye ; Lee, Mikyung ; Kim, Ji Young ; Kim, Kyong Chol ; Kim, Sun Hyun ; Im, Jee Aee ; Chu, Sang Hui ; Suh, Sang-Hoon ; Kim, Sang Hwan ; Jeon, Justin Y. / Association between cardiorespiratory fitness and the prevalence of metabolic syndrome among Korean adults : A cross sectional study. In: BMC Public Health. 2014 ; Vol. 14, No. 1.
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title = "Association between cardiorespiratory fitness and the prevalence of metabolic syndrome among Korean adults: A cross sectional study",
abstract = "Background: The purpose of the current study was to investigate the association between cardiorespiratory fitness (CRF), measured by a simple step test, and the prevalence of metabolic syndrome among Korean adults, in a cross sectional design. Methods. A total of 1,007 Korean adults (488 men and 519 women) who underwent routine health checkups were recruited. CRF was measured by Tecumseh step test. The National Cholesterol Education Program's Adult Treatment Panel III guideline was used to determine the prevalence of metabolic syndrome. A logistic regression was performed to reveal possible associations. Results: The results of the study showed that a lower level of CRF was significantly associated with a higher prevalence of metabolic syndrome in men, but not in women. On the other hand, higher BMI was associated with a higher prevalence of metabolic syndrome in both men and women. However, BMI was not associated with fasting glucose nor hemoglobinA1c in men. When the combined impact of BMI and CRF on the prevalence of metabolic syndrome was analyzed, a significantly increased prevalence of metabolic syndrome was found in both men (odds ratio [OR]: 18.8, 95{\%} Confidence Interval [CI]: 5.0 - 70.5) and women (OR: 8.1, 95{\%} CI: 2.8 - 23.9) who had high BMI and low cardiorespiratory fitness. On the other hand, the prevalence of metabolic syndrome was only increased 7.9 times (95{\%} CI: 2.0 - 31.2) in men and 5.4 times (95{\%} CI: 1.9 - 15.9) in women who had high level of CRF and high BMI. Conclusion: In conclusion, the current study demonstrated the low CRF and obesity was a predictor for metabolic syndrome in Korean adults.",
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Association between cardiorespiratory fitness and the prevalence of metabolic syndrome among Korean adults : A cross sectional study. / Hong, Sunghyun; Lee, Junga; Park, Jihye; Lee, Mikyung; Kim, Ji Young; Kim, Kyong Chol; Kim, Sun Hyun; Im, Jee Aee; Chu, Sang Hui; Suh, Sang-Hoon; Kim, Sang Hwan; Jeon, Justin Y.

In: BMC Public Health, Vol. 14, No. 1, 481, 21.05.2014.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Association between cardiorespiratory fitness and the prevalence of metabolic syndrome among Korean adults

T2 - A cross sectional study

AU - Hong, Sunghyun

AU - Lee, Junga

AU - Park, Jihye

AU - Lee, Mikyung

AU - Kim, Ji Young

AU - Kim, Kyong Chol

AU - Kim, Sun Hyun

AU - Im, Jee Aee

AU - Chu, Sang Hui

AU - Suh, Sang-Hoon

AU - Kim, Sang Hwan

AU - Jeon, Justin Y.

PY - 2014/5/21

Y1 - 2014/5/21

N2 - Background: The purpose of the current study was to investigate the association between cardiorespiratory fitness (CRF), measured by a simple step test, and the prevalence of metabolic syndrome among Korean adults, in a cross sectional design. Methods. A total of 1,007 Korean adults (488 men and 519 women) who underwent routine health checkups were recruited. CRF was measured by Tecumseh step test. The National Cholesterol Education Program's Adult Treatment Panel III guideline was used to determine the prevalence of metabolic syndrome. A logistic regression was performed to reveal possible associations. Results: The results of the study showed that a lower level of CRF was significantly associated with a higher prevalence of metabolic syndrome in men, but not in women. On the other hand, higher BMI was associated with a higher prevalence of metabolic syndrome in both men and women. However, BMI was not associated with fasting glucose nor hemoglobinA1c in men. When the combined impact of BMI and CRF on the prevalence of metabolic syndrome was analyzed, a significantly increased prevalence of metabolic syndrome was found in both men (odds ratio [OR]: 18.8, 95% Confidence Interval [CI]: 5.0 - 70.5) and women (OR: 8.1, 95% CI: 2.8 - 23.9) who had high BMI and low cardiorespiratory fitness. On the other hand, the prevalence of metabolic syndrome was only increased 7.9 times (95% CI: 2.0 - 31.2) in men and 5.4 times (95% CI: 1.9 - 15.9) in women who had high level of CRF and high BMI. Conclusion: In conclusion, the current study demonstrated the low CRF and obesity was a predictor for metabolic syndrome in Korean adults.

AB - Background: The purpose of the current study was to investigate the association between cardiorespiratory fitness (CRF), measured by a simple step test, and the prevalence of metabolic syndrome among Korean adults, in a cross sectional design. Methods. A total of 1,007 Korean adults (488 men and 519 women) who underwent routine health checkups were recruited. CRF was measured by Tecumseh step test. The National Cholesterol Education Program's Adult Treatment Panel III guideline was used to determine the prevalence of metabolic syndrome. A logistic regression was performed to reveal possible associations. Results: The results of the study showed that a lower level of CRF was significantly associated with a higher prevalence of metabolic syndrome in men, but not in women. On the other hand, higher BMI was associated with a higher prevalence of metabolic syndrome in both men and women. However, BMI was not associated with fasting glucose nor hemoglobinA1c in men. When the combined impact of BMI and CRF on the prevalence of metabolic syndrome was analyzed, a significantly increased prevalence of metabolic syndrome was found in both men (odds ratio [OR]: 18.8, 95% Confidence Interval [CI]: 5.0 - 70.5) and women (OR: 8.1, 95% CI: 2.8 - 23.9) who had high BMI and low cardiorespiratory fitness. On the other hand, the prevalence of metabolic syndrome was only increased 7.9 times (95% CI: 2.0 - 31.2) in men and 5.4 times (95% CI: 1.9 - 15.9) in women who had high level of CRF and high BMI. Conclusion: In conclusion, the current study demonstrated the low CRF and obesity was a predictor for metabolic syndrome in Korean adults.

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