Journal of the Korean Society of Food Science and Nutrition (한국식품영양과학회지)

The Korean Society of Food Science and Nutrition (한국식품영양과학회)
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Intake of Antioxidant Nutrients and Risk of Metabolic Syndrome according to Degree of Stress in Rural Korean Women

한국 농촌 여성의 스트레스 정도에 따른 항산화 영양소 섭취와 대사증후군 위험도

  • Yoon, Jungwon (Department of Clinical Nutrition, Ewha Graduate School of Converging Clinical & Public Health) ;
  • Shin, Yoonjin (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Kang, Bori (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Byeon, Suji (Department of Clinical Nutrition, Ewha Graduate School of Converging Clinical & Public Health) ;
  • Kim, Soo A (Department of Clinical Nutrition, Ewha Graduate School of Converging Clinical & Public Health) ;
  • Kim, Yangha (Department of Nutritional Science and Food Management, Ewha Womans University)
  • 윤정원 (이화여자대학교 임상보건융합대학원) ;
  • 신윤진 (이화여자대학교 식품영양학과) ;
  • 강보리 (이화여자대학교 식품영양학과) ;
  • 변수지 (이화여자대학교 임상보건융합대학원) ;
  • 김수아 (이화여자대학교 임상보건융합대학원) ;
  • 김양하 (이화여자대학교 식품영양학과)
  • Received : 2017.03.02
  • Accepted : 2017.07.04
  • Published : 2017.07.31
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Abstract

The aim of the present study was to investigate antioxidant nutrient intake and risk of metabolic syndrome based on stress level in rural Korean women. Subject were participants from the Multi-Rural Communities Cohort Study, which was a part of the Korean Genome and Epidemiology Study. According to scores of the Psychosocial Well-Being Index Short-Form, a total of 10,111 subjects were classified into 'low stress group (n=8,015)' from 0 to 26 points and 'high stress group (n=2,096)' above 27 points. Data were collected using self-administered questionnaires, anthropometric measurements, and blood chemical analysis. Dietary nutrient consumption was assessed by a semi-quantitative food frequency questionnaire. High stress group showed lower intake of antioxidant nutrients, such as vitamin A, vitamin C, vitamin E, folate, zinc, and carotene compared to the low stress group. Intake of fruits and vegetable was lower in the high stress group compared to the low stress group. Subjects with high stress showed higher risk of hypertension [odd ratio (OR), 95% confidence interval (CI)=1.226 (1.112~1.351)] and hypertriglyceridemia [OR, 95% CI=1.227 (1.110~1.356)] than subjects with low stress. High stress group had a significantly greater odds ratio for metabolic syndrome compared with the low stress group [OR, 95% CI=1.216 (1.101~1.342]). Thus, the present study suggests that high stress might be associated with low intake of antioxidant nutrients and high risk of metabolic syndrome in rural Korean women.

본 연구는 스트레스 정도에 따른 영양소 섭취와 대사증후군 위험도를 분석하고자 수행되었다. 본 연구는 40~69세 일반인구 집단을 대상으로 실시한 한국인 역학조사 사업 중 농촌 기반코호트를 이용하여 진행하였고, 그중 여성을 대상으로 분석하였다. 대상자들은 사회 심리적 건강측정도구(Psychosocial Well-being Index, PWI)를 기초로 하여 개발된 18문항의 단축형(PWI-SF)의 평균값을 기준으로 0~26점의 저스트레스군과 27점 이상인 고스트레스군으로 분류되었다. 영양 섭취 상태 및 식습관은 반정량식품섭취빈도조사방법(semi-quantitative food frequency questionnaire, SQFFQ)을 이용하여 평가하였다. 고스트레스군 대상자들은 저스트레스군보다 나이, 허리둘레, 혈압이 유의적으로 낮았으며 신장은 유의적으로 높았다. 혈액분석 결과에서는 고스트레스군이 저스트레스군보다 공복혈당, 인슐린 저항성 지수, 중성지방, 동맥경화 지수가 유의적으로 높았다. 영양소 섭취를 분석한 결과 고스트레스군 대상자들이 저스트레스군보다 항산화 영양소인 비타민 A, 비타민 C, 비타민 E, 엽산, 아연, 카로틴을 더 적게 섭취하였다. 과일과 채소의 섭취량 또한 고스트레스군이 저스트레스군보다 유의적으로 적었다. 스트레스와 대사증후군 위험의 관계를 살펴본 결과 고스트레스군 대상자들이 저스트레스군보다 대사증후군의 교차비가 유의적으로 높았다. 결과적으로 한국 농촌 여성에서 스트레스가 높을수록 항산화 영양소와 과일 및 채소의 섭취가 적었으며 대사증후군 위험이 증가하는 것으로 나타났다.

Keywords

References

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