29_01_2

BIBLID 03708179, 130(2002) 1112 p. 361366

UDC: 616056.2507

,
,

: 
, . , 
, , 
, .
. 
. 311
95 30 kg/m2. , 
, , , HDL,
LDL, (p < 0,05). 
 33,0 ,  37,5 . 
 6,70 mmol/L,  2,56 mmol/L, LDL  3,93 mmol/L HDL 
1,15 mmol/L.  5,88 mmol/L ,  1,82
mmol/L. LDL 3,37 mmol/L HDL  1,16 mmol/L
LDL, HDL .
,
LDL, HDL.
. , , 
, . 
. 
, .
. 
.
: , , . ( ).

, , [1].
.
20
25 ,
[2],
.

: 25 30
, 30
40 , 40
[3].
WHR, .
, (, , , ) , 1,0 0,85 .
(, , ) 1,0
0,85 .
( ) .

y
[4-6].
( )
,

, [1, 7].
, ,
, ,
[8].

.

.

20 , 30 [9].
[10].
(
,
).
361

29_01_2

. ,
[11].
. 27 kg/m2
.
. , .
-
.
- ,
(
) [12].

: , .

. (

), ,
.

.
[8, 13, 14].
(), VLDL, LDL, HDL [15].
, VLDL . (Raeven) [16] LDL (
)
, [17],
.
33 ,
.
36 .

12 30 ,
[18].

311 95
30 kg/m2. 74 21 .
48,46 6,05 , 50,52
4,23 . ,
, , . , ; , , ,

362

, .
: , , HDL, LDL mmol/L. .
, 1,0 kg,

.
, , 0,1 cm. ,
. .
30 kg/m2
.

,
0,1 cm. ,
.


(BT-905). :
5 ,
12 .
, (, , ) , . :

, . . , ,
.
, , ,
.
.
.
,
.
.

( Boehringer, Mannheim GmbH), HDL
--,
LDL , NCEP.
HDL LDL.
,
. ,
. .
.
.

31,68 8,29 kg 68,40 8,19 kg. 40,30

29_01_2

5,72 kg 55,88 14,56 kg.

51,26 8,21, 103,25 14,38 kg, 39,81
4,91, 92,67 10,21 kg ( 1).
2 6,70 1,37, 2,56 1,32, HDL
1,15 0,25, LDL 3,93 0,99, 3,47 1,37. 5,88
1,10, 1,82 1,11, HDL 1,16 0,23,
LDL 3,37 0,64 3,17 1,46.


( 3).

.
, .
( , ,
,
,
) [19].
:
, , , , .
( 1). (33,03 ) (37,48 ).
[20],
4,3 27,9 .

13 17
(19,15 ) (14 ). , 24 , : 15 , 85 ( 45 , 15
25 ),
- 27 ,
73 ( 36 , 12
25 ) [21]. ,
95 :
48,46 6,05 50,52 4,23 .

, ( = 103,25 14,38)
(92,67 10,21 kg).

.

,

,
, , .
.

.
(0,97 0,13) (0,84 0,07),
,
.
( , ,
HDL LDL IA) ( 2).
[22]

A 1. 
30 kg/m2 
(n = 95).
TABLE 1. Body composition of subjects with BMI > 30 kg/m2 determined
by bioelectrical impedamce method (n =95).
(n=74)
Man (n=74)

_
x
SD

DOB ()
Age (years)
48.46
6.05

WHR
0.97
0.13

FAT
(kg)
31.68
8.29

FAT
(%)
33.03
11.63

LBM
(kg)
68.40
8.19

LBM
(%)
68.28
13.65

TBW
(l)
51.26
8.21

(kg)
103.25
14.38

FAT
(kg)
40.30
5.72

FAT
(%)
37.48
7,89

LBM
(kg)
55.88
14.56

LBM
(%)
52.52
13.15

TBW
(l)
39.81
4.91

(kg)
92.67
10.21

(n = 21)
Women (n = 21)

_
x
SD

DOB ()
Age (years)
50.52
4.23

WHR
0.84
0.07

2. (n = 95).
TABLE 2. Lipid parameters in the examined group (n = 950).
(n=74)
Man (n=74)

_ Cholesterol (mmol/L)
6.70
x
SD
1.37

Triglycerides (mmol/L)
2.56
1.32

HDL
(mmol/L)
1.15
0.25

(n = 21)
Women (n = 21)

_ Cholesterol (mmol/L)
5.88
x
SD
1.10

Triglycerides (mmol/L)
1.82
1.11

HDL
LDL
(mmol/L) (mmol/L)
1.16
3.37
0.23
0.64

LDL
(mmol/L)
3.93
0.99

IA
3.47
1.37

IA
3.17
1.46

3.
30 kg/m2 (n = 95).
TABLE 3. Correlation of parameters of body composition with lipid status
fractions in subjects with BMI > 30 kg/m2 (n = 95).
Men
(n = 74; DF = 72;
p < 0.05; ptab 0.27)

Cholesterol (mmol/L)

Triglycerides (mmol/L)
HDL (mmol/L)
LDL (mmol/L)

Women
(n = 21; DF = 19;
p < 0,05; ptab 0.43)

FAT
(kg)

LBM
(kg)

TBW
(l)

WHR

FAT
(kg)

LBM
(kg)

TBW
WHR
(l)

0.05

0.07

0.14

0.10

0.07

0.13

0.04

0.51

0.09

0.05

0.05

0.07

0.02

0.08

0.52

0.10
0.09

0.07
0.06

0.06
0.01

0
0.08

0.07
0.39

0.07
0.15

0.37
0.00

0
0.23

363

29_01_2

) (6,70 1,37
mmol/L) (2,56 1,32 mmol/L , LDL (3,93 0,99 mmol/L) HDL
(1,15 0,25 mmoI/L) . , (5,88 1,10 mmol/L), (1,82 1,11 mmol/L) HDL (1-16 0,23
mmol/L) , LDL (3,37 0,64 mmol/L) .
. HDL .
, . (, ,
)
,
. ,
. [23, 24].
,
. , ,
.
[25], -
, .
3
.
( =
0,05) ( = 0,07), . , ,
.

, (r = -0,09)
(r = 0,07).

LDL
. ( =
0,09),
( = 0,39).
HDL
HDL
[26]
. HDL
. (r = 0,10) (r = 0,07), . .
364

,
(0,51) (0,52).
HDL .

, ,
. ,

. ( ).
(),
. ,

.
, , .

, ,
.
.
.

, .

11. Ivkovi-Lazar T. Patoloka ishranjenost. U: Kova T, Lepanovi L. Endokrinologija, Beograd 1996;299-318.

12. Majer J. Overweight, cases, cost and control. Prentice-Hall, New York
1969;36-8.
13. Measuring Obesity, Classification and Description of Anthropometric
Data. Report on a WHO. Consultation on the Epidemiology of Obesity,
Warsaw 1978:7-8.
14. Vague J. La differentiation sexual, facteur determinant des formes de
Iobesit. Presse Med 1947;30:330-40.
15 Knezmanski RJ et al, Increasing prevalence of overweight among US adults (1994), The National Health and Nutrition Examination Survey
1960-1991, JAMA, 272:205-11.
16 Prescol-Clarke P, Primatesta P, Health Survey for England 1995. Department of Health, London: 1997.
17 Planojevi M, Doktorska disertacija, Univerzitet u Novom Sadu, 1990:71-3.
18 Ivanov Z, Ivanov M, Gojaznost, hipertenzija 5 lumbalni sindrom radnika AD Neoplanta industrija mesa Novi Sad, Medicinski pregled 5-6,
Novi Sad:2000:297-9.
19 Hubert HB, Feinlieb M, McNamara PM, Casteli WP. Obesity as an
independent risk factor for cardiovascular disease, A 26 year follow-up
of participans in the Framingham Heart Study, Circulation 1983; 67:
968-77.
10 Lapidus L, Begtsson C, Larsson B, Pennert K et al. Distribution of adipose tissue and risk of cardiovascular diesease and death:a 12 year follow up of participants in the population study of women in Gothenburg,
Sweden, Brit Med J 1984;289:1258-61.

29_01_2

BIBLID 03708179, 130(2002) 1112 p. 365

UDC: 616056.2507

RELATIONSHIP OF BODY FATTY MASS WITH LIPID STATUS IN OBESE WORKING

POPULATION
Z. IVANOV, M. IVANOV
Novi Sad Health Centre, Novi Sad
INTRODUCTION
Obesity can be defined as an excessive accumulation of
health threatening body fat, caused by positive energetic bal
ance. It can be classified according to body mass index as
normal body mass, excessive body mass, significant obesi
ty and extreme obesity. According to WHR (waisthip ratio),
it can be classified to android and gynoid type depending on
fat tissue distribution. Android type has greater frequency of
cardiovascular and metabolic complications, as is occur
rence of premature atherosclerosis. As metabolic complica
tions we consider lipid status disorders in obese workers,
and these complications are related to body composition.
MATERIAL AND METHODS
Among 331 workers, we separated 95 persons with BMI >
30 kg/m2. This group was classified according to gender,
their body composition has been measured using bioelectri
cal impedance method and, subsequently, cholesterol,
triglycerides, HDL and LDL levels were determined, search
ing for relationship of body composition with lipid status frac
tions p< 0.05.
RESULTS
High body fatty was found in 33.03% of male and in 37.48%
of female subjects. It was found that in male subjects cho

lesterol levels (6.70 mml/L),triglycerides (2.56 mml/L), limit

values of LDL (3.93 mml/L) and limit values of HDL (1.16
mml/L) were highly risky. Positive insignificant relationship
of body fatty mass with cholesterol, triglycerides, LDL, but
not with HDL was found.
DISCUSSION
Results point to highly risky limit values of lipid parameters
in male and female subjects. These values can be explained
by older age of subjects, their way of life and nutrition regi
men, significant comorbidity in this group, and influence on
working ability.
CONSLUSION
It was found that obese male and female subjects have high
values of body fatty mass. Male subjects have highly risky
levels of lipid status fractions, while in female subjects these
are limit values.
Insignificant positive corelation of body fatty mass with lipid
status fractions in tested population was found.
The obtained results are significant regarding morbidity
expectation and studies of complications of obese working
population, as well as in judgment of working ability.
Keywords: Lipid status, body fatty mass, working ability of
obese workers. (SRP ARH CELOK LEK).

11 Zavaroni I, Bonora E, Paglia M, Dali Aglia E et al. Risk factors for coronary artery disease in health persons with hiperinsulinemia and normal
glucose tolerance. N Engl J Med 1989;320:702-6.
12 Ivkovi-Lazar T, Lepanovi L, Babi Lj, Stoki E. Metaboliki sindrom Xpovodom etiri sluaja, Med Pregl 1992;45:210-14.
13 Reaven GM. Role of insulin resistence in human diesease, Diabetes
1988;37:1595-1607.
14 Stampfer MJ, MacLure KM, Colditz GA, Risk of symphtomatic gallstone in women with severe obesity. Am J Clin Nutr 1992:55:652-8.
15 Ivkovi-Lazar T, Stoki E, Lepanovi L. Uestalost holelitiaze u ekstremno
gojaznih ena. Archives of Gastroenterology 1995;14:75-6.
16 Lew EA, Garfinkel L. Variation in mortality by weight among 750.000
men and women, I Chron Dis 1979;32:563-7.
17 Ivkovi-Lazar T, Savremena dijagnostika specifine distribucije masnog
tkiva, Medicinski pregled, Novi Sad: 2000: 584-7.
18 Bussolotto M, Ceccon A, Sergi G, Giantin V, Beninca P, Enzi G, Assessment of body composition in elderly: accuracy og bioelectrical impedance analysis. Gerontology, 1999;45(1): 39-43.
19 Deurenberg P, Westrate J A, Hautvast JGAY. Changes in fatfree mass
during weight loss measurment by bioelectrical impedance and densitometry. Am J Clin Nutr 1989;49:33-6.
20 Swobodnik W, Wenzel H, Wechsler JG, Hoch A, Ditschuneit H. Ultraschalluntersuchungen bei Adipositas zur Kalkulation der Fettgewebsmasse. ln:Ditschuneit H, Wechskler JG (Hrsg). Ergebnisse der Adipositasforschung, perimed, Erlangen, 1984;79-89.
21. Helji B, engi M, Dili M. Gojaznost kao faktor rizika za nastanak
dijabetesa melitusa tip 2. Medicinski Arhiv, Sarajevo 2002;56(1):35.
22. Lepanovi L, Lepanovi LJ. Klinika lipidologoja. Savremena administracija, Beograd 2000;63-4.
23. Mirilov M. Epidemiologija hiperlipoprotenemija. Bilten JOL 1989; 1:3-6.

24. Rakovi-Savi LJ, Mileti N, Milosevic A, Nikolajevi R. Epidemioloke karakteristike lipidskog statusa stareina vojske Jugoslavije. Bilten
Odbora za lipide1994;4:1-5.
25. Beaumant JL, Calson LA, Cooper GR et al. Clasification of hyperlipidaemia and hyiperlipidoproteinaemia almiasis. Bull Word Healt Organizacion 1970;43:891-915.
26. Cominacini L, Garbin U, avoli A et al. High-density lipoprotein lipases in obesity. Ann Nutr Metab 1993;37:175-84.

(Abbreviations)
TV
TM
WHR
SAD
BMI
BIA
FAT (kg)

(body height)

(body weight)
-
(waist-hip-ratio)

(sagital abdominal diametar)

(body mas index)

(bioelektrical impendans analysis)
(kg)
(fat tissue kg)

365

29_01_2

FAT (%)
LBM
TBW
BMR

(%)
(fat tissue %)

(lean body mas)

(total body water)
cal/
(basal metabolic rate)

TW
TBW (kg)
TBW (%)
TOBEC

( )
(target weight)
(kg)
(target body weight in kg)
(%)
(target body weight in %)

(total body electric reaction)

p dt dt 17. V 2001. g

PISMA UREDNI[TVU
,
, , ,
, .
t dt t .


,
(Heinrich Siegerist 1891-1957).
, , ,
, ,
, , ,
. , , , !
, p po t p gt d, , . t
p d p
dt 18722002. , , t g g .
, 2002.
.
, .
, g , . .
, , ,
96 ,
.
. , , 1882.
. ,


.
, .
tg ptp -

366

d ,
(1860-1924), , 1879.
, .
, , 2002. , pg p t,
pt 4, ,
.
, , , . , ,
. . , . , . . , , .
, . . ,
. .
.
, . ,
, ,
, , .
, , 130 , ,
, , , .
,
,
.
, ,
p
p t.