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JKM > Volume 39(4); 2018 > Article
J Korean Med. 2018;39(4): 51-61.         doi: https://doi.org/10.13048/jkm.18034
Customized BMI and waist circumference cut-off values are needed to identify metabolic syndrome among South Koreans according to their Sasang constitutional type
Jun-Sang Yu1  , Younghwa Baek2  , Daesung Hyun3  , and Sei-Jin Chang4 
1Department of Sasang Constitutional Medicine, College of Korean Medicine, Sangji University, Wonju, 26338, Republic of Korea (hiruok@sangji.ac.kr)
2Future Medicine Division, Korea Institute of Oriental Medicine, Daejeon, 34054, Republic of Korea (aori79@kiom.re.kr)
3Department of Preventive Medicine and Department of Biostatistics and Computing, The Graduate School of Yonsei University, Wonju, 26426, Republic of Korea (hyonds@hanmail.net)
4Department of Preventive Medicine and Institute of Environmental & Occupational Medicine, Wonju College of Medicine, Yonsei University, Wonju, 26426, Republic of Korea (chang0343@yonsei.ac.kr)
Corresponding Author: Jun-Sang Yu ,Tel: +82-33-741-9203, Fax: +82-33-741-9141, Email: hiruok@sangji.ac.kr
Received: October 5, 2018;  Revised: November 29, 2018.  Accepted: November 29, 2018.
Introduction: This study evaluated whether body mass index (BMI) and waist circumference (WC) cut-offs for predicting metabolic syndrome (MetS) were different according to Sasang constitutional type.
Methods: Data were obtained from 3,117 South Koreans (20–90 years old), and MetS was defined according to the revised NCEP-ATPIII criteria. Age-adjusted BMI and WC cut-offs were calculated according to Sasang constitutional type (Soyangin [SY], Taeeumin [TE], and Soeumin [SE]), sex, and age (men: ≥40 vs. <40 years, women: ≥50 vs. <50 years).
Results: The prevalences of MetS were 29.9% (<40-year-old men), 35.1% (≥40-year-old men), 14.8% (<50-year-old women), and 47.7% (≥50-year-old women). The BMI (kg/m2) and WC (cm) cut-offs for <40-year-old men were 25.9 and 89.9 (SY), 25.5 and 90.5 (TE), and 21.8 and 86.2 (SE). The cut-offs for ≥40-year-old men were 23.1 and 88.9 (SY), 25.0 and 89.9 (TE), and 22.2 and 87.5 (SE). The BMI and WC cut-offs for <50-year-old women were 22.5 and 81.2 (SY), 25.1 and 83.0 (TE), and 21.5 and 79.8 (SE). The cut-offs for ≥50-year-old women were 22.2 and 80.5 (SY), and 25.2 and 89.1 (TE), and 21.9 and 80.3 (SE).
Conclusions: The BMI and WC cut-offs for identifying MetS varied according to Sasang constitution type.
Keywords: Metabolic syndrome | Sasang constitution | Cut-off value | Body mass index | Waist circumference
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