Research Article

Thyroid Function in Korean Adolescents with Obesity: Results from the Korea National Health and Nutrition Examination Survey VI (2013–2015)

Table 1

Characteristic and laboratory data according to obesity, sex, and age in 10–19-year-old Korean adolescents.

NormalOverweightObesity for trend

N (%)851 (80.7%)103 (8.7%)113 (10.6%)
Estimated number of subjects2,113,591228,910276,292
Sex (male, %)443 (51.0%)57 (53.7%)59 (53.0%)0.859
Age (yr)15.2 ± 0.114.5 ± 0.314.9 ± 0.20.468
BMI (kg/m2)20.2 ± 0.124.5 ± 0.128.7 ± 0.3<0.001
BMI z-score−0.29 ± 0.031.32 ± 0.022.54 ± 0.08<0.001
WC (cm)69.0 ± 0.379.1 ± 0.688.4 ± 1.1<0.001
WHR (%)42.5 ± 0.248.3 ± 0.353.5 ± 0.5<0.001
Systolic BP (mmHg)107.8 ± 0.4112.6 ± 1.1115.6 ± 1.0<0.001
Diastolic BP (mmHg)66.7 ± 0.367.4 ± 1.168.0 ± 0.80.133
Fasting glucose (mg/dL)90.7 ± 0.391.7 ± 0.794.8 ± 2.50.081
HbA1c (%)5.40 ± 0.015.45 ± 0.045.59 ± 0.110.064
Total cholesterol (mg/dL)156.9 ± 0.9159.2 ± 3.3165.5 ± 2.80.004
HDL-C (mg/dL)52.2 ± 0.449.2 ± 1.145.0 ± 0.9<0.001
Triglyceride (mg/dL)72.4 ± 1.384.4 ± 5.190.6 ± 4.6<0.001
AST (IU/L)18.4 ± 0.318.8 ± 0.919.9 ± 0.60.043
ALT (IU/L)14.0 ± 0.517.5 ± 2.123.7 ± 1.5<0.001
Free T4 (ng/mL)1.30 ± 0.011.26 ± 0.021.25 ± 0.020.001
TSH (mIU/L)2.73 ± 0.062.77 ± 0.023.24 ± 0.220.031
Subclinical hyperthyrotropinemia, n (%)54 (5.8%)6 (4.9%)11 (10.0%)0.221
Abdominal obesity, n (%)17 (2.3%)19 (19.4%)86 (77.6%)<0.001
Hypertension, n (%)24 (2.4%)6 (9.2%)12 (10.6%)<0.001
Hyperglycemia, n (%)74 (8.4%)13 (10.6%)14 (13.3%)0.250
Hypertriglyceridemia, n (%)47 (5.5%)18 (15.8%)19 (16.2%)<0.001
Hypo-HDL-C, n (%)96 (12.1%)16 (14.0%)31 (26.3%)<0.001
Metabolic syndrome, n (%)4 (0.4%)2 (1.9%)15 (13.9%)<0.001

Data are presented as weighted mean ± standard error or frequency (weighted percentage). TC, HDL-C, and TG were log-transformed for analysis and expressed as geometric mean ± standard error. BMI: body mass index; WC: waist circumference; WHR: waist-height ratio; BP: blood pressure; HDL-C: high-density lipoprotein cholesterol; AST: aspartate transaminase; ALT: alanine transaminase; TSH: thyroid-stimulating hormone.