Journal of Nutrition and Health

  • 제41권6호
  • /
  • Pages.510-517
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  • 2008
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
권호 표지

대사증후군 대상자의 영양소 섭취 특성에 관한 연구

A Study on the Characteristics of Nutrient Intake in Metabolic Syndrome Subjects

  • 유현정 (이화여자대학교 임상보건과학대학원 임상영양) ;
  • 김양하 (이화여자대학교 식품영양학과)
  • Yoo, Hyun-Jung (Graduate School of Clinical Health Science, Ewha Womans University) ;
  • Kim, Yang-Ha (Department of Nutritional Sciences and Food Management, Ewha Womans University)
  • 발행 : 2008.09.30
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초록

본 연구는 대사증후군 유병률을 조사하고, 대사증후군 대상자들의 영양소 섭취의 특성과 성별과 연령별에 따른 영양소 섭취의 차이를 분석하기 위하여 수행되었다. 1) 대사증후군 유병률은 남자 17%, 여자 4.5%로 전체 평균 10.3%를 나타냈다. 2) 조사대상자의 평균 연령은 정상군 39.0세, 대사증후군 42.8세였으며, BMI는 정상군 22.5 $kg/m^2$보다 대사증후군 대상자등이 27.5 $kg/m^2$로 대사증후군이 유의적으로 높았다(p<0.01). 혈당, 중성지방, 이완기 혈압에서 정상군보다 대사증후군 대상자들이 유의적으로 높았다(p<0.001). 3) 영양소 섭취에서 열량은 정상군 1,699.5 kcal보다 대사증후군 대상자들이 2,047.1 kcal로 유의적으로 높았으며(p<0.001), 동물성지방(p<0.01), 콜레스테롤(p<0.001), 나트륨(p<0.05)의 섭취도 유의적으로 높은 섭취량을 나타냈다. 4) 성별에 따라서 대사증후군 대상자들의 영양소 섭취의 특성은 남녀 모두 정상군보다 대사증후군대상자들의 열량섭취가 높았다. 남자는 지방(p<0.05), 콜레스테롤(p<0.01)에서, 여자는 탄수화물(p<0.05), 단백질(p<0.05)에서 정상군보다 대사증후군 대상자들이 높은 섭취량을 나타냈다. 5) 연령별에 따라서 대사증후군 대상자들의 영양소 섭취의 특성을 살펴보면 30대는 열량, 동물성지방, 콜레스테롤에서, 40대는 지방과 콜레스테롤에서, 50대는 열량, 탄수화물, 식물성지방에서 정상군보다 대사증후군 대상자들이 유의적으로 높은 섭취량을 나타냈다. 본 연구 결과 전체대상자의 영양소 섭취 특성은 총열량, 동물성지방, 콜레스테롤, 나트륨에서 정상군보다 대사증후군 대상자들이 유의적으로 높은 섭취량을 나타냈다.

This study was conducted to investigate the prevalence of metabolic syndrome(MS) and characteristics of nutrient intake in MS subjects by gender and age. The subjects were 957(447 men and 510 women) who visited medical center for regular medical check-up. The diagnosis of MS subjects was adapted from NCEP-ATPIII with blood glucose, cholesterol, triglycerides, and blood pressure and Aisa-Pacific definition with waist-circumference. Anthropometric and biochemical measurements were practiced, then the nutrient intake analysis was assessed through the 24-hour recall method. The MS prevalence of all subjects was 10.3% in average -17% in men and 4.5% in women, respectively. The energy intake in MS group was 2,047.1 kcal and 1,699.5 kcal for normal group, showing significantly higher in MS compared to normal subjects. For intakes of animal fat, cholesterol, and sodium, MS group were significantly higher than normal group. In respect of gender, men subjects of MS group showed significantly higher nutrient intakes than normal group for energy, fat, and cholesterol. Women subjects of MS group showed higher intakes for energy, carbohydrate, and protein. For 30s, MS group showed higher intakes of energy, animal fat, and cholesterol than normal group. Fat and cholesterol for 40s and energy, carbohydrate, vegetable fat for 50s, MS group showed significantly higher intakes than normal group. In summary, MS group showed higher intakes of energy, animal fat, cholesterol, and sodium than normal group.

키워드

참고문헌

  1. Lopez-Candales A. Metabloic syndrome X: a comprehensive review of the pathophysiology and recommended therapy. J Med 2001; 32: 283-300
  2. Hauner H. Insulin resistance and the metabloic syndrome: a challenge and the metabolic syndrome: a challenge of the new millennium. Eur J Clin Nutr 2002; 56: S25-S29
  3. Isomaa B, Almgren P, Tuomi T, Forsen B, Laht K, Nissen M, Taskinen MR, Groop L. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2001; 24: 683-689 https://doi.org/10.2337/diacare.24.4.683
  4. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Circulation 2002; 106: 3143-3421
  5. Ford ES, Giles WH, Dietz WH. Prevalence of the metabolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. J Am Med Assoc 2002; 287: 356-359 https://doi.org/10.1001/jama.287.3.356
  6. McKeigue PM, Shah B, Marmot MG. Relation of central obesity and insulin resistance with high diabetes prevalence, and cardiavascular risk im South Asians. Lancet 1991; 337: 382-386 https://doi.org/10.1016/0140-6736(91)91164-P
  7. Korean Society for The Study of Obesity: WHO/IASO/IOTF: The Asia-Pacific Perspective: Redefinding obesity and it's treatment; 2000
  8. Report on 2005 National health and nutrition survey. Ministry of health and welfare; 2006
  9. Lopez EP, Rice C, Weddle DO, Rahill GJ. The relationship among cardiovascular risk factors, diet patterns, alcohol consumption, and ethnicity among women aged 50 years and older. J Am Diet Assoc 2008; 108: 248-256 https://doi.org/10.1016/j.jada.2007.10.043
  10. Park YW, Zhu S, Palaniappan L, Heshka S, Carxethon MR, Heymesfild SB. The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994. Arch Intern Med 2003; 163: 427-436 https://doi.org/10.1001/archinte.163.4.427
  11. Freire RD, Cardoso MA, Gimeno SG, Ferreira SR. Dietary fat is associated with metabloc syndrome in Japanese Brazilians. Diabetes Care 2005; 28: 1779-1785 https://doi.org/10.2337/diacare.28.7.1779
  12. Appel LJ, Sacks FM, Carey VJ, Obarzanek E, Swaim JF, Miller ER, Conlin PR, Erlinger TP, Rosner BA, Laranjo NM, Charleston J, McCarron P, Bishop LM for the OmniHeart Collabotative Reswech Group. Effects of protein, monounsaturated fat, and carbohydrate intake in blood pressure and sercum lipids: results of the OmniHeart randomiced trial. J Am Med Assoc 2005; 294: 2455-2464 https://doi.org/10.1001/jama.294.19.2455
  13. The Korean Nutrition Society. Computer Aided Nutritional Analysis Program for Professionals 3.0.; 2006
  14. Kwon HS, Park YM, Lee HJ, Lee JH, Choi YH, Ko SH, Lee JM, Kim SR, Kang SY, Lee WC, Ah MS. The prevalence and clinical characteristics of the metabolic syndrome in middle-aged Korean adults. Inter Med Prev Med 2005; 68: 359-368
  15. Park JS, Park HD, Yun JW, Jung CH, Lee WY, Kim SW. Prevalence and metabolic syndrome as dificed by NCEP-ATP III among the urban Korean populcation. Korean J Med 2002; 63: 290-298
  16. Yoon JW, Yi KJ, Oh JG, Lee SY. The Relationship between metabolic syndrome and Korean cardiocerebrovascular risk assessment: for male researchers in a workplace. J Prev Med Public Health 2007; 40: 397-403 https://doi.org/10.3961/jpmph.2007.40.5.397
  17. Devaraj S, Wang-Polagruto J, Polagruto J, Keen CL, Jialal I. Highfat, energy-dense, fast-food-style breakfast results in an increase in oxidative stress in metabolic syndrome. Metabolism 2008; 57: 867-870 https://doi.org/10.1016/j.metabol.2008.02.016
  18. Chen CM, Zhao W, Yang Z, Zhai Y, Wu Y, Kong L. The role of dietary factors in chronic disease control in China. Obes Rev 2008; Suppl 1: 100-103
  19. Warensjo C, Sundstrom J, Lind L, Vessby B. Factor analysis of fatty acids in serum lipids as a measure of dietary fat quality in relation to the metabolic syndrome in men. Am J Clin Nutr 2006; 84: 442-448
  20. Riccardi G, Giacco R, Rivellese AA. Dietary fat, insulin sensitivity and the MS. Clin Nutr 2004; 23: 447-456 https://doi.org/10.1016/j.clnu.2004.02.006
  21. Dandona P, Aljada A, Chaudhuri A, Mohanty P, Grag R. Metabolic syndrome: a comprehensive perspective based on interactions between obesity, diabetes and inflammation. Circulation 2005; 111: 1448-1454 https://doi.org/10.1161/01.CIR.0000158483.13093.9D
  22. Alberti KG, Zimmer PZ. Definition, diagnosis and classification of diabetes mellitus and ifs complications: part I. diagnosis and classification of diabetes mellitus, provisional report of a WHO consultation. Diabetic Med 1998; 15: 539-553 https://doi.org/10.1002/(SICI)1096-9136(199807)15:7<539::AID-DIA668>3.0.CO;2-S
  23. Grynberf A. Hypertension prevention: from nutrients to (fortified) foods to dietary patterns. Focus on fatty acids. J Hum Hypertens 2006; 9: S25-S33
  24. Hoffmann IS, Cubeddu LX. Salt and the metabolic syndrome. Nutr Metab Cardiovasc Dis 2008; 13: 1-6
  25. Park YS, Son SM, Lim WJ, Kim SB, Chung YS. Comparison of Dietary Behaviors Related to Sodium Intake by Gender and Age. Korean J Community Nutrition 2008; 13: 1-12
  26. Miller ER, Erlinger TP, Appel LJ. The effects of macronutrients on blood pressure and lipids; an overview of the DASH and OmniHeart trials. Curr Atheroscler Rep 2006; 8: 460-465 https://doi.org/10.1007/s11883-006-0020-1
  27. Kim ES, Jung BM, Chun HJ. The survey of meal habits for the urban salaried workers. Korean J Soc Food Sci Nutr 2001; 17: 91-104
  28. Merchant A, Anand SS, Kelemen LE, Vuksan V, Jacobs R, Davis B, Teo K, Yusuf S for the SHARE and SHARE-AP Investigators. Carbohydrate intake and HDL in a multiethnic population. Am J Clin Nutr 2007; 85: 225-230 https://doi.org/10.1093/ajcn/85.1.225
  29. Hodgson JM, Burke V, Beilin LJ, Puddey IB. Partial substitution of carbohydrate intake with protein intake from lean red meat lowers blood pressure in hypertension persons. Am J Clin Nutr 2006; 83: 780-787 https://doi.org/10.1093/ajcn/83.4.780
  30. Esposito K, Ciotola M, Giugliano D. Mediterranean diet and the metabolic syndrome. Mol Nutr Food Res 2007; 51: 1268-1274