DOI QR코드

DOI QR Code

한국 일부 20~30대 성인의 음료 섭취와 비만도와의 관련성

Association between Beverage Intake and Obesity in Korean Adults in their 20s~30s

  • 이연경 (경북대학교 식품영양학과) ;
  • 노희경 (동신대학교 식품영양학과) ;
  • 허영란 (전남대학교 식품영양과학부) ;
  • 현태선 (충북대학교 식품영양학과) ;
  • 최미경 (국립공주대학교 식품영양학과)
  • Yeon-Kyung, Lee (Dept. of Food Science and Nutrition, Kyungpook National University) ;
  • Hee-Kyong, Ro (Dept. of Food and Nutrition, Dongshin University) ;
  • Young-Ran, Heo (Division of Food and Nutrition, Chonnam National University) ;
  • Taisun, Hyun (Dept. of Food and Nutrition, Chungbuk National University) ;
  • Mi-Kyeong, Choi (Dept. of Food and Nutrition, Kongju National University)
  • 투고 : 2022.11.16
  • 심사 : 2023.01.26
  • 발행 : 2023.02.02

초록

The purpose of this study was to investigate the association between daily beverage intake and obesity in young adults. This cross-sectional study was conducted with 256 adults in their 20s and 30s. Obesity was evaluated by anthropometric measurement of body mass index (BMI), waist to hip ratio and waist to height ratio. In addition, the daily intake of milk, caffeinated beverages, sweetened beverages, and alcoholic beverages was investigated using the dietary record and 24-h recall methods. Based on the BMI, men and women were classified into underweight, normal, overweight and obese. Among men, 38.3% were found to be normal, 28.1% were overweight and 31.3% obese. Among women, 11.7% were underweight, 73.4% were normal, and 10.2% were overweight, which was significantly different from men. In women, the BMI of the milk consumers was significantly lower than the non-consumers. Also, the obesity indices of caffeinated beverage consumers were significantly lower than the non-consumers. An analysis of the correlation between beverage intake and the obesity index showed that the intake of caffeinated beverages among women had a significant negative correlation with the obesity index, and intake of alcoholic beverages had a significant positive correlation with waist to height ratio. This study suggests that intake of milk and caffeinated beverage may have a positive effect on obesity, whereas the intake of alcoholic beverages may have a negative effect, especially in young adult women.

키워드

참고문헌

  1. Athyros VG, Liberopoulos EN, Mikhailidis DP, Papageorgiou AA, Ganotakis ES, Tziomalos K, Kakafika AI, Karagiannis A, Lambropoulos S, Elisaf M (2007): Association of drinking pattern and alcohol beverage type with the prevalence of metabolic syndrome, diabetes, coronary heart disease, stroke, and peripheral arterial disease in a Mediterranean cohort. Angiology 58(6):689-697 https://doi.org/10.1177/0003319707306146
  2. Balk L, Hoekstra T, Twisk J (2009): Relationship between long-term coffee consumption and components of the metabolic syndrome: the Amsterdam Growth and Health Longitudinal Study. Eur J Epidemiol 24(4):203-209 https://doi.org/10.1007/s10654-009-9323-1
  3. Bluher M (2019): Obesity: global epidemiology and pathogenesis. Nat Rev Endocrinol 15(5):288-298 https://doi.org/10.1038/s41574-019-0176-8
  4. Bouchard DR, Ross R, Janssen I (2010): Coffee, tea and their additives: association with BMI and waist circumference. Obes Facts 3(6):345-352 https://doi.org/10.1159/000322915
  5. Chiva-Blanch G, Badimon L (2017): Effects of polyphenol intake on metabolic syndrome: current evidences from human trials. Oxid Med Cell Longev 2017:5812401
  6. Choi SI, Yim ES, Moon HS (2012): Market segmentation by preferable kind of coffee type. J Korea Contents Assoc 12(6):475-485 https://doi.org/10.5392/JKCA.2012.12.06.475
  7. Dennis EJ, Kang M, Han SN (2017): Relation between beverage consumption pattern and metabolic syndrome among healthy Korean adults. Korean J Community Nutr 22(5):441-455 https://doi.org/10.5720/kjcn.2017.22.5.441
  8. Gibson S, Neate D (2007): Sugar intake, soft drink consumption and body weight among British children: further analysis of National Diet and Nutrition Survey data with adjustment for under-reporting and physical activity. Int J Food Sci Nutr 58(6):445-460 https://doi.org/10.1080/09637480701288363
  9. Gordon T, Kannel WB (1983): Drinking and its relation to smoking, BP, blood lipids, and uric acid. The Framingham study. Arch Intern Med 143(7):1366-1374 https://doi.org/10.1001/archinte.1983.00350070086016
  10. Grosso G, Marventano S, Galvano F, Pajak A, Mistretta A (2014): Factors associated with metabolic syndrome in a mediterranean population: role of caffeinated beverages. J Epidemiol 24(4):327-333 https://doi.org/10.2188/jea.JE20130166
  11. Grosso G, Stepaniak U, Micek A, Topor-Madry R, Pikhart H, Szafraniec K, Pajak A (2015): Association of daily coffee and tea consumption and metabolic syndrome: results from the Polish arm of the HAPIEE study. Eur J Nutr 54(7):1129-1137 https://doi.org/10.1007/s00394-014-0789-6
  12. Keast DR, Hill Gallant KM, Albertson AM, Gugger CK, Holschuh NM (2015): Associations between yogurt, dairy, calcium, and vitamin D intake and obesity among U.S. children aged 8-18 years: NHANES, 2005-2008. Nutrients 7(3):1577-1593 https://doi.org/10.3390/nu7031577
  13. Kim EK, Jun DW, Jang EC, Kim SH, Choi HS (2012): Effect of coffee and green tea consumption on liver enzyme and metabolic syndrome in Korean. J Korea Acad Ind Coop Soc 13(6):2570-2578
  14. Kim H, Kim M (2015): Intake behavior regarding beverages according to dietary lifestyles of university students. J East Asian Soc Diet Life 25(2):223-233 https://doi.org/10.17495/easdl.2015.4.25.2.223
  15. Kim HJ, Cho S, Jacobs DR Jr, Park K (2014): Instant coffee consumption may be associated with higher risk of metabolic syndrome in Korean adults. Diabetes Res Clin Pract 106(1):145-153 https://doi.org/10.1016/j.diabres.2014.07.007
  16. Kim JH, Park YS (2017): Light coffee consumption is protective against sarcopenia, but frequent coffee consumption is associated with obesity in Korean adults. Nutr Res 41:97-102 https://doi.org/10.1016/j.nutres.2017.04.004
  17. Kim K, Kim K, Park SM (2016): Association between the prevalence of metabolic syndrome and the level of coffee consumption among Korean women. PLoS One 11(12):e0167007
  18. Kim Y, Je Y (2018): Moderate coffee consumption is inversely associated with the metabolic syndrome in the Korean adult population. Br J Nutr 120(11):1279-1287 https://doi.org/10.1017/s0007114518002635
  19. Korean Society for the Study of Obesity (2020). Diagnosis and evaluation of obesity. Available from: http://general.kosso.or.kr/html/?pmode=obesityDiagnosis. Accessed June 12, 2020
  20. Lee J, Kim HY, Kim J (2017): Coffee consumption and the risk of obesity in Korean women. Nutrients 9(12):1340
  21. Lee YK, Heo YR, Hyun T, Lyu ES, Park H, Ro HK, Choi MK (2022): Association of beverage intake with urinary Na and K excretion among Korean young adults. Trace Elem Electrolytes 39(1):16-24 https://doi.org/10.5414/TEX01682
  22. Lee YK, Hyun T, Ro H, Heo YR, Choi MK (2022): Development and application of the sodium index to estimate and assess sodium intake for Korean adults. Nutr Res Pract 16(3):366-378 https://doi.org/10.4162/nrp.2022.16.3.366
  23. Lu L, Xun P, Wan Y, He K, Cai W (2016): Long-term association between dairy consumption and risk of childhood obesity: a systematic review and meta-analysis of prospective cohort studies. Eur J Clin Nutr 70(4):414-423 https://doi.org/10.1038/ejcn.2015.226
  24. Ludwig DS, Peterson KE, Gortmaker SL (2001): Relation between consumption of sugar-sweetened drinks and childhood obesity: a prospective, observational analysis. Lancet 357(9255):505-508 https://doi.org/10.1016/S0140-6736(00)04041-1
  25. Malik VS, Hu FB (2012): Sweeteners and risk of obesity and type 2 diabetes: the role of sugar-sweetened beverages. Curr Diab Rep 12(2):195-203
  26. Malik VS, Schulze MB, Hu FB (2006): Intake of sugar-sweetened beverages and weight gain: a systematic review. Am J Clin Nutr 84(2):274-288 https://doi.org/10.1093/ajcn/84.2.274
  27. Millar L, Rowland B, Nichols M, Swinburn B, Bennett C, Skouteris H, Allender S (2014): Relationship between raised BMI and sugar sweetened beverage and high fat food consumption among children. Obesity (Silver Spring) 22(5):96-E103
  28. Ministry of Food and Drug Safety (2022). 2016 Food Code. Available from: https://www.foodsafetykorea.go.kr/foodcode/1_03.jsp?idx=30. Accessed April 27, 2022
  29. Ministry of Health and Welfare, Korea Disease Control and Prevention Agency (2022): Korea health statistics 2020: Korea National Health and Nutrition Examination Survey (KNHANES VIII-2). Korea Disease Control and Prevention Agency. Cheongju. pp.157-159
  30. Murphy MM, Douglass JS, Johnson RK, Spence LA (2008): Drinking flavored or plain milk is positively associated with nutrient intake and is not associated with adverse effects on weight status in US children and adolescents. J Am Diet Assoc 108(4):631-639 https://doi.org/10.1016/j.jada.2008.01.004
  31. Nam GE, Kim SM, Choi MK, Heo YR, Hyun TS, Lyu ES, Oh SY, Park HR, Ro HK, Han K, Lee YK (2017): Association between 24-h urinary sodium excretion and obesity in Korean adults: a multicenter study. Nutrition 41:113-119 https://doi.org/10.1016/j.nut.2017.04.006
  32. National Institute of Agricultural Sciences (2021): Food composition table. 10th rev. ed. Rural Development Administration. Wanju-gun. pp.285-305
  33. O'Connor L, Imamura F, Lentjes MA, Khaw KT, Wareham NJ, Forouhi NG (2015): Prospective associations and population impact of sweet beverage intake and type 2 diabetes, and effects of substitutions with alternative beverages. Diabetologia 58(7):1474-1483 https://doi.org/10.1007/s00125-015-3572-1
  34. Patel AI, Moghadam SD, Freedman M, Hazari A, Fang ML, Allen IE (2018): The association of flavored milk consumption with milk and energy intake, and obesity: a systematic review. Prev Med 111:151-162 https://doi.org/10.1016/j.ypmed.2018.02.031
  35. Shin H, Linton JA, Kwon Y, Jung Y, Oh B, Oh S (2017): Relationship between coffee consumption and metabolic syndrome in Korean adults: data from the 2013-2014 Korea National Health and Nutrition Examination Survey. Korean J Fam Med 38(6):346-351 https://doi.org/10.4082/kjfm.2017.38.6.346
  36. Wang T, Huang T, Kang JH, Zheng Y, Jensen MK, Wiggs JL, Pasquale LR, Fuchs CS, Campos H, Rimm EB, Willett WC, Hu FB, Qi L (2017): Habitual coffee consumption and genetic predisposition to obesity: gene-diet interaction analyses in three US prospective studies. BMC Med 15(1):97
  37. Wang W, Wu Y, Zhang D (2016): Association of dairy products consumption with risk of obesity in children and adults: a meta-analysis of mainly cross-sectional studies. Ann Epidemiol 26(12):870-882.e2 https://doi.org/10.1016/j.annepidem.2016.09.005
  38. Williams EP, Mesidor M, Winters K, Dubbert PM, Wyatt SB (2015): Overweight and obesity: prevalence, consequences, and causes of a growing public health problem. Curr Obes Rep 4(3):363-370 https://doi.org/10.1007/s13679-015-0169-4
  39. World Health Organization (2021). Obesity and overweight. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Accessed July 4, 2022
  40. World Obesity Federation (2022). One billion people globally estimated to be living with obesity by 2030. Available from: https://www.worldobesity.org/news/one-billion-people-globally-estimated-to-be-living-with-obesity-by-2030. Accessed July 4, 2022
  41. Yu L, Zhou H, Zheng F, Song J, Lu Y, Yu X, Zhao C (2022): Sugar is the key cause of overweight/obesity in sugar-sweetened beverages (SSB). Front Nutr 9:885704
  42. Zemel MB (2005): The role of dairy foods in weight management. J Am Coll Nutr 24(6 Suppl):537S-546S https://doi.org/10.1080/07315724.2005.10719502
  43. Zemel MB (2009): Proposed role of calcium and dairy food components in weight management and metabolic health. Phys Sportsmed 37(2):29-39 https://doi.org/10.3810/psm.2009.06.1707