J Obes Metab Syndr 2019; 28(2): 139-140
Published online June 30, 2019 https://doi.org/10.7570/jomes.2019.28.2.139
Copyright © Korean Society for the Study of Obesity.
Department of Endocrinology and Metabolism, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea
Department of Endocrinology and Metabolism, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunan-ro, Jongno-gu, Seoul 03181, Korea,
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Obesity is defined as a state of excessive body fat accumulation. Recent studies have suggested that not only the amount of body fat accumulated but also where fat is accumulated matters in the development of comorbidities of obesity.1 Although numerous obesity indices to measure body fat have been developed and validated, there is no single index that accurately reflects fat accumulation status in our body that influences cardiometabolic risk.2 Body mass index has traditionally been used as the gold standard for the measurement and definition of obesity, but controversy remains due to its failure to reflect abdominal obesity and muscle mass.3,4
In this issue of
Although the results were novel, the design of the study is somewhat complicated in that they not only looked at CVD risk according to LBSIZ, but also expanded the results across MHO phenotypes, which made the interpretation of the results difficult for readers. Dividing the study into two papers (that is, one that analyzes the CVD risk according to LBSIZ tertiles, and another analyzing the association of LBSIZ across MHO phenotypes) would have improved the interpretation of LBSIZ implications. In addition, it was unclear whether the authors made any attempt to create a new equation for ABSI using KNHANES data, as Krakauer and Krakauer6 did. A new equation using WC, body weight, and height that reflects body fat in Koreans would be very useful and could be applied in many studies. Nevertheless, the study’s results are novel and useful for expanding the implications of ABSI and LBSIZ.
The author declares no conflict of interest.