Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Risk of Metabolic Syndrome according to Intakes of Vegetables and Kimchi in Korean Adults: Using the 5th Korea National Health and Nutrition Examination Survey, 2010-2011

한국 성인의 채소와 김치 섭취량에 따른 영양상태와 대사증후군 위험도에 관한 연구: 2010-2011년 국민건강영양조사 자료를 이용하여

  • Yoo, Jae-Eun (Department of Food Science & Nutrition, The Catholic University of Korea) ;
  • Kim, Jin-Su (Department of Food Science & Nutrition, The Catholic University of Korea) ;
  • Son, Sook Mee (Department of Food Science & Nutrition, The Catholic University of Korea)
  • 유재은 (가톨릭대학교 식품영양학과) ;
  • 김진수 (가톨릭대학교 식품영양학과) ;
  • 손숙미 (가톨릭대학교 식품영양학과)
  • Received : 2017.09.29
  • Accepted : 2017.12.19
  • Published : 2017.12.31
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Abstract

Objectives: The objective of this study was to examine the relations between total vegetable and Kimchi intakes and the risk of metabolic syndrome (Mets) in Korean adults. Methods: This study used dietary intake and health data of 6668 subjects aged 20 years and over from the 2010-2011 Korea National Health and Nutrition Examination Survey (KNHANES). Daily intakes of total vegetables and Kimchi were assessed by 24-hour recall data. The odds ratio of Mets risk according to daily intake of vegetables and Kimchi was analyzed, respectively. Results: The highest consumption of total vegetables was associated with a lower risk of abdominal obesity (multivariable adjusted OR=0.56, 95% CI: 0.33, 0.93) in men and lower risk of Mets (multivariable adjusted OR=0.67, 95% CI: 0.47, 0.94) in women. Kimchi consumption was not related to the risk of Mets in both men and in women. However, a higher intake of Kimchi was associated with an increased risk of elevated blood pressure (Q1 vs Q5, multivariable adjusted OR=1.34, 95% CI: 0.95, 1.90, P for trend= 0.0261) in women. Conclusions: A higher intake of vegetables was associated with decreased risk of abdominal obesity and Mets in both men and women, respectively. A higher consumption of Kimchi was not related to the risk of Mets in both in men and in women. However, a higher intake of Kimchi was associated with an increased risk of elevated blood pressure in women.

Keywords

References

  1. 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) final report. Circulation 2002; 106(25): 3143-3421.
  2. Isomaa B, Almgren P, Tuomi T, Forsen B, Lahti K, Nissen M et al. Cardiovascular morbidity and mortality associated with the metabolic syndrome. Diabetes Care 2001; 24(4): 683-689. https://doi.org/10.2337/diacare.24.4.683
  3. Haffner SM, Valdez RA, Hazuda HP, Mitchell BD, Morales PA, Stern MP. Prospective analysis of the insulin resistance syndrome (syndrome X). Diabetes 1992; 41(6): 715-722. https://doi.org/10.2337/diab.41.6.715
  4. Han JH, Park HS, Shin CI, Chang HM, Yun KE, Cho SH et al. Metabolic syndrome and quality of life (QOL) using generalised and obesity?specific QOL scales. Int J Clin Pract 2009; 63(5): 735-741. https://doi.org/10.1111/j.1742-1241.2009.02021.x
  5. Lim S, Shin H, Song JH, Kwak SH, Kang SM, Yoon JW et al. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care 2011; 34(6): 1323-1328. https://doi.org/10.2337/dc10-2109
  6. Bazzano LA, He J, Ogden LG, Loria CM, Vupputuri S, Myers L et al. Fruit and vegetable intake and risk of cardiovascular disease in US adults: the first National Health and Nutrition Examination Survey Epidemiologic Follow-up Study. Am J Clin Nutr 2002; 76(1): 93-99. https://doi.org/10.1093/ajcn/76.1.93
  7. Bazzano LA, Serdula MK, Liu S. Dietary intake of fruit and vegetable and risk of cardiovascular disease. Curr Atheroscler Rep 2003; 5(6): 492-499. https://doi.org/10.1007/s11883-003-0040-z
  8. Park S, Ham JO, Lee BK. Effects of total vitamin A, vitamin C, and fruit intake on risk for metabolic syndrome in Korean women and men. Nutrition 2015; 31(1): 111-118. https://doi.org/10.1016/j.nut.2014.05.011
  9. Bian S, Gao Y, Zhang M, Wang X, Liu W, Zhang D et al. Dietary nutrient intake and metabolic syndrome risk in Chinese adults: a case?control study. Nutr J 2013; 12(1): 106-122. https://doi.org/10.1186/1475-2891-12-106
  10. Li Y, Guo H, Wu M, Liu M. Serum and dietary antioxidant status is associated with lower prevalence of the metabolic syndrome in a study in Shanghai, China. Asia Pac J Clin Nutr 2013; 22(1): 60-68.
  11. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 2006; 84(6): 1489-1497. https://doi.org/10.1093/ajcn/84.6.1489
  12. Agudo A, Cabrera L, Amiano P, Ardanaz E, Barricarte A, Berenguer T et al Fruit and vegetable intakes, dietary antioxidant nutrients, and total mortality in Spanish adults: findings from the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC-Spain). Am J Clin Nutr 2007; 85(6): 1634-1642. https://doi.org/10.1093/ajcn/85.6.1634
  13. Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention. Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANESV-3). Cheongju: Korea Centers for Disease Control and Prevention; 2013.
  14. Son SM, Park Y, Lim H, Kim S, Jeong Y. Sodium intakes of Korean adults with 24-hour urine analysis and dish frequency questionnaire and comparison of sodium intakes according to the regional area and dish group. Korean J Community Nutr 2007; 12(5): 545-558.
  15. Kwon JH, Shim JE, Park MK, Paik HY. 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 2009; 42(2): 146-157. https://doi.org/10.4163/kjn.2009.42.2.146
  16. Lee JS, Heo GY, Lee JW, OH YJ, Park JA, Park YH et al. Analysis of Kimchi microflora using denaturing gradient gel electrophoresis. In J Food Microbiol 2005; 102(2): 143-150. https://doi.org/10.1016/j.ijfoodmicro.2004.12.010
  17. Kim EK, An SY, Lee MS, Kim TH, Lee HK, Hwang WS et al. Fermented Kimchi reduces body weight and improves metabolic parameters in overweight and obese patients. Nutr Res 2011; 31(6): 436-443. https://doi.org/10.1016/j.nutres.2011.05.011
  18. Choi SH, Kim HJ, Kwon MJ, Baeck YH, Song YO. The effect of Kimchi pill supplementation on plasma lipid concentration in healthy people. J Korean Soc Food Sci Nutr 2001; 30(5): 913-920.
  19. Lee SM, Cho Y, Chung HK, Shin DH, Ha WK, Lee SC et al. Effects of Kimchi supplementation on blood pressure and cardiac hypertrophy with varying sodium content in spontaneously hypertensive rats. Nutr Res Pract 2012; 6(4): 315-321. https://doi.org/10.4162/nrp.2012.6.4.315
  20. Kim MK, Kim K, Shin MH, Shin DH, Lee YH, Chun BY et al. The relationship of dietary sodium, potassium, fruits, and vegetables intake with blood pressure among Korean adults aged 40 and elder. Nutr Res Pract 2014; 8(4): 453-462. https://doi.org/10.4162/nrp.2014.8.4.453
  21. Ford ES, Mokdad AH, Giles WH, Brown DW. The metabolic syndrome and antioxidant concentrations: findings from the third National Health and Nutrition Examination Survey. Diabetes 2003; 52(9): 2346-2352. https://doi.org/10.2337/diabetes.52.9.2346
  22. Navia B, Aparicio A, Perea JM, Perez-Farinos N, Villar-Villalba C, Labrado E et al. Sodium intake may promote weight gain; results of the FANPE study in a representative sample of the adult Spanish population. Nutr Hosp 2014; 29(6): 1283-1289.
  23. Cocores JA, Gold MS. The salted food addiction hypothesis may explain overeating and the obesity epidemic. Med Hypotheses 2009; 73(6): 892-899. https://doi.org/10.1016/j.mehy.2009.06.049
  24. McKeown NM, Meigs JB, Liu S, Saltzman E, Wilson PW, Jacques PF. Carbohydrate nutrition, insulin resistance, and the prevalence of the metabolic syndrome in the Framingham Offspring Cohort. Diabetes Care 2004; 27(2): 538?546. https://doi.org/10.2337/diacare.27.2.538
  25. Hosseinpour-Niazi S, Mirmiran P, Sohrab G, Hosseini-Esfahani F, Azizi F. Inverse association between fruit, legume, and cereal fiber and the risk of metabolic syndrome: Tehran Lipid and Glucose Study. Diabetes Res Clin Pract 2011; 94(2): 276-283. https://doi.org/10.1016/j.diabres.2011.07.020
  26. Hosseinpour-Niazi S, Mirmiran P, Mirzaei S, Azizi F. Cereal, fruit and vegetable fibre intake and the risk of the metabolic syndrome: a prospective study in the Tehran Lipid and Glucose Study. J Hum Nutr Diet 2015; 28(3): 236-245. https://doi.org/10.1111/jhn.12242
  27. Hermsdorff HHM, Zulet MA, PuchauB, Martinez JA. Fruit and vegetable consumption and proinflammatory gene expression from peripheral blood mononuclear cells in young adults: a translational study. Nutr Metab(Lond) 2010; 7(1): 42-52.
  28. Oh HY, Kim MK, Lee M, Kim YO. Macronutrient composition and sodium intake of diet are associated with risk of metabolic syndrome and hypertension in Korean women. PLoS ONE 2013; 8(10): e78088. https://doi.org/10.1371/journal.pone.0078088
  29. Misra A, Khurana L, Isharwal S, Bhardwaj S. South Asian diets and insulin resistance. Br J Nutr 2009; 101(4): 465-473. https://doi.org/10.1017/S0007114508073649
  30. Son SM, Huh GY. Dietary risk factors associated with hypertension in patients. Korean J Community Nutr 2006; 11(5): 661-672.
  31. Kang M, Joung H, Lim JH, Lee YS, Song YJ. Secular trend in dietary patterns in a Korean adult population, using the 1998, 2001, and 2005 Korean National Health and Nutrition Examination Survey. Korean J Nutr 2011; 44(2): 152-161. https://doi.org/10.4163/kjn.2011.44.2.152
  32. Miura K, Okuda N, Turin TC, Takashima N, Nakagawa H, Nakamura K et al. Dietary salt intake and blood pressure in a representative Japanese population: baseline analyses of NIPPON DATA80. J Epidemiol 2010; 20(S3): S524-S530. https://doi.org/10.2188/jea.JE20090220
  33. Ishibashi K, Oshima T, Matsuura H, Watanabe M, Ishida M, Ishida T et al. Effects of age and sex on sodium chloride sensitivity: association with plasma renin activity. Clin Nephrol 1994; 42(6): 376-380.

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