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Diabetes Metab J : Diabetes & Metabolism Journal



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The Relationship between the Level of Fatness and Fitness during Adolescence and the Risk Factors of Metabolic Disorders in Adulthood
Yoonsuk Jekal, Ji Eun Yun, Sang Wook Park, Sun Ha Jee, Justin Y Jeon
Korean Diabetes J. 2010;34(2):126-134.   Published online April 30, 2010
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  • 27 Download
  • 10 Crossref
AbstractAbstract PDFPubReader   

The purpose of the current study was to investigate the association between the level of obesity and physical fitness (PF) during adolescence and the risk factors of metabolic disorders during adulthood.


In the current analysis, 3,993 Korean adults (mean age, 38.70 ± 1.69 years) were recruited. The level of body index (BI) and PF were examined during adolescence through high school record, and their health examination data, including systolic blood pressure (SBP), diastolic blood pressure (DBP), fasting glucose (FG), total cholesterol (TC), and current body mass index (BMI) were obtained from National Health Insurance Corporation Data. Gender-specific analyses were administered to compare health exam data across the level of BI, the level of PF, and a mixed level of BI and PF.


Most obese males during high school had statistically higher SBP, DBP, FG, and BMI in adulthood, and most obese females had higher BMI, as compared to most lean males or females. Least fit males during high school had statistically higher BMI in adulthood, and least fit females had statistically higher SBP, DBP, FG, TC, and BMI, as compared to most fit males or females. There was a significant relationship between the mixed level of BI and PF and SBP, DBP, TC and current BMI in both genders.


Maintaining a healthy level of body weight and PF during adolescence is recommended to prevent the development of metabolic diseases in adulthood.


Citations to this article as recorded by  
  • A cross‐sectional study on the use of big data for the past H1N1 influenza epidemic in obesity after COVID‐19: Focused on the body slimming cream and leptin via DTC gene test
    Jinkyung Lee, Ki Han Kwon
    Journal of Cosmetic Dermatology.2022; 21(11): 5321.     CrossRef
  • Aerobic fitness in late adolescence and the risk of cancer and cancer-associated mortality in adulthood: A prospective nationwide study of 1.2 million Swedish men
    G. Högström, H. Ohlsson, C. Crump, J. Sundquist, K. Sundquist
    Cancer Epidemiology.2019; 59: 58.     CrossRef
  • Study Time after School and Habitual Eating Are Associated with Risk for Obesity among Overweight Korean Children: A Prospective Study
    Eun Young Lee, Borami Kang, Yeoree Yang, Hae Kyung Yang, Hun-Sung Kim, Sun-Young Lim, Jin-Hee Lee, Seong-Su Lee, Byung-Kyu Suh, Kun-Ho Yoon
    Obesity Facts.2018; 11(1): 46.     CrossRef
  • Differences in Dietary Life and Health related Factors According to Obesity in Poor Urban Peruvian Adolescents
    Hye-Kyung Chung, Hae-Young Lee, Jin Ri Kim, Eun Woo Nam
    Korean Journal of Community Nutrition.2018; 23(4): 302.     CrossRef
  • The influence of aerobic fitness on obesity and its parent-offspring correlations in a cross-sectional study among German families
    Ronja Foraita, Mirko Brandes, Frauke Günther, Karin Bammann, Iris Pigeot, Wolfgang Ahrens
    BMC Public Health.2015;[Epub]     CrossRef
  • The Effect of Participation in Physical Activity “The Development of Fitness” Class on Physical Fitness and Risk Factors for Metabolic Syndrome of University Students in Korea
    김동일, Justin Jeon, 이해동, 박지혜, 홍성현
    Korean Journal of Sport Science.2012; 23(3): 478.     CrossRef
  • Epidemiology and prevention of stroke: a worldwide perspective
    Elena V Kuklina, Xin Tong, Mary G George, Pooja Bansil
    Expert Review of Neurotherapeutics.2012; 12(2): 199.     CrossRef
  • Fitness, Fatness, and Cardiovascular Disease Risk and Outcomes
    John M. Jakicic, Anne E. Mishler, Renee Rogers
    Current Cardiovascular Risk Reports.2011; 5(2): 113.     CrossRef
  • Epidemiology of Physical Activity Participation and Type 2 Diabetes in Korea
    Yoonsuk Jekal, Justin Y Jeon
    Journal of Korean Diabetes.2011; 12(1): 13.     CrossRef
  • Relationship Between Trajectories of Trunk Fat Mass Development in Adolescence and Cardiometabolic Risk in Young Adulthood
    Lauren B. Sherar, Joe C. Eisenmann, Philip D. Chilibeck, Nazeem Muhajarine, Susanna Martin, Donald A. Bailey, Adam D.G. Baxter‐Jones
    Obesity.2011; 19(8): 1699.     CrossRef
Self-Management and Health-Related Quality of Life in Adolescent and Adulthood Diabetic Patients.
Bong Suk Park, Gi Nam Jin, Youn Chung Choi, Ji Hee Chung, Kyoung Hoe Kim, Mi Young Lee, Jang Hyun Koh, Choon Hee Chung
Korean Diabetes J. 2005;29(3):254-261.   Published online May 1, 2005
  • 1,161 View
  • 30 Download
AbstractAbstract PDF
The purposes of this study are to analyze the factors that influence selfmanagement and health-related QOL, and to provide useful informations to improve the QOL in adolescent and adult diabetic patients. METHODS: For this study, we interviewed 126 adolescent and adult diabetic patients who visited the Yonsei University Wonju Christian Hospital from March 4th, 2004 to April 5th, 2004. RESULTS: We examined the relationship between the socio-demographic characteristics and the health-related quality of life(QOL). There were statistically significant relationships between the QOL-and employment, years of education, income level and marriage status, but not between the health-related QOL and age and gender. Furthermore, there were no statistically significant relationships between the health-related QOL and smoking or drinking, nor between type 1 and 2 diabetic patients. The health-related QOL was significantly higher for an increased diabetes duration and for a greater number of symptoms, but the QOL was significantly lower in the presence of complications and hospital admission. The health-related QOL was lower when the preprandial blood glucose levels and HbA1c concentrations were higher, but it was higher when the hemoglobin and hematocrit levels were higher. Regarding the treatment methods, the health-related QOL was significantly lower for those patients who took insulin injection. The QOL was higher when the general self-management and diet therapy were well-controlled. Meanwhile, those subjects who had obtained medical informations from doctors, the media(including the internet and TV) and nurses in that order, they selected diet therapy as the hardest factor in the management of their diabetes. CONCLUSION: Adolescent and adult diabetic patients need continuous education and assistance to improve their health-related QOL and to keep from developing complications

Diabetes Metab J : Diabetes & Metabolism Journal