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1、280AsiaPacJClinNutr2009;18(2):280-284ShortCommunicationMetabolicallyobesebutnormalweight(MONW)andmetabolicallyhealthybutobese(MHO)phenotypesinKoreans:characteristicsandhealthbehaviorsKayoungLeeMDPhDDepartmentofFamilyMedicine,BusanPaikHospital,InjeUniversityCollegeofMedicine,SouthKoreaT
2、hepurposeofthisstudywastoestimatetheprevalenceof‘metabolicallyobese,butnormal-weight’(MONW)and‘metabolicallyhealthy,butobese’(MHO)phenotypesinKoreanadultsandidentifythecharacteristicsandhealthbehaviorsrelatedtobothphenotypes.Ofthe5267participants(2227men,3040women)fromthe3rdKo-reanNati
3、onalHealthandNutritionExaminationSurvey,theMONWphenotype(8.7%oftotalsubjects,12.7%ofnormal-weightsubjects)wasdefinedasindividualsofnormalweight(BMI<25)withthemetabolicsyn-drome(MS),andtheMHOphenotype(15.2%oftotalsubjects,47.9%ofobesesubject)wasdefinedasobeseindividuals(BMI≥25)withoutth
4、eMS.TheoddsratioforMONWphenotypewassignificantlyhigherforthoseatolderage,thosewithlowereducation,thosewhohadmoderatealcoholconsumption,andtimespentpartici-patinginmoderate-intensityexercise.TheoddsratioforMHOphenotypewassignificantlylowerforthoseatolderage,men,thosewithlowereducation,a
5、ndformer/currentsmokers.Inconclusion,regardlessofweightstatus,healthbehaviorsshouldbemodifiedtopreventMS.KeyWords:metabolicallyobesebutnormal-weight,metabolicallyhealthybutobesephenotype,prevalence,healthbehaviors,KoreanINTRODUCTIONbasedcross-sectionalsurveyconductedin2005bythe4Thestan
6、dardrelationshipbetweenweightstatusandKoreanMinistryofHealthandWelfare.TheMONWmetabolichealthisnotapplicableforsomesubtypesofphenotypewasdefinedasthestatusofhavingnormal2individuals.Thesubtypesareknownas‘metabolicallyweight(BMI<25kg/m)butfulfillingthemetabolicobese,butnormal-weight’(MO
7、NW)and‘metabolicallysyndrome(MS)criteria(≥3abnormalmetaboliccompo-healthy,butobese’(MHO)phenotypes.1Theformerphe-nents).Incontrast,theMHOphenotypewasdefinedas24,5notypearethosewhoarenormalweightwithanabnormalthestatusofbeingobese(BMI≥25kg/m),butnotmetabolicstatus.Ontheotherhand,thela