Association between Compliance with Dietary Guidelines and Dyslipidemia among Koreans

한국 성인의 식생활 지침 실천도와 이상지혈증의 관련성

  • Hong, So-Young (Department of Public Health Nutrition Graduate School of Public Health, Seoul National University) ;
  • Lee, Kye-Heui (Department of Internal Medicine, Seoul Medical Center) ;
  • Lee, Hong-Soo (Department of Family Medicine, Mokdong Hospital, College of Medicine, Ewha Woman's University) ;
  • Lee, Myoung-Sook (Department of Food & Nutrition, Sungshin Women's University) ;
  • Jee, Sun-Ha (Department of Epidemiology and Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Joung, Hyo-Jee (Department of Public Health Nutrition Graduate School of Public Health, Seoul National University)
  • 홍소영 (서울대학교 보건대학원 보건영양학교실) ;
  • 이계희 (서울의료원 내과) ;
  • 이홍수 (이대목동병원 가정의학과) ;
  • 이명숙 (성신여자대학교 식품영양학과) ;
  • 지선하 (연세대학교 보건대학원) ;
  • 정효지 (서울대학교 보건대학원 보건영양학교실)
  • Published : 2007.12.30

Abstract

While metabolic syndrome(MS) is rapidly expanding and dietary pattern, the known risk factor of MS, goes through heavy transition to western diet, not many researches have been done on the association between dyslipidemia and dietary factors in Korean adults. The purpose of this study was to investigate the association between compliance with dietary guidelines and dyslipidemia among Koreans. The subjects of 399 adults who visited health examination center were classified into dyslipidemia(n=180) and control(n=219). Diagnosis of dyslipidemia was based on NCEP-ATPIII criteria(triglyceride>=150mg/d, HDL-C<50mg/dl for male, HDL-C<40mg/dl for female). A questionnaire based interview was done to collect information on compliance with dietary guidelines, general characteristics and health related behaviors. Anthropometric variables were measured during the survey. Mean compliance score of dietary guideline was significantly lower in dyslipidemia group than in control. It was associated negatively with waist circumference and positively with serum HDL-cholesterol(p<0.05). Risks of dyslipidemia were significantly decreased in the group with highest dietary guideline score, high serum triglyceride levels(OR=0.484, 95% CI=0.268-0.875), abdominal obesity(OR=0.296, 95% CI=0.159-0.553), and dyslipidemia(OR=0.481, 95% CI=0.266-0.869). These results indicated that increasing compliance with dietary guidelines could be an effective strategy to lower the risk of dyslipidemia among Koreans.

Keywords

References

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