MCP๋กœ ์—ฐ๊ฒฐ โ†’

๊ณ„์‚ฐ ์ž…๋ ฅ

๊ณต์‹

Show calculation steps (2)
  1. BSA โ€” Shintani Formula

    BSA โ€” Shintani Formula: ์ฒดํ‘œ๋ฉด์ (BSA) ๊ณ„์‚ฐ๊ธฐ

    Height converted to cm and weight to kg before applying the formula.

  2. BSA โ€” Fujimoto Formula

    BSA โ€” Fujimoto Formula: ์ฒดํ‘œ๋ฉด์ (BSA) ๊ณ„์‚ฐ๊ธฐ

    Height converted to cm and weight to kg before applying the formula.

๊ด‘๊ณ 

๊ฒฐ๊ณผ

์ฒดํ‘œ๋ฉด์  (Du Bois)
1.754
mยฒ
๊ณต์‹ BSA (mยฒ)
Du Bois & Du Bois (1916) 1.754
Shintani 1.796
Fujimoto 1.707

์ฒดํ‘œ๋ฉด์ (BSA)์ด๋ž€?

์ฒดํ‘œ๋ฉด์ (BSA, Body Surface Area)์€ ์ธ์ฒด์˜ ์ „์ฒด ์™ธ๋ถ€ ํ‘œ๋ฉด์ ์„ ๋งํ•˜๋ฉฐ, ๋‹จ์œ„๋Š” ์ œ๊ณฑ๋ฏธํ„ฐ(mยฒ)๋ฅผ ์‚ฌ์šฉํ•ฉ๋‹ˆ๋‹ค. BSA๋Š” ๋‹จ์ˆœํ•œ ์ฒด์ค‘๋ณด๋‹ค ๋Œ€์‚ฌ๋Ÿ‰(metabolic mass)๊ณผ์˜ ์ƒ๊ด€๊ด€๊ณ„๊ฐ€ ๋” ๋†’๊ธฐ ๋•Œ๋ฌธ์—, ์ž„์ƒ์—์„œ๋Š” ํ•ญ์•”์ œ๋ฅผ ๋น„๋กฏํ•œ ์•ฝ๋ฌผ ์šฉ๋Ÿ‰ ๊ฒฐ์ •, ์‹ฌ๋ฐ•์ถœ ์ง€์ˆ˜(cardiac index) ์‚ฐ์ถœ, ์ˆ˜์•ก ์š”๊ตฌ๋Ÿ‰ ์ถ”์ •, ํ™”์ƒ ๋ฉด์  ํ‰๊ฐ€ ๋“ฑ์— ํญ๋„“๊ฒŒ ํ™œ์šฉ๋ฉ๋‹ˆ๋‹ค. ์ด ๊ณ„์‚ฐ๊ธฐ๋Š” ์ž˜ ์•Œ๋ ค์ง„ ์„ธ ๊ฐ€์ง€ ํšŒ๊ท€์‹์„ ์‚ฌ์šฉํ•ด ํ‚ค์™€ ๋ชธ๋ฌด๊ฒŒ๋กœ๋ถ€ํ„ฐ BSA๋ฅผ ์ถ”์ •ํ•ฉ๋‹ˆ๋‹ค. Shintani ๊ณต์‹๊ณผ Fujimoto ๊ณต์‹์€ ์ผ๋ณธ์ธ ์ง‘๋‹จ์„ ๋Œ€์ƒ์œผ๋กœ ๋„์ถœ๋˜์—ˆ์ง€๋งŒ, ๊ณ„์‚ฐ ์ž์ฒด๋Š” ๋ณดํŽธ์ ์ธ ์ˆ˜์‹์ด๋ฏ€๋กœ ๋ˆ„๊ตฌ์—๊ฒŒ๋‚˜ ๊ทธ๋Œ€๋กœ ์ ์šฉํ•  ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค.

์ฒดํ‘œ๋ฉด์ ์ด ๊ฐ•์กฐ๋œ ์ธ์ฒด ์‹ค๋ฃจ์—ฃ
์ฒดํ‘œ๋ฉด์ ์€ ์ธ์ฒด ์™ธ๋ถ€ ํ‘œ๋ฉด์˜ ์ด ๋ฉด์ ์„ ๋‚˜ํƒ€๋ƒ…๋‹ˆ๋‹ค.

๊ณ„์‚ฐ๊ธฐ ์‚ฌ์šฉ ๋ฐฉ๋ฒ•

ํ‚ค๋ฅผ ์ž…๋ ฅํ•˜๊ณ  ๋‹จ์œ„(cm, m, inch)๋ฅผ ์„ ํƒํ•œ ๋‹ค์Œ, ๋ชธ๋ฌด๊ฒŒ์™€ ๊ทธ ๋‹จ์œ„(kg ๋˜๋Š” lb)๋ฅผ ์ž…๋ ฅํ•˜์„ธ์š”. ๊ณ„์‚ฐ๊ธฐ๋Š” ๋‚ด๋ถ€์ ์œผ๋กœ ๋ชจ๋“  ๊ฐ’์„ ์„ผํ‹ฐ๋ฏธํ„ฐ(cm)์™€ ํ‚ฌ๋กœ๊ทธ๋žจ(kg)์œผ๋กœ ๋ณ€ํ™˜ํ•œ ๋’ค ์„ธ ๊ฐ€์ง€ ๊ณต์‹์„ ๋ชจ๋‘ ์ ์šฉํ•ฉ๋‹ˆ๋‹ค. ๊ฒฐ๊ณผ๋Š” ์ œ๊ณฑ๋ฏธํ„ฐ(mยฒ) ๋‹จ์œ„๋กœ, ์†Œ์ˆ˜์  ์…‹์งธ ์ž๋ฆฌ๊นŒ์ง€ ๋ฐ˜์˜ฌ๋ฆผํ•˜์—ฌ ํ‘œ์‹œ๋ฉ๋‹ˆ๋‹ค. ํ‚ค์™€ ๋ชธ๋ฌด๊ฒŒ๋Š” ๋ชจ๋‘ 0๋ณด๋‹ค ํฐ ๊ฐ’์ด์–ด์•ผ ํ•ฉ๋‹ˆ๋‹ค.

๊ณต์‹ ์ž์„ธํžˆ ๋ณด๊ธฐ

ํ‚ค \(H\)๋Š” ์„ผํ‹ฐ๋ฏธํ„ฐ(cm), ๋ชธ๋ฌด๊ฒŒ \(W\)๋Š” ํ‚ฌ๋กœ๊ทธ๋žจ(kg) ๋‹จ์œ„์ž…๋‹ˆ๋‹ค. Du Bois ๊ณต์‹์€ $$\text{BSA} = H^{0.725} \times W^{0.425} \times 0.007184$$ ์ž…๋‹ˆ๋‹ค. Shintani ๊ณต์‹์€ ๋™์ผํ•œ ์ง€์ˆ˜๋ฅผ ์‚ฌ์šฉํ•˜๋˜ ์ƒ์ˆ˜๊ฐ€ ์•ฝ๊ฐ„ ๋” ํฐ 0.007358 ์ž…๋‹ˆ๋‹ค. Fujimoto ๊ณต์‹์€ ์ง€์ˆ˜์™€ ์ƒ์ˆ˜๊ฐ€ ๋ชจ๋‘ ๋‹ฌ๋ผ์„œ $$\text{BSA} = H^{0.663} \times W^{0.444} \times 0.008883$$ ์œผ๋กœ ๊ณ„์‚ฐ๋ฉ๋‹ˆ๋‹ค. ๊ฑฐ๋“ญ์ œ๊ณฑ ํ•ญ์€ ํ‚ค(cm)์™€ ๋ชธ๋ฌด๊ฒŒ(kg)์˜ ์›๋ž˜ ์ˆ˜์น˜ ๊ฐ’์— ๊ทธ๋Œ€๋กœ ์ ์šฉ๋ฉ๋‹ˆ๋‹ค.

ํ‚ค์™€ ์ฒด์ค‘ ์ž…๋ ฅ๊ฐ’์ด BSA ๊ฒฐ๊ณผ๋กœ ์ด์–ด์ง€๋Š” ๋‹ค์ด์–ด๊ทธ๋žจ
BSA ๊ณต์‹์€ ํ‚ค์™€ ์ฒด์ค‘์„ ๊ฒฐํ•ฉํ•ด ์ฒดํ‘œ๋ฉด์ ์„ ์ œ๊ณฑ๋ฏธํ„ฐ ๋‹จ์œ„์˜ ๋‹จ์ผ ๊ฐ’์œผ๋กœ ๋‚˜ํƒ€๋ƒ…๋‹ˆ๋‹ค.

๊ณ„์‚ฐ ์˜ˆ์‹œ

ํ‚ค 170 cm, ๋ชธ๋ฌด๊ฒŒ 65 kg์ธ ์‚ฌ๋žŒ์„ ์˜ˆ๋กœ ๋“ค์–ด ๋ณด๊ฒ ์Šต๋‹ˆ๋‹ค. \(170^{0.725} = 41.414\), \(65^{0.425} = 5.895\) ์ด๋ฏ€๋กœ ๊ณตํ†ต ๊ณฑ์€ 244.14 ์ž…๋‹ˆ๋‹ค. $$\text{Du Bois} = 244.14 \times 0.007184 = 1.754 \text{ m}^2$$ $$\text{Shintani} = 244.14 \times 0.007358 = 1.796 \text{ m}^2$$ ๊ฐ€ ๋ฉ๋‹ˆ๋‹ค. $$\text{Fujimoto} = 170^{0.663} \times 65^{0.444} \times 0.008883 = 30.117 \times 6.382 \times 0.008883 = 1.708 \text{ m}^2$$ ์ž…๋‹ˆ๋‹ค.

๊ณต์‹ ์ƒ์ˆ˜์™€ ์ง€์ˆ˜

๊ฐ ๋ฐฉ์ •์‹์€ ์ผ๋ฐ˜์ ์ธ ํ˜•ํƒœ \(\text{BSA} = k \times H^{a} \times W^{b}\)๋ฅผ ๊ฐ€์ง€๋ฉฐ, ์—ฌ๊ธฐ์„œ \(H\)๋Š” ๋†’์ด(์„ผํ‹ฐ๋ฏธํ„ฐ), \(W\)๋Š” ์ฒด์ค‘(ํ‚ฌ๋กœ๊ทธ๋žจ), \(k\)๋Š” ์Šน์ˆ˜ ์ƒ์ˆ˜, \(a\)์™€ \(b\)๋Š” ๋†’์ด ๋ฐ ์ฒด์ค‘ ์ง€์ˆ˜์ž…๋‹ˆ๋‹ค. ํ‘œ๋Š” ๊ฐ ๊ณต์‹์— ๋Œ€ํ•œ ๋ฐœํ‘œ๋œ ๋งค๊ฐœ๋ณ€์ˆ˜๋ฅผ ๋‚˜์—ดํ•ฉ๋‹ˆ๋‹ค.

๊ณต์‹ ์ƒ์ˆ˜ \(k\) ๋†’์ด ์ง€์ˆ˜ \(a\) ์ฒด์ค‘ ์ง€์ˆ˜ \(b\) ๋‹จ์œ„
๋“€ ๋ณด์ด์Šค 0.007184 0.725 0.425 H๋Š” cm, W๋Š” kg
์‹ ํƒ€๋‹ˆ 0.007358 0.725 0.425 H๋Š” cm, W๋Š” kg
ํ›„์ง€๋ชจํ†  0.008883 0.663 0.444 H๋Š” cm, W๋Š” kg

๋“€ ๋ณด์ด์Šค์™€ ์‹ ํƒ€๋‹ˆ๋Š” ๋™์ผํ•œ ์ง€์ˆ˜(0.725์™€ 0.425)๋ฅผ ๊ณต์œ ํ•˜๋ฉฐ ์•ž์˜ ์ƒ์ˆ˜๋งŒ ๋‹ค๋ฅด๋‹ค๋Š” ์ ์— ์ฃผ๋ชฉํ•˜์‹ญ์‹œ์˜ค. ์ด๊ฒƒ์ด ์‹ ํƒ€๋‹ˆ๊ฐ€ ๋“€ ๋ณด์ด์Šค๋ณด๋‹ค ๊ณ ์ •๋œ ๋น„์œจ๋งŒํผ ๋” ๋†’์€ ๊ฐ’(์•ฝ 2.4% ๋” ํผ)์„ ๋ฐ˜ํ™˜ํ•˜๋Š” ์ด์œ ์ž…๋‹ˆ๋‹ค. ํ›„์ง€๋ชจํ†  ๋ฐฉ์ •์‹์€ ๊ณ ์œ ํ•œ ์ง€์ˆ˜๋ฅผ ์‚ฌ์šฉํ•˜์—ฌ ๋†’์ด ๋ฐ ์ฒด์ค‘์— ๋Œ€ํ•ด ์•ฝ๊ฐ„ ๋‹ค๋ฅธ ์˜์กด์„ฑ์„ ์ œ๊ณตํ•ฉ๋‹ˆ๋‹ค.

ํ’€์ด ์˜ˆ์ œ(๋“€ ๋ณด์ด์Šค, 170 cm, 70 kg):

$$\text{BSA} = 0.007184 \times 170^{0.725} \times 70^{0.425} = 1.81\ \text{m}^2$$

ํ›„์ง€๋ชจํ†  ๋ฐฉ์ •์‹์—์„œ ๋™์ผํ•œ ๋†’์ด ๋ฐ ์ฒด์ค‘์€ ๋‹ค์Œ์„ ์ œ๊ณตํ•ฉ๋‹ˆ๋‹ค:

$$\text{BSA} = 0.008883 \times 170^{0.663} \times 70^{0.444} = 1.79\ \text{m}^2$$

์ž์ฃผ ๋ฌป๋Š” ์งˆ๋ฌธ

์–ด๋–ค ๊ณต์‹์„ ์‚ฌ์šฉํ•ด์•ผ ํ•˜๋‚˜์š”? Du Bois & Du Bois(1916) ๊ณต์‹์€ ์ „ ์„ธ๊ณ„์ ์œผ๋กœ ํ†ต์šฉ๋˜๋Š” ์—ญ์‚ฌ์ ์ธ ์ž„์ƒ ํ‘œ์ค€์ž…๋‹ˆ๋‹ค. Shintani์™€ Fujimoto ๊ณต์‹์€ ์ผ๋ถ€ ์•„์‹œ์•„์ธ ์ฒดํ˜•์— ๋” ์ž˜ ๋งž์„ ์ˆ˜ ์žˆ์Šต๋‹ˆ๋‹ค. ๋‹ค๋งŒ ๊ณต์‹ ๊ฐ„ ์ฐจ์ด๋Š” ๋Œ€์ฒด๋กœ ํฌ์ง€ ์•Š์Šต๋‹ˆ๋‹ค.

์•ฝ๋ฌผ ์šฉ๋Ÿ‰ ๊ณ„์‚ฐ์— ์ด ๊ฐ’์„ ๋ฏฟ์–ด๋„ ๋˜๋‚˜์š”? ์•„๋‹ˆ์š”. ์ด ๊ฒฐ๊ณผ๋Š” ์ง‘๋‹จ ๊ธฐ๋ฐ˜์˜ ์ถ”์ •์น˜๋กœ์„œ ์ •๋ณด ์ œ๊ณต ๋ฐ ๊ต์œก ๋ชฉ์ ์œผ๋กœ๋งŒ ์‚ฌ์šฉํ•ด์•ผ ํ•˜๋ฉฐ, ์˜๋ฃŒ ์ „๋ฌธ๊ฐ€์˜ ์ž„์ƒ์  ํŒ๋‹จ์ด๋‚˜ ์‹ค์ œ ์ธก์ •์„ ๋Œ€์ฒดํ•  ์ˆ˜ ์—†์Šต๋‹ˆ๋‹ค.

์™œ ํ‚ค์™€ ๋ชธ๋ฌด๊ฒŒ๊ฐ€ ๋ชจ๋‘ ํ•„์š”ํ•œ๊ฐ€์š”? BSA ํšŒ๊ท€์‹์€ ์‹ ์žฅ(ํ‚ค)๊ณผ ์ฒด์ค‘์„ ํ•จ๊ป˜ ๊ฒฐํ•ฉํ•ด ๊ณ„์‚ฐํ•ฉ๋‹ˆ๋‹ค. ๋‘˜ ์ค‘ ํ•˜๋‚˜๋งŒ์œผ๋กœ๋Š” ์˜๋ฏธ ์žˆ๋Š” ์ฒดํ‘œ๋ฉด์  ์ถ”์ •๊ฐ’์„ ๊ตฌํ•  ์ˆ˜ ์—†์Šต๋‹ˆ๋‹ค.

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