Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

The High-density lipoprotein (HDL) cholesterol and related factors in Korean middle-aged

한국 중년의 고밀도지단백(HDL) 콜레스테롤과 관련요인

  • Kim, Sang-Lak (Graduate School of Public Health, Kyungpook National University) ;
  • Kam, Sin (School of Medicine, Kyungpook National University) ;
  • Kim, Myung-Gwan (Graduate School of Public Health, Kyungpook National University)
  • 김상락 (경북대학교 보건대학원) ;
  • 감신 (경북대학교 의과대학) ;
  • 김명관 (경북대학교 보건대학원)
  • Received : 2018.01.22
  • Accepted : 2018.04.06
  • Published : 2018.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to provide basic data to promote health in middle-aged Koreans (40-59 years old) by understanding health behaviors that affect high-density lipoprotein (HDL) cholesterol level among various health behaviors. In a national health and nutrition survey, raw data combined on a total of 7,406 persons, IV-3 (2009), V-1 (2010), V-2 (2011), V-3 (2012), and VI-1 (2013), were selected as the final analysis subjects. HDL cholesterol was divided into two groups: less than 40 mg/dl and more than 40 mg/dl. The results of multiple logistic regression analysis were as follows: OR=3.916 for males, OR=3.439 for normal than low weight, OR=7.336 for obesity than low weight, OR=1.629 for alcohol consumption, OR=1.498 for smokers, OR=1.426 for don't practice moderate physical activity, OR=1.264 for no walking exercise, OR=1.510 for carbohydrates normal intake than low intake, OR 1.787 for carbohydrates over intake than low intake when HDL cholesterol increased from 40 mg/dl to less than 40 mg/dl. Korean middle-aged high-density lipoprotein (HDL) cholesterol levels should be increased to maintain proper health through aerobic exercise, smoking cessation, proper drinking habits, obesity relief, healthy eating out, and healthy food choices. This requires continuous publicity and education within the community, and a social environment should be built that enables health behavior to be practiced in daily life.

이 연구는 40-59세의 중년들이 갖고 있는 여러 가지 건강행태 중에서 고밀도지단백(HDL) 콜레스테롤에 영향을 명확히 미치는 건강행태를 파악함으로써 한국 중년의 건강증진에 도움이 되는 기초자료를 제공되고자 한다. 국민건강영양조사의 제4기 3차년도(2009), 제5기의 1차년도(2010), 2차년도(2011), 3차년도(2012), 제6기의 1차년도(2013) 등 총 5개년의 원시데이터를 합하여 사용하여 7,406명을 최종분석 대상자로 선정하였다. 고밀도지단백 콜레스테롤을 40mg/dl 미만과 40mg/dl 이상으로 두 집단으로 구분했다. 다중 로지스틱 회귀분석을 시행한 결과, 여자보다 남자일 경우 OR=3.916배, 비만 유병이 저체중에서 정상일 경우 OR=3.439배, 비만일 경우 OR=7.336배, 음주자일 때 OR=1.629배, 흡연자일 때 OR=1.498배, 중등도 신체활동 미실천일 시 OR=1.426배, 걷기 미실천일 시 OR=1.264배, 탄수화물을 과소 섭취할 때보다 적정 섭취할 때 OR=1.510배, 과다 섭취할 때 OR=1.787배 고밀도지단백(HDL) 콜레스테롤이 40mg/dl 이상에서 40mg/dl 미만으로 될 확률이 증가하였다. 한국 중년의 고밀도지단백(HDL) 콜레스테롤 수치를 높여 적절한 건강을 유지하기 위해서는 유산소 운동, 금연, 절절한 음주, 비만 해소, 건강한 식습관과 건강한 식품 선택으로 인한 외식이 이루어져야 한다. 이를 위해서는 지역사회 내에서 지속적인 홍보와 교육이 필요하며, 건강행태를 생활 속에서 실천할 수 있도록 하는 사회적 환경이 구축되어야 할 것이다.

Keywords

References

  1. Statistics Korea : Life table, Each year, 2013.
  2. Lamarche B, Despres JP, Moorjani S, Cantin B, Dagenais GR, Lupien PJ., Triglycerides and HDL-cholesterol as risk factors for ischemic heart disease, Results from the Quebec ardiovascular study, therosclerosis, vol. 119, No 2, pp. 235-245, 1996. https://doi.org/10.1016/0021-9150(95)05653-X
  3. Brischetto CS, Connor WE, Conner WE, Conner SC, Matarazzo JD : Plasma lipid and lipoprotein profiles ofcigarette smokers from randmly selected families: Enhancement of hyperlipidemia and depression of high-densitylipoprotein, Am J Cardiol, vol. 52, pp. 675-680, 1983. https://doi.org/10.1016/0002-9149(83)90396-X
  4. OECD : Adult population smoking daily, As a percentage of adult population, 2011 or latest availabe year, 2014.
  5. OECD : Alcohol consumption among adults, 2000 and 2013, 2015.
  6. Lee HJ, Kim YS : Alcohol and dyslipidemia, Korean Society of Lipidology and Atherosclerosis, vol. 4, no. 2, pp. 119-134, 1994.
  7. KCDC, The Sixth Korea National Health and Nutrition Examination Survey Presentation of Main Result, 2016.
  8. The Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV-3), 2009, Korea Centers of Disease Control and Prevention.
  9. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-1), 2010, Korea Centers of Disease Control and Prevention.
  10. The Fifth Korea National Health and Nutrition Examination Survey(KNHANES V-2), 2011, Korea Centers of Disease Control and Prevention.
  11. The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-3), 2012, Korea Centers of Disease Control and Prevention.
  12. The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-1), 2011, Korea Centers of Disease Control and Prevention.
  13. Seoul National Universtiy Hospital, Medical Information: Hyperlipidemia - HDL, 2012. http://www.snuh.org/health/compreDis/ES01/5.do
  14. The Korean Nutrition Society, Dietary Reference Intakes for Koreans, 2015.
  15. WHO, FAO : Diet, nutrition and the prevention of chronic diseases. WHO Technical Report Series, vol. 916, pp. 56-90, 2003.
  16. David Berrigan, Kevin Dodd, Richard P. Troiano, Susan M. Krebs-Smith, Racheal Ballard Barbash : Patterns of health behavior in U.S. adults, Journal of Preventive Medicine, vol. 36, no. 5, pp. 615-623, 2003. https://doi.org/10.1016/S0091-7435(02)00067-1
  17. JR Kim, BD Nam, JH Kim, SK Lee, JK Moon, JH Lee, DY Hong, Physical Fitness, Leisure Time Physical Activity, and Serum Lipid Levels in Middle-Aged Male Workers, Korean J of Preventive Medicine, vol. 29, no. 2, pp. 173-186, 1996.
  18. WHO : A guide for tobacco users to quit, WHO Library Cataloguing in Publication Data, pp. 5-6, 2014.
  19. JI Song, SH Yoo, JG Ryoo, The Amount of Physical Activity According to the Level of High Density Lipoprotein Cholesterol in Korean Adults, Korean J Health Promotion, vol. 11, no. 4, pp. 197-205, 2011. DOI: http://dx.doi.org/G704-001517.2011.11.4.003
  20. CH Kim, SM Lim, HS Park, Trend of Prevalence of Low HDL-Cholesterol and Related Factors in Korean Men: Using 3 Korean National Health and Nutrition Examination Survey Data (1998-2005), Korean J Fam Med, vol. 31, pp. 755-764, 2010. https://doi.org/10.4082/kjfm.2010.31.10.755
  21. YJ Lee : A Comparative Study on Sanitary practices and Perception of Employees in Elementary School, Hospital and Industry Food Service in the Inchon Area, J Korean Diet Assoc, vol. 9, no. 1, pp. 22-31, 2003.
  22. MG Kim, KY Kim, HM Nam, NS Hong, YM Lee, The relationship between lifestyle and sodium intake in Korean middle-aged workers, Journal of the Korea Academia-Industrial cooperation Society, vol. 15, no. 5, pp. 2923-2929, 2014. DOI: http://doi.org/10.5762/KAIS.2014.15.5.2923
  23. YS Suh, JH Kang, HS Kim, YJ CHung, Comparison of Nutritional Status of the Daejeon Metropolitan Citizens by Frequency of Eating Out, Korean J Nutr, vol. 43, no. 2, pp. 171-180, 2010. DOI: http://doi.org/10.4163/kjn.2010.43.2.171
  24. HN Choi, Assessment of quantitative and qualitativa effect of acarborhydrate intake on Low HDL-cholesterol in Korean audlts, Master degree thesis, Graduation School of Seoul National University, 2012.