Nutrition Research and Practice

The Korean Nutrition Society (한국영양학회)
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The effects of the DASH diet education program with omega-3 fatty acid supplementation on metabolic syndrome parameters in elderly women with abdominal obesity

  • Choi, Seung-Hye (Department of Nursing Science, Suwon University) ;
  • Choi-Kwon, Smi (College of Nursing & The Research Institute of Nursing Science, Seoul National University)
  • Received : 2014.05.20
  • Accepted : 2014.09.03
  • Published : 2015.04.01
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Abstract

BACKGROUND/OBJECTIVES: The purpose of this study was to investigate the overall effects of a tailored Dietary Approaches to Stop Hypertension (DASH) nutritional intervention program which included omega-3 fatty acids supplementation, on dietary self-efficacy, dietary knowledge, and dietary behaviors in Korean elderly women with abdominal obesity. Furthermore, we investigated the effects of the program on metabolic syndrome parameters including the antioxidant capacities in these subjects. SUBJECTS/METHODS: A randomized, controlled trial was conducted for 8 weeks. The experimental group (n = 21) received a weekly tailored nutritional program for 8 weeks and the control group (n = 18) received only one educational session. The clinical survey was conducted before and after the intervention period. RESULTS: After the intervention, dietary self-efficacy (P = 0.023), frequency of fruit intake (P = 0.019), and dietary fiber intake (P = 0.044) were higher in the experimental group than in the control group. The oxidative stress (P < 0.001) was lower in the experimental group than in the control group. Moreover, low density lipoprotein (LDL) cholesterol (P = 0.023) had significantly decreased in the experimental group but not in the control group after the intervention. CONCLUSIONS: The intervention program including omega-3 fatty acid supplementation had a positive effect on dietary self-efficacy, dietary behaviors, and oxidative stress among aged women with abdominal obesity.

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References

  1. Kwon HS, Park YM, Lee HJ, Lee JH, Choi YH, Ko SH, Lee JM, Kim SR, Kang SY, Lee WC, Ahn MS, Noh JH, Kang JM, Kim DS, Yoon KH, Cha BY, Lee KW, Kang SK, Son HY. The prevalence and clinical characteristics of the metabolic syndrome in middle-aged Korean adults. Korean J Med 2005;68:359-68.
  2. Fisman EZ, Tenenbaum A. Adiponectin: a manifold therapeutic target for metabolic syndrome, diabetes, and coronary disease? Cardiovasc Diabetol 2014;13:103. https://doi.org/10.1186/1475-2840-13-103
  3. Lee SE, Moon JH, Ahn JH, Oh YS, Shinn SH. The association between plasma adiponectin and the components of metabolic syndrome in adults with abdominal obesity. Korean J Obes 2007;16:147-53.
  4. Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi T, Azizi F. Beneficial effects of a Dietary Approaches to Stop Hypertension eating plan on features of the metabolic syndrome. Diabetes Care 2005;28: 2823-31. https://doi.org/10.2337/diacare.28.12.2823
  5. Davis L, Stonehouse W, Loots du T, Mukuddem-Petersen J, van der Westhuizen FH, Hanekom SM, Jerling JC. The effects of high walnut and cashew nut diets on the antioxidant status of subjects with metabolic syndrome. Eur J Nutr 2007;46:155-64. https://doi.org/10.1007/s00394-007-0647-x
  6. Mantzoros CS, Williams CJ, Manson JE, Meigs JB, Hu FB. Adherence to the Mediterranean dietary pattern is positively associated with plasma adiponectin concentrations in diabetic women. Am J Clin Nutr 2006;84:328-35.
  7. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2008: Korea National Health and Nutrition Examination Survey (KNHANES IV-2). Cheongwon: Korea Centers for Disease Control and Prevention; 2009.
  8. Kim BH, Lee JW, Lee Y, Lee HS, Jang YA, Kim CI. Food and nutrient consumption patterns of the Korean adult population by income level-2001 National Health and Nutrition Survey. Korean J Community Nutr 2005;10:952-62.
  9. Oh C, No JK, Kim HS. Dietary pattern classifications with nutrient intake and body composition changes in Korean elderly. Nutr Res Pract 2014;8:192-7. https://doi.org/10.4162/nrp.2014.8.2.192
  10. Heo J, Park Y, Park HM. Dietary intake of nutrients and food in postmenopausal Korean women. J Korean Soc Menopause 2011;17: 12-20.
  11. Kabir M, Skurnik G, Naour N, Pechtner V, Meugnier E, Rome S, Quignard-Boulange A, Vidal H, Slama G, Clement K, Guerre-Millo M, Rizkalla SW. Treatment for 2 mo with n 3 polyunsaturated fatty acids reduces adiposity and some atherogenic factors but does not improve insulin sensitivity in women with type 2 diabetes: a randomized controlled study. Am J Clin Nutr 2007;86:1670-9. https://doi.org/10.1093/ajcn/86.5.1670
  12. Garcia-Alonso FJ, Jorge-Vidal V, Ros G, Periago MJ. Effect of consumption of tomato juice enriched with n-3 polyunsaturated fatty acids on the lipid profile, antioxidant biomarker status, and cardiovascular disease risk in healthy women. Eur J Nutr 2012;51: 415-24. https://doi.org/10.1007/s00394-011-0225-0
  13. Ju K, So H. Effects of the nutrition education program on selfefficacy, diet behavior pattern and cardiovascular risk factors for the patients with cardiovascular disease. J Korean Acad Nurs 2008; 38:64-73. https://doi.org/10.4040/jkan.2008.38.1.64
  14. Shenoy SF, Poston WS, Reeves RS, Kazaks AG, Holt RR, Keen CL, Chen HJ, Haddock CK, Winters BL, Khoo CS, Foreyt JP. Weight loss in individuals with metabolic syndrome given DASH diet counseling when provided a low sodium vegetable juice: a randomized controlled trial. Nutr J 2010;9:8. https://doi.org/10.1186/1475-2891-9-8
  15. Glanz K, Rimer BK, Viswanath K. Health Behavior and Health Education: Theory, Research, and Practice. 4th ed. San Francisco (CA): Jossey-Bass; 2008.
  16. Kwon S. Association between abdominal obesity and cardiovascular risk factors in normal-weight Korean women. Health Care Women Int 2009;30:447-52. https://doi.org/10.1080/07399330802662093
  17. Jeong KH. Living to one hundred: old-age criteria and policy tasks. Health Welf Policy Forum 2011;(180):16-27.
  18. Jeong SK, Cho KH, Kim JM. The usefulness of the Korean version of modified Mini-Mental State Examination (K-mMMSE) for dementia screening in community dwelling elderly people. BMC Public Health 2004;4:31. https://doi.org/10.1186/1471-2458-4-31
  19. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 1977;84:191-215. https://doi.org/10.1037/0033-295X.84.2.191
  20. Shin JH. A comparative study on obesity index, nutritional knowledge, dietary attitudes and dietary self-efficacy of home economics teachers, dietitians, and nurses in Daegu and Kyungbuk province [mater's thesis]. Daegu: Kyungpook National University; 2008.
  21. Kim JH. The effect of DASH (The Dietary Approaches to Stop Hypertension) diet education program on lowering blood pressure in the middle-aged women [mater's thesis]. Seoul: Seoul National University; 2010.
  22. Shi Z, Yuan B, Zhang C, Zhou M, Holmboe-Ottesen G. Egg consumption and the risk of diabetes in adults, Jiangsu, China. Nutrition 2011;27:194-8. https://doi.org/10.1016/j.nut.2010.01.012
  23. Guigoz Y, Vellas B, Garry PJ. Assessing the nutritional status of the elderly: The Mini Nutritional Assessment as part of the geriatric evaluation. Nutr Rev 1996;54:S59-65.
  24. The Korean Nutrition Society. Computer Aided Nutritional Analysis program version 3.0. (CAN-Pro 3.0). Seoul: The Korean Nutrition Society; 2007.
  25. Kim SH, Choi-Kwon S. Nutritional status among elderly Korean women and related factors. J Korean Biol Nurs Sci 2012;14:16-24. https://doi.org/10.7586/jkbns.2012.14.1.16
  26. Obarzanek E, Sacks FM, Vollmer WM, Bray GA, Miller ER 3rd, Lin PH, Karanja NM, Most-Windhauser MM, Moore TJ, Swain JF, Bales CW, Proschan MA; DASH Research Group. Effects on blood lipids of a blood pressure-lowering diet: the Dietary Approaches to Stop Hypertension (DASH) Trial. Am J Clin Nutr 2001;74:80-9. https://doi.org/10.1093/ajcn/74.1.80
  27. Benzie IF, Strain JJ. The ferric reducing ability of plasma (FRAP) as a measure of "antioxidant power": the FRAP assay. Anal Biochem 1996;239:70-6. https://doi.org/10.1006/abio.1996.0292
  28. Miller DM, Aust SD. Studies of ascorbate-dependent, iron-catalyzed lipid peroxidation. Arch Biochem Biophys 1989;271:113-9. https://doi.org/10.1016/0003-9861(89)90261-0
  29. The Korean Nutrition Society. Dietary Referecne Intakes for Koreans. Seoul: The Korean Nutrition Society; 2010.
  30. Puglisi MJ, Hasty AH, Saraswathi V. The role of adipose tissue in mediating the beneficial effects of dietary fish oil. J Nutr Biochem 2011;22:101-8. https://doi.org/10.1016/j.jnutbio.2010.07.003
  31. Mumford SL, Schisterman EF, Siega-Riz AM, Gaskins AJ, Wactawski-Wende J, VanderWeele TJ. Effect of dietary fiber intake on lipoprotein cholesterol levels independent of estradiol in healthy premenopausal women. Am J Epidemiol 2011;173:145-56. https://doi.org/10.1093/aje/kwq388
  32. Poudyal H, Panchal SK, Diwan V, Brown L. Omega-3 fatty acids and metabolic syndrome: effects and emerging mechanisms of action. Prog Lipid Res 2011;50:372-87. https://doi.org/10.1016/j.plipres.2011.06.003
  33. Panagiotakos DB, Pitsavos C, Skoumas Y, Stefanadis C. The association between food patterns and the metabolic syndrome using principal components analysis: The ATTICA Study. J Am Diet Assoc 2007;107:979-87. https://doi.org/10.1016/j.jada.2007.03.006
  34. Ignarro LJ, Balestrieri ML, Napoli C. Nutrition, physical activity, and cardiovascular disease: an update. Cardiovasc Res 2007;73:326-40. https://doi.org/10.1016/j.cardiores.2006.06.030
  35. Hyun DH, Emerson SS, Jo DG, Mattson MP, de Cabo R. Calorie restriction up-regulates the plasma membrane redox system in brain cells and suppresses oxidative stress during aging. Proc Natl Acad Sci U S A 2006;103:19908-12. https://doi.org/10.1073/pnas.0608008103
  36. Sacks FM, Svetkey LP, Vollmer WM, Appel LJ, Bray GA, Harsha D, Obarzanek E, Conlin PR, Miller ER 3rd, Simons-Morton DG, Karanja N, Lin PH; DASH-Sodium Collaborative Research Group. Effects on blood pressure of reduced dietary sodium and the Dietary Approaches to Stop Hypertension (DASH) diet. DASH-Sodium Collaborative Research Group. N Engl J Med 2001;344:3-10. https://doi.org/10.1056/NEJM200101043440101
  37. Gyeongin Regional Statistics Office. Consumer price trends [Internet]. Gwacheon: Gyeongin Regional Statistics Office; 2012 [cited 2012 may 24]. Available from: http://kostat.go.kr/office/giro/ rogi_nw/2/1/index.board?bmode=read&aSeq=253933.
  38. Zemel MB, Sowers JR. Salt sensitivity and systemic hypertension in the elderly. Am J Cardiol 1988;61:7H-12H. https://doi.org/10.1016/0002-9149(88)91098-3

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