DOI QR코드

DOI QR Code

A relationship of healthy eating status and body composition in Korean adults by their constitution type: A cross-sectional study

우리나라 성인의 사상체질에 따른 식생활 상태와 신체구성의 상관성에 관한 단면분석연구

  • Kim, Jieun (Division of Korean Medicine Data, Korea Institution of Oriental Medicine) ;
  • Jeong, Kyoungsik (Division of Korean Medicine Data, Korea Institution of Oriental Medicine) ;
  • Baek, Younghwa (Division of Korean Medicine Data, Korea Institution of Oriental Medicine) ;
  • Lee, Siwoo (Division of Korean Medicine Data, Korea Institution of Oriental Medicine)
  • 김지은 (한국한의학연구원 한의약데이터부) ;
  • 정경식 (한국한의학연구원 한의약데이터부) ;
  • 백영화 (한국한의학연구원 한의약데이터부) ;
  • 이시우 (한국한의학연구원 한의약데이터부)
  • Received : 2022.03.24
  • Accepted : 2022.03.28
  • Published : 2022.03.31

Abstract

Background Adherence to healthy diet acts as a key role to modify sedentary lifestyle in real life setting. Constitution type of traditional Korean medicine has been prediagnosed to risk factors of cardiometabolic diseases. This study aims to evaluate the associations between body composition and healthy eating status in Korean adults by their constitution type. Methods Of 4046 participants from Korean Medicine Daejeon Citizen Cohort study, Korean Medicine Daejeon Citizen Cohort (KDCC) study were included for analysis. Demographic, health-related behaviors and Korean Medicine (KM) type were surveyed based on a general health-related questionnaire. Anthropometric measurements and dietary factors by using Korean Healthy Eating Index (KHEI) were assessed only in the half of the original participants. Results 50.8% of Taeeum was observed from eligible 1967 participants (66.7%, women). The highest KHEI score was observed in soyang group (52.0±0.3, p=0.006) compared to other two groups. In taeeum group, lower appendicular skeletal muscle mass (ASM)(%)(Taeeum: 38.7±0.1 vs. Soeum/Soyang: 39.2±0.1, p < 0.05), and higher percent of body fat (PBF)(%) (Taeeum: 32.9±0.2 vs. Soeum/Soyang: 29.0±0.2, p < 0.05) by the lowest tertile (T1) of the KHEI score, respectively. When the KHEI score increased by 1 point in taeeum group, a positive relationship was observed, which increased by 0.015% of ASM, however, a negatively related to in which body fat mass (BFM) decreased by 0.022 kg and PBF decreased by 0.024%. Conclusion Customized nutritional management is required that could help maintaining physical health and diet by their constitution type.

Keywords

Acknowledgement

이 연구는 한국한의학연구원 기관주요사업인 빅데이터 기반 한의예방치료 원천기술개발 (Grant No. KSN2023120)의 지원을 받아 수행된 연구입니다.

References

  1. Song KH, Yu S-G, Kim JY. Prevalence of Metabolic Syndrome according to Sasang Constitutional Medicine in Korean Subjects. Evidence-Based Complementary and Alternative Medicine. 2012;2012:646794. DOI: 10.1155/2012/646794
  2. Lee S, Lee SK, Kim JY, Cho N, Shin C. Sasang constitutional types for the risk prediction of metabolic syndrome: a 14-year longitudinal prospective cohort study. BMC Complement Altern Med. 2017;17(1):438. DOI: 10.1186/s12906-017-1936-4
  3. Cho NH, Kim JY, Kim SS, Shin C. The relationship of metabolic syndrome and constitutional medicine for the prediction of cardiovascular disease. Diabetes Metab Syndr. 2013;7(4):226-232. DOI: 10.1016/j.dsx.2013.08.003
  4. Jang E, Baek Y, Park K, Lee S. Could the Sasang constitution itself be a risk factor of abdominal obesity? BMC Complementary and Alternative Medicine. 2013;13(1):72. DOI: 10.1186/1472-6882-13-72
  5. Lee SK, Yoon DW, Lee SW, et al. Association of Sasang Constitutional Types with Incident Hypertension: A 12-Year Follow-Up Study. The Journal of Alternative and Complementary Medicine. 2016;22(9):706-712. DOI: 10.1089/acm.2015.0052
  6. Cho NH, Kim JY, Kim SS, Lee SK, Shin C. Predicting type 2 diabetes using Sasang constitutional medicine. Journal of Diabetes Investigation. 2014;5(5):525-532. DOI: 10.1111/jdi.12189
  7. Lee HY, Lee WJ, Kim HW, et al. A Systematic Review on Sasang Constitutional Type-Associated Susceptibility to Disorders in Korea. The Journal of Alternative and Complementary Medicine. 2016;22(12):950-956. DOI: 10.1089/acm.2016.0177
  8. Jeong K, Lee S, Kim J, Baek Y. Association of Breakfast, Eating Frequency, and Energy Intake with Health-related Quality of Life According to Sasang Constitution: in Korean General Population. Journal of Sasang Constitutional Medicine. 2021;33(2):37-46. DOI: 10.7730/JSCM.2021.33.2.37. (Korean)
  9. de Hollander EL, Bemelmans WJ, Boshuizen HC, et al. The association between waist circumference and risk of mortality considering body mass index in 65- to 74-year-olds: a meta-analysis of 29 cohorts involving more than 58 000 elderly persons. International Journal of Epidemiology. 2012;41(3):805-817. DOI: 10.1093/ije/dys008
  10. Wannamethee SG, Atkins JL. Muscle loss and obesity: the health implications of sarcopenia and sarcopenic obesity. Proc Nutr Soc. 2015;74(4):405-412. DOI: 10.1017/S002966511500169X
  11. Force UPST. Behavioral Counseling Interventions to Promote a Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: US Preventive Services Task Force Recommendation Statement. JAMA. 2020;324(20):2069-2075. DOI: 10.1001/jama.2020.21749
  12. Shin S, Lee S. Relation between the Total Diet Quality based on Korean Healthy Eating Index and the Incidence of Metabolic Syndrome Constituents and Metabolic Syndrome among a Prospective Cohort of Korean Adults. kjcn. 2020;25(1):61-70. https://doi.org/10.5720/kjcn.2020.25.1.61 (Korean)
  13. Park S, Kim K, Lee B-K, Ahn J. Association of the Healthy Eating Index with Estimated Cardiovascular Age in Adults from the KNHANES 2013-2017. Nutrients. 2020;12(10):2912. DOI: 10.3390/nu12102912
  14. Lee J-S, Kim H-Y, Hwang J-Y, et al. Development of Nutrition Quotient for Korean adults: item selection and validation of factor structure. jnh. 2018;51(4):340-356. https://doi.org/10.4163/jnh.2018.51.4.340 (Korean)
  15. Kim J, Jeong K, Lee S, Seo B-N, Baek Y. Low nutritional status links to the prevalence of pre-metabolic syndrome and its cluster in metabolically high-risk Korean adults: A cross-sectional study. Medicine. 2021;100(20):e25905. DOI: 10.1097/MD.0000000000025905
  16. Kim J, Jeong K, Lee S, Baek Y. Relationship between Low Vegetable Consumption, Increased High-Sensitive C-Reactive Protein Level, and Cardiometabolic Risk in Korean Adults with Tae-Eumin: A Cross-Sectional Study. Evidence-Based Complementary and Alternative Medicine. 2021; 2021:3631445. DOI: 10.1155/2021/3631445
  17. Priego T, Martin AI, Gonzalez-Hedstrom D, Granado M, Lopez-Calderon A. Chapter Twenty - Role of hormones in sarcopenia. In: Litwack G, ed. Vitamins and Hormones. Vol 115. Academic Press; 2021:535-570. DOI: 10.1016/bs.vh.2020.12.021
  18. Baek Y, Seo B-N, Jeong K, Yoo H, Lee S. Lifestyle, genomic types and non-communicable diseases in Korea: a protocol for the Korean Medicine Daejeon Citizen Cohort study (KDCC). BMJ Open. 2020;10(4):e034499. DOI: 10.1136/bmjopen-2019-034499
  19. Baek Y-H, Jang E-S, Park K-H, Yoo J-H, Jin H-J, Lee S-W. Development and validation of brief KS-15 (Korea Sasang constitutional diagnostic questionnaire) based on body shape, temperament and symptoms. Journal of Sasang Constitutional Medicine. 2015;27(2):211-221. DOI: 10.7730/JSCM.2015.27.2.211 (Korean)
  20. Yook S-M, Park S, Moon H-K, Kim K, Shim JE, Hwang J-Y. Development of Korean healthy eating index for adults using the Korea national health and nutrition examination survey data. Journal of Nutrition and Health. 2015;48(5):419-428. DOI: 10.4163/jnh.2015.48.5.419 (Korean)
  21. Chen L-K, Woo J, Assantachai P, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. Journal o f the American Medical Directors Association. 2020;21(3):300-307.e302. DOI: 10.1016/j.jamda.2019.12.012
  22. Studenski SA, Peters KW, Alley DE, et al. The FNIH Sarcopenia Project: Rationale, Study Description, Conference Recommendations, and Final Estimates. The Journals of Gerontology: Series A. 2014;69(5):547-558. DOI: 10.1093/gerona/glu010
  23. Armstrong T, Bull F. Development of the World Health Organization Global Physical Activity Questionnaire (GPAQ). Journal of Public Health. 2006;14(2):66-70. DOI: 10.1007/s10389-006-0024-x
  24. Jang E-S, Kim Y-Y, Baek Y-H, Lee S-W. The Association between Seven Health Practices and Self Rated Health by Sasang Constitution. Journal of Sasang Constitutional Medicine. 2018;30(1):32-42. DOI: 10.7730/JSCM.2018.30.1.32 (Korean)
  25. Park J-E, Shin C, Lee S. Effect of Lifestyle Factors on Hypertension by Constitution Type: A Large Community-Based Study. Evidence-Based Complementary and Alternative Medicine. 2019;2019:3231628. DOI: 10.1155/2019/3231628
  26. Lee J, Jang H, Park B, Lee E, Koh B, Lee J. Can the Sasang Constitutional Type Trait Act as an Independent Risk Factor for Dyslipidemia? Journal of Society of Korean Medicine for Obesity Research. 2014;14(2):63-71. DOI: 10.15429/jkomor.2014.14.2.63 (Korean)
  27. Lee SK, Yoon DW, Kim J, et al. Association of adiponectin, ghrelin, and leptin with metabolic syndrome and its metabolic components in Sasang constitutional type. European Journal of Integrative Medicine. 2018;22:16-21. DOI: 10.1016/j.eujim.2018.07.007
  28. Cha S, Koo I, Park BL, et al. Genetic Effects of FTO and MC4R Polymorphisms on Body Mass in Constitutional Types. Evidence-Based Complementary and Alternative Medicine. 2011;2011:106390. DOI: 10.1093/ecam/nep162
  29. Jeong K, Park K, Lee S, Hwang J-Y, Baek Y. Evaluation of Dietary Behaviors According to Sasang Constitution Using a Nutrition Quotient: A Korean Medicine Daejeon Citizen Cohort Study. Journal of Sasang Constitutional Medicine. 2020;32(4):86-95. DOI: 10.7730/JSCM.2020.32.4.86 (Korean)
  30. Kim J, Lee S, Baek Y. Effects of life style on metabolic syndrome stage according to the sasang constitution. Journal of Sasang Constitutional Medicine. 2017;29(3):232-241. DOI: 10.7730/JSCM.2017.29.3.232 (Korean)
  31. Jeong K, Kim H, Lee S, Baek Y. Association between Dietary Habits and Self-rated Health According to Sasang Constitution. Journal of Physiology & Pathology in Korean Medicine. 2020;34(1):53-59. DOI: 10.15188/kjopp.2020.02.34.1.53 (Korean)
  32. Kivimaki M, Kuosma E, Ferrie JE, et al. Overweight, obesity, and risk of cardiometabolic multimorbidity: pooled analysis of individual-level data for 120 813 adults from 16 cohort studies from the USA and Europe. The Lancet Public Health. 2017;2(6):e277-e285. DOI: 10.1016/S2468-2667(17)30074-9
  33. Giugliano D, Ceriello A, Esposito K. The effects of diet on inflammation: emphasis on the metabolic syndrome. Journal of the American College of Cardiology. 2006;48(4):677-685. DOI: 10.1016/j.jacc.2006.03.052
  34. Calle MC, Andersen CJ. Assessment of dietary patterns represents a potential, yet variable, measure of inflammatory status: a review and update. Disease markers. 2019 DOI: 10.1155/2019/3102870
  35. Eichelmann F, Schwingshackl L, Fedirko V, Aleksandrova K. Effect of plant based diets on obesity related inflammatory profiles: a systematic review and meta analysis of intervention trials. Obesity Reviews. 2016;17(11):1067-1079. DOI: 10.1111/obr.12439