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JKM > Volume 35(1); 2014 > Article
Yoo, Cho, Gu, Kim, and Yun: Relation between Metabolic Syndrome and Obesity Pattern Identification Questionnaire in Middle-aged Health Check-up Examinees



Metabolic syndrome is considered a coronary heart disease risk factor and its prevalence rate is increasing in Korea. Because obesity is relevant to metabolic syndrome, we investigated the relationship between metabolic syndrome and the Obesity Pattern Identification Questionnaire in middle-aged health check-up examinees.


This was a cross-sectional study with 125 patients who visited a health promotion center of university hospital from October 2012 to January 2013. We analyzed the association of Obesity Pattern Identification Questionnaire and the diagnostic criteria of metabolic syndrome.


Pi deficiency (脾虛), phlegm (痰飮), liver stasis (肝鬱) and food accumulation (食積) pattern showed significantly highs score in the group with hypertriglyceridemia. Also, females demonstrated significantly high scores of liver stasis (肝鬱) and food accumulation (食積) in the group with hypertriglyceridemia. The questions of Pattern Identification that showed especially significant high score in the group of hypertriglyceridemia are as follows: ‘Easily get annoyed’, ‘Usually worried’, ‘Frequently overeating or bingeing’, and ‘Having more after getting full’. There are positive correlations between triglyceride and the score of Pi deficiency (脾虛), phlegm (痰飮) and food accumulation (食積) pattern.


Obesity Pattern Identification Questionnaire can be used for the management of hypertriglyceridemia in an effort to prevent metabolic syndrome.

Table 1
Anthropometric Measuresments and Biochemical Indices of 124 Subjects
All (N=124) Male (n=70) Female (n=54) P-value
Age (years) 53.44±5.20 53.42±5.28 53.46±5.16 0.971
BMI(kg/m2) 24.29±3.07 25.05±2.68 23.31±3.27 0.001**
BFP(%) 27.35±7.26 23.82±6.01 31.93±6.12 <0.001**
WC(cm) 85.20±10.06 90.07±7.80 78.88±9.16 <0.001**
SBP(mmHg) 118.16±12.27 122.08±10.99 113.09±12.07 <0.001**
DBP(mmHg) 79.02±10.07 83.37±8.93 73.38±8.62 <0.001**
Trigyceride(mg/dl) 132.50±107.71 154.72±122.72 103.68±76.30 0.005*
HDL-C(mg/dl) 58.26±14.50 54.30±12.69 63.40±15.19 <0.001**
FBS(mg/dl) 99.29±23.52 102.52±26.74 95.09±17.93 0.081

BMI : Body mass index, BFP : Body Fat Percentage, WC :Waist Circumference, SBP : Systolic Blood Pressure, DBP : Diastolic Blood Pressure, HDL-C : high density lipoprotein cholesterol, FBS : Fasting Blood Sugar

* p<0.05 and

** p<0.01

Table 2
Frequency According to Metabolic Syndrome Diagnostic Criteria
All (N=124) Male (n=70) Female (n=54) χ2 P-value
Metabolic syndrome 35 26(74.3%) 9(25.7%) 6.309 0.012*
Central obesity 65 40(61.5%) 25(38.5%) 1.438 0.230
Hypertension 51 40(78.4%) 11(21.6%) 17.024 <0.001**
High trigyceride 40 27(67.5%) 13(32.5%) 2.932 0.087
Low HDL-C 20 9(45.0%) 11(55.0%) 1.272 0.259
High glucose 41 24(58.5%) 17(41.5%) 0.108 0.742

* p<0.05 and

** p<0.01

Table 3
Comparison of the Pattern Identification Score According to High Trigyceride
High Trigyceride (n=40) Normal (n=84) P-value
Pi deficiency 17.16±9.26 13.26±9.31 0.031*
Phlegm 16.77±8.91 12.80±8.91 0.022*
Yang deficiency 16.86±9.35 13.77±9.15 0.084
Food accumulation 18.47±9.15 13.67±9.04 0.007**
Liver stasis 19.35±10.89 14.49±10.40 0.018*
Blood stagnation 13.25±8.15 10.62±8.90 0.116

* p<0.05 and

** p<0.01

Table 4
Comparison of the Pattern Identification Score According to High Trigyceride in Female
High Trigyceride (n=13) Normal (n=41) P-value
Pi deficiency 19.28±9.60 13.78±8.62 0.057
Phlegm 18.90±9.09 13.59±8.21 0.053
Yang deficiency 18.62±9.39 14.58±8.36 0.147
Food accumulation 20.71±8.87 14.19±8.48 0.021*
Liver stasis 21.86±11.49 15.05±9.54 0.038*
Blood stagnation 15.30±7.98 10.99±7.57 0.083

* p<0.05

Table 5
Correlation Between Trigyceride and Pattern Identification Score of 124 Subjects
Pi Deficiency Phlegm Yang Deficiency Food Accumulation Liver Stasis Blood Stagnation
r 0.192 0.199 0.139 0.227 0.160 0.143
P-value 0.033* 0.027* 0.123 0.011* 0.076 0.113

* p<0.05

Table 6
Comparison of the Pattern Identification Score According to High Trigyceride in Questions
Questions High Trigyceride (n=40) Normal (n=84) P-value
Easily get annoyed 2.80±1.15 2.32±1.18 0.036*
Usually with worries 2.92±1.07 2.35±1.13 0.009*
Frequently overeating or binge 2.55±1.06 1.95±1.08 0.005*
Having more after getting full 2.32±1.04 1.89±0.89 0.019*

* p<0.05


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