Journal of the Korean Dietetic Association (대한영양사협회학술지)

The Korean Dietetic Association (대한영양사협회)
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The Specific Food Consumption Pattern and Blood Lipid Profiles of Korean Adults

한국성인의 혈청지질이상과 식품섭취

  • Kim, Youngok (Dept. of Food & Nutrition, Dongduk Women's University)
  • 김영옥 (동덕여자대학교 식품영양학과)
  • Received : 2013.02.18
  • Accepted : 2013.04.03
  • Published : 2013.05.02
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Abstract

Unlike studies of Europeans and Americans, many epidemiological studies of the Korean population have indicated that their risk for cardiovascular disease does not decrease with a vegetable-rich diet. The different dietary practices of Koreans, who consume salted vegetables instead of fresh vegetables (common in the Western diet), has been suggested as a reason for this observation. Korea is in a period of rapid epidemiologic transition, which includes dietary and disease patterns; therefore, this study investigated differences in the food consumption pattern and blood lipid profiles of Koreans compared to Europeans and Americans. The identification of dietary patterns related to blood lipid abnormalities was carried out using the 2007~2009 Korean National Health and Nutrition Survey data from 14,056 subjects. Dietary patterns were analyzed according to food group and nutrient intake. Blood lipid abnormalities were classified into three groups: hypercholesterolemia, hypertriglyceridemia, and low HDL cholesterolemia (hypo-HDL-cholesterolemia). The prevalence of hypercholesterolemia, hypertriglyceridemia, and hypo-HDL-cholesterolemia was 12.4%, 16.2%, and 27.7% respectively. In our analysis, the low consumption of all food groups was related to hypercholesterolemia. The high consumption of vegetable-containing foods, alcoholic beverages, and the low consumption of milk products were associated with hypertriglyceridemia and hypo-HDL-cholesterolemia. Thus, unlike Europeans and Americans, the low consumption of all food groups is related to hypercholesterolemia and a low consumption of milk products is related to hypertriglyceridemia and hypo-HDL-cholesterolemia. Dietary pattern might play a role in epidemiologic transition of Korean. Also, this study implies necessity of further research using longitudinal data.

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References

  1. 대한예방의학회 (2012): 예방의학과 공중보건학. 계축문화사. 서울. pp.332-337
  2. 보건복지부 (1999): '98 국민건강영양조사 영양조사부문. 보건복지부. 서울. pp.22-85
  3. 이기완, 명춘옥, 박영신, 남혜원 (2009): 식사요법. 수학사. 서울. pp.222-241
  4. 한국보건산업진흥원 (2010): 2008년 국민영양통계 : 국민건강영양조사 제 4기 2차년도 영양조사부문에 근거. 도서출판한학문화. 서울. pp.198-199
  5. Cade J, Thompson R, Burley V, Warm D (2002): Development, validation and utilisation of food-frequency questionnaires - a review. Public Health Nutr 5(4):567-587 https://doi.org/10.1079/PHN2001318
  6. Chen ZY, Jiao R, Ma KY (2008): Cholesterol-lowering nutraceuticals and functional foods. J Agric Food Chem 56(19):8761-8773 https://doi.org/10.1021/jf801566r
  7. Despre's JP (1991): Obesity and lipid metabolism: relevance of body fat distribution. Curr Opin Lipidol 2(1):5-15 https://doi.org/10.1097/00041433-199102000-00003
  8. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC (2006): Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 84(6):1489-1497 https://doi.org/10.1093/ajcn/84.6.1489
  9. Fung TT, Rimm EB, Spiegelman D, Rifai N, Tofler GH, Willett WC, Hu FB (2001): Association between dietary patterns and plasma biomarkers of obesity and cardiovascular disease risk. Am J Clin Nutr 73(1):61-67 https://doi.org/10.1093/ajcn/73.1.61
  10. Hagan RD, Smith MG, Gettman LR (1983): High density lipoprotein cholesterol in relation to food consumption and running distance. Prev Med 12(2):287-295 https://doi.org/10.1016/0091-7435(83)90237-2
  11. Hu FB, Rimm EB, Stampfer MJ, Ascherio A, Spiegelman D, Willett WC (2000): Prospective study of major dietary patterns and risk of coronary heart disease in men. Am J Clin Nutr 72(4):912-921 https://doi.org/10.1093/ajcn/72.4.912
  12. Huth PJ, Park KM (2012): Influence of dairy product and milk fat consumption on cardiovascular disease risk: a review of the evidence. Adv Nutr 3(3):266-285 https://doi.org/10.3945/an.112.002030
  13. Ivey KL, Lewis JR, Hodgson JM, Zhu K, Dhaliwal SS, Thompson PL, Prince RL (2011): Association between yogurt, milk, and cheese consumption and common carotid artery intima-media thickness and cardiovascular disease risk factors in elderly women. Am J Clin Nutr 94(1):234-239 https://doi.org/10.3945/ajcn.111.014159
  14. Jee SH, Suh I, Kim IS, Appel LJ (1999): Smoking and atherosclerotic cardiovascular disease in men with low levels of serum cholesterol: the Korea Medical Insurance Corporation Study. JAMA 282(22):2149-2155 https://doi.org/10.1001/jama.282.22.2149
  15. Kang MH, Choi IS, Ro HK (2009): A comparative study on the diet quality evaluation and blood lipid profiles in adult male drinkers according to the smoking. Korean J Nutr 42(6):547-558 https://doi.org/10.4163/kjn.2009.42.6.547
  16. Kim MK, Yun YM, Kim Y (2008): Developing dish-based food frequency questionnaire for the epidemiology study of hypertension among Korean. Korean J Community Nutr 13(5):701-712
  17. Kim YO (2009): Dietary patterns associated with hypertension among Korean males. Nutr Res Pract 3(2):162-166 https://doi.org/10.4162/nrp.2009.3.2.162
  18. Kirke A, Watts GF, Emery J (2012): Detecting familial hypercholesterolaemia in general practice. Aust Fam Physician 41(12):965-968
  19. Komatsu F, Kagawa Y, Kawabata T, Kaneko Y, Purvee B, Otgon J, Chimedregzen U (2008): Dietary habits of Mongolian people, and their influence on lifestyle-related diseases and early aging. Curr Aging Sci 1(2):84-100 https://doi.org/10.2174/1874609810801020084
  20. Kwon JH, Shim JE, Park MK, Paik HY (2009): Evaluation of fruits and vegetables intake for prevention of chronic disease in Korean adults aged 30 years and over: using the third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005. Korean J Nutr 42(2):146-157 https://doi.org/10.4163/kjn.2009.42.2.146
  21. Lee CJ, Joung H (2012): Milk intake is associated with metabolic syndrome: using data from the Korea national health and nutrition examination survey 2007-2010. Korean J Community Nutr 17(6):795-804 https://doi.org/10.5720/kjcn.2012.17.6.795
  22. Mertz DP (1980): Atherosclerosis-index (LDL/HDL): risk indicator in lipid metabolism disorders. Med Klin 75(4): 159-161
  23. Oliver MF (1981): Serum cholesterol--the knave of hearts and the joker. Lancet 2(8255):1090-1095
  24. Suh I (2001): Cardiovascular mortality in Korea: a country experiencing epidemiologic transition. Acta Cardiol 56(2):75-81 https://doi.org/10.2143/AC.56.2.2005621
  25. Suh I, Oh KW, Lee KH, Psaty BM, Nam CM, Kim SI, Kang HG, Cho SY, Shim WH (2001): Moderate dietary fat consumption as a risk factor for ischemic heart disease in a population with a low fat intake: a case-control study in Korean men. Am J Clin Nutr 73(4):722-727 https://doi.org/10.1093/ajcn/73.4.722
  26. Tsubono Y, Fahey MT, Takahashi T, Iwase Y, Iitoi Y, Akabane M, Tsugane S (1998): Interpopulation and intrapopulation variability of nutrient intake in five regions of Japan. Eur J Clin Nutr 52(3):176-179 https://doi.org/10.1038/sj.ejcn.1600531
  27. van Meijl LE, Mensink RP (2011): Low-fat dairy consumption reduces systolic blood pressure, but does not improve other metabolic risk parameters in overweight and obese subjects. Nutr Metab Cardiovasc Dis 21(5):355-361 https://doi.org/10.1016/j.numecd.2009.10.008
  28. Wahl PW, Warnick GR, Albers JJ, Hoover JJ, Walden CE, Bergelin RO, Ogilvie JT, Hazzard WR, Knopp RH (1981): Distribution of lipoproteins triglyceride and lipoprotein cholesterol in an adult population by age, sex, and hormone use- The Pacific Northwest Bell Telephone Company health survey. Atherosclerosis 39(1):111-124 https://doi.org/10.1016/0021-9150(81)90093-9
  29. Willet WC (1990): Nutritional Epidemiology. Oxford University Press. New York. pp.70-147
  30. World Health Organization (2003): The World Health Report. World Health Organization. Geneva. pp.85-99

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