A Case-Control Study on Dietary Quality and Risk for Coronary Heart Disease in Korean Men

한국 남성에서 식사의 질과 관상동맥질환 발생 위험에 대한 환자-대조군 연구

  • Oh, Kyung-Won (Department of Nutrition, Harvard School of Public Health.Institute for Health Promotion, Graduate School of Health Science and Management, Yonsei University) ;
  • Nam, Jung-Mo (Department Preventive Medicine & Public Health, Yonsei University College of Medicine) ;
  • Park, Jung-Hwa (Institute of Health Promotion, Graduate School of Health Science and Management, Yonsei University) ;
  • Yoon, Ji-Young (Abortt Korea Ltd.) ;
  • Sim, Ji-Sun (Institute of Health Promotion, Graduate School of Health Science and Management, Yonsei University) ;
  • Lee, Kang-Hee (Department Preventive Medicine & Public Health, Yonsei University College of Medicine) ;
  • Seo, Il (Department Preventive Medicine & Public Health, Yonsei University College of Medicine)
  • 오경원 (하버드 보건대학원.연세대학교 보건대학원 국민건강증진연구소) ;
  • 남정모 (연세대학교 의과대학 예방의학교실) ;
  • 박정화 (연세대학교 보건대학원 국민건강증진연구소) ;
  • 윤지영 (한국 애보트 주식회사) ;
  • 심지선 (연세대학교 보건대학원 국민건강증진연구소) ;
  • 이강희 (연세대학교 의과대학 예방의학교실) ;
  • 서일 (연세대학교 의과대학 예방의학교실)
  • Published : 2003.07.01

Abstract

The purpose of this study was to investigate the association between dietary quality and the risk of coronary heart disease (CBD) among Korean men by a case-control study. Methods: The cases were 108 male patients with a first acute myocardial infarction or a new diagnosis of angina pectoris who were admitted to a university teaching hospital in Seoul. Controls were 142 age-matched patients admitted to the departments of ophthalmology and orthopedic surgery at the same hospital. Dietary information was assessed by a nutritionist using a semiquantitative food frequency questionnaire (FFQ), and dietary quality index (DQI) scores were calculated. Results: The intakes of total fat and cholesterol and body mass index (BMI) in cases were significantly higher than those in controls. The mean DQI scores were 8.6 for the cases and 9.4 for the controls. A higher DQI, which was indicative of a better quality diet, was inversely associated with the risk of CHD when comparing the highest to lowest quatiles, but borderline significant (odd ratios 0.60, 95% confidence interval 0.25-1.39, P for trend = 0.05). Conclusions: Our findings suggest that better dietary quality may reduce the risk of CHD among Korean men.

Keywords

References

  1. Korean Researh Group for Cardiovascular Disease Prevention and Control Prevention and control of cardiovascular disease
  2. Nutritional epidemiology(2nd) Willett,W.C.
  3. Am J Clin Nutr v.40 Serum cholesterol response to dietary cholesterol Keys,A.
  4. Kor J Epidemiol v.20 no.2 A case control study on risk factor of CHD:Vegetable consumption and risk for CHD in Korean men Oh,K.Y.;Suh,I.;Lee,K.H.;Num,C.M.;Kim,S.I.;Kang,H.G.;Jee,S.H.;Cho,S.Y.;Shim,W.H.
  5. JAMA v.283 A prospective study of diet quality and mortality in woman Kant,A.K.;Schatzkin,A.;Graubard,B.I.;Schairer,C.A. https://doi.org/10.1001/jama.283.16.2109
  6. J Am Diet Assoc v.95 The healthy eating index: Design and applications Kennedy,E.T.;Ohls,J.;Carson,S.;Fleming,K. https://doi.org/10.1016/S0002-8223(95)00300-2
  7. BMJ v.315 Dietary pattern and 20 year mortality in elderly men in Finland, Italy, and Netherlands: Longitudinal cohort study Huijbregts,P.;Feskens,E.;Rasanen,L.;Fidanza,F.;Nissinen,A.;Menotti,A.;Kromhout,D. https://doi.org/10.1136/bmj.315.7099.13
  8. Am J Clin Nutr v.72 Prospective study of major dietary pattern and risk of coronary heart disease in men Hu,F.B.;Rimm,E.B.;Stamfer,M.J.;Aschero,A.;Spiegelman,D.;Willett,W.
  9. Preventive Medicine v.35 Dietary pattern and odds of carotid atheroscleorosis in women: the Framingham Nutrition Studies Millen,B.E.;Quatromoni,P.A.;Naim,B.H.;O'Horo,C.E.;Polak,J.F.;D'aogstino,R.B. https://doi.org/10.1006/pmed.2002.1116
  10. Eur J Clin Nutr v.56 Food intake patterns and risk of coronary heart disease: A prospective cohort study examining the use of traditional scoring technique Osller,M.;Andreasen,A.H.;Heitmann,B.;Hoidrup,S.;Gerdes,U.;Jorgensen,L.M.;Schroll,M. https://doi.org/10.1038/sj.ejcn.1601360
  11. Am J Clin Nutr v.76 Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance McCullough,J.;Feskanich,D.;Stampfer,M.J.;Giovannucci,E.L.;Rimm,E.B.;Ha,F.B.;Spiegelman,D.;Hunter,D.J.;Cokditz,G.A.;Willet,W.C.
  12. Kor J Nutr v.31 no.3 Assessment of dietary intake obtained by 24-hour recall method in adults living in Yeon cheon area(1): Assessment based on nutrient intake Lee,S.Y.;Ju,D.L.;Paik,H.Y.;Shin,C.S.;Lee,H.Y.
  13. Kor J Nutr v.31 no.3 Assessment of dietary intake obtined by 24-hour recall method in adults living in Yeon-chon area(2): Assessment based on food group intake Lee,S.Y.;Ju,D.L.;Paik,H.Y.;Shin,C.S.;Lee,H.K.
  14. Kor J Community Nutr v.7 no.4 A study on validity of a semiquantitative food frequency questionaire of Korean adults Shim,J.S.;Oh,K.W.;Suh,I.;Kim,M.Y.;Shon,C.Y.;Lee,E.J.;Nam,C.M.
  15. Recommended dietary allowances for Koreans(5th Revision) Korean Nutrition Society
  16. Seoul National University Workshop Frequently consumed food items of Korean from national food survey of Korea Moon,H.K.
  17. Food Service management, Guidelines for food production in food service,revised Korean Dietetic Association
  18. Nutr and Dietetics v.5 Calories of restaurant dishes Whang,C.G.
  19. Food values of portions commonly used Korean Nutrition Information Center in Korean Nutrition Sociery
  20. Household measures of common used food items Korea Food Industry Association
  21. Fatty acid composition of Korean foods Institute of Food and Nutrition Science in Yonsei University
  22. Recommended dietary allowances for Koreans(6th Revision) Korean Nutrition Society
  23. Food composition table(5th Revision) National Rural Living Science Institute
  24. Korean food compositon table Korea Food and Drug Administration in Ministry of Health and Welfare
  25. J Am Diet Assoc v.94 Diet Quality Index: Capturing a multidimensi-onal behavior Patterson,R.E.;Haines,P.S.;Popkin,B.M. https://doi.org/10.1016/0002-8223(94)92042-7
  26. Recommended dietary allowances of Koreans(7th revision) The Korean Nutritions Society
  27. Guidelines for Treatment of Hyperlipidemia(1st version) Korean Society for Lipid and Atheroscleorosis
  28. Nutritional assessment Gibson,R.S.
  29. Nutr Rev v.31 An index of food quality Hansen,R.G. https://doi.org/10.1111/j.1753-4887.1973.tb05134.x
  30. J Am Diet Assoc v.96 no.8 Indexes of overall dietary quality: a review Kant,A.K. https://doi.org/10.1016/S0002-8223(96)00217-9
  31. Korean J Community Nutrition v.4 no.3 A longitudinal study of the change of nutrients and food consumption with advance in age among middle aged and the elderly Kim,I.S.;Seo,E.A.;Yu,H.H.
  32. Korean Society of Community Nutrition, Spring academic symposium Analysis of methods on dietary dietary quality assessment Oh,S.Y.
  33. J Am Coll Nutr v.14 Dietary diversity and subsequent cause specific mortality in the NHANES I Epidemiologic Follow-up Study Kant,A.K.;Schatzkin,A.;Ziegler,R.G.
  34. Am J Clin Nutr v.57 Dietary diversity and subsequent mortality in the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study Kant,A.K.;Schatzkin,A.;Harris,T.B.;Ziegler,R.G.;Block,G.
  35. Int J Epidemiol v.24 Dietary patterns and cardiovascular risk factors in elderly men: The Zutphen Elderly Study Huijbregts,P.;Feskens,E.;Kromhout,D. https://doi.org/10.1093/ije/24.2.313
  36. Am J Clin Nutr v.49 A multivariate model for assessing esting partterns and their relationship to cardiovascular risk factors: the Bogalusa Heart Study Nicklas,T.A.;Webber,L.S.;Thompson,B.;Berebson,G.S.
  37. BMJ v.311 Diet and overall survival in elderly people Trichopoulous,A.;Kouris-Blazos,A.;Wahlqvist,M.L.;Gnardellis,G.;Lagion,P.;Polychronopoulos,E. https://doi.org/10.1136/bmj.311.7018.1457
  38. Int J Epidemiol v.30 no.4 Alcohol and coronary heart disease Marmot,M.G. https://doi.org/10.1093/ije/30.4.724
  39. Report on 1998 National Health and Nutriton Survey (Dietary intake Survey) Korea Health Industry Development Institute in Ministry of Health and Welfare