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자료유형
학술저널
저자정보
저널정보
대한지역사회영양학회 대한지역사회영양학회지 대한지역사회영양학회지 제19권 제5호
발행연도
2014.10
수록면
490 - 498 (9page)

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This study was conducted to propose the need of re-establishing the criteriaof the body weight classification in the elderly. We compared the Asia-Pacific RegionCriteria (APR-C) with Entropy Model Criteria (ENT-C) using Morbidity rate of chronicdiseases which correlates significantly with Body Mass Index (BMI). Methods: Subjects were 886 elderly female participating in the 2007-2009 KoreaNational Health and Nutrition Examination Survey (KNHANES). We compared APRCwith those of ENT-C using Receiver Operating Characteristics (ROC) curve andlogistic regression analysis. Results: In the case of the morbidity of hypertension, the results were as follows:Where it was in the T-off point of APR-C, sensitivity was 67.5%, specificity was43.1%, and Youden``s index was 10.6. While in the cut-off point of ENT-C, it was56.7%, 56.6%, and 13.3 respectively. In the case of the morbidity of diabetes, theresults were as follows: In the cut-off point of APR-C, Youden’s index was 14.2. Whilein the cut-off point of ENT-C, it was 17.2 respectively. The Area Under the ROCCurve (AUC) of the subjects who had more than 2 diseases among hypertension,diabetes, and dyslipidemia was 0.615 (95% CI: 0.578-0.652). Compared to the normalgroup, the odds ratio of the hypertension group which will belong to the overweight orobesity was 1.79 (95% CI: 1.30-2.47) in the APR-C, and 2.04 (95% CI: 1.49-2.80) inthe ENT-C (p < 0.001). Conclusions: We conclude that the optimal cut-off point of BMI to distinguish betweennormal weight and overweight was 24 kg/m2 (ENT-C) rather than 23 kg/m2 (APR-C).

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