한국식생활문화학회지 (Journal of the Korean Society of Food Culture)

  • 제39권1호
  • /
  • Pages.64-73
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  • 2024
  • /
  • 1225-7060(pISSN)
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  • 2288-7148(eISSN)
한국식생활문화학회 (Korean Society of Food Culture)
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한국 청소년의 건강 식생활 실천과 당뇨병 전단계 간 연관성 연구

Association between Healthy Dietary Practices and Prediabetes in Korean Adolescents

  • 이승재 (이화여자대학교 식품영양학과) ;
  • 이경원 (한국교원대학교 가정교육과)
  • Seung Jae Lee (Department of Nutritional Science and Food Management, Ewha Womans University) ;
  • Kyung Won Lee (Department of Home Economics Education, Korea National University of Education)
  • 투고 : 2024.01.16
  • 심사 : 2024.02.19
  • 발행 : 2024.02.29
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초록

This study investigated associations between healthy dietary practices and the odds of prediabetes among Korean adolescents. The data of 1,624 adolescents aged 12 to 18 who participated in the 2017-2021 Korea National Health and Nutrition Examination Survey were analyzed. Healthy dietary practices were defined according to Health Plan 2030 criteria, and prediabetes was defined as a fasting blood glucose level of 100-125 mg/dL. After controlling for confounders, adjusting odds ratios and 95% confidence intervals (CIs) for prediabetes were determined for different healthy dietary practices using multivariable logistic regression analysis. Compared with adolescents who engaged in healthy dietary practices, those who did not had a 1.63-fold (95% CI: 1.12-2.37) higher odds of prediabetes. In addition, adolescents who did not consume ≥500 g of fruit and vegetables daily and those who refrained from reading nutritional fact labels, which are both sub-indicators of healthy dietary practices, had a 1.66 (95% CI: 1.05-2.62) and 1.58-fold (95% CI: 1.06-2.37) higher odds of prediabetes, respectively, than those who did. Increasing the proportion of adolescents engaging in healthy dietary practices, such as consuming ≥500 g of fruit and vegetables daily and reading nutritional fact labels when selecting food, is imperative.

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참고문헌

  1. American Diabetes Association. 2021. Children and adolescents: standards of medical care in diabetes. Diabetes care, 44(Supplement_1), S180-S199
  2. Bae YJ. 2016. Relationship among practicing healthy diet and metabolic syndrome indicators in adults-from the Korea National Health and Nutrition Examination Survey, 2013~2014. J. Nutr. Health, 49(6):459-470
  3. Bae YJ. 2022. Evaluation of Dietary Intake in Korean Adolescents according to Practicing Healthy Diet-Based on 2018~2020 Korea National Health and Nutrition Examination Survey. J. Biotechnol. Bioind., 10:23-31
  4. Bo S, Musso G, Beccuti G, Fadda M, Fedele D, Gambino R, Gentile L, Durazzo M, Ghigo E, Cassader M. 2014. Consuming more of daily caloric intake at dinner predisposes to obesity. A 6-year population-based prospective cohort study. PLoS ONE, 9(9):e108467
  5. Carlson JJ, Eisenmann JC, Norman GJ, Ortiz KA, Young PC. 2011. Dietary fiber and nutrient density are inversely associated with the metabolic syndrome in US adolescents. J. Am. Diet. Assoc., 111(11):1688-1695
  6. Chun KH. 2011. Evidence-based management and treatment of high-risk individuals with prediabetes. J. Korean Med. Assoc., 54(10):1020-1027
  7. DeBoer MD. 2013. Obesity, systemic inflammation, and increased risk for cardiovascular disease and diabetes among adolescents: a need for screening tools to target interventions. Nutr., 29 (2):379-386
  8. Eom HS, Jeong MJ, Kim SB. 2005. A study on nutrition knowledge, dietary attitude, food habit of middle school students in Chonbuk area. Korean J. Community Nutr., 10(5):574-581
  9. Esquivel Zuniga R, DeBoer MD. 2021. Prediabetes in adolescents: prevalence, management and diabetes prevention strategies. Diabetes Metab. Syndr. Obes., 14:4609-4619
  10. Gruner J, Ohri-Vachaspati P. 2017. Food and beverage selection patterns among menu label users and nonusers: results from a cross-sectional study. J. Acad. Nutr. Diet., 117(6):929-936
  11. Kim JA, Lee SY. 2021. The study of dietary habits and health behaviors according to nutrition label utilization in Korean adolescents: Based on the 2016-2018 Korea National Health and Nutrition Examination Survey. J. Korean Home Econ. Educ. Assoc., 33(2):45-56
  12. Kim JH, Lim JS. 2021. Trends of diabetes and prediabetes prevalence among Korean adolescents from 2007 to 2018. J. Korean Med. Sci., 36(17):1-9
  13. Kim JK. 2008. The effect of the physique maximum increment age and the body mass index of teenagers on menarche. J. Korean Phys. Soc., 47(4):517-524 
  14. Kim S, Ha K. 2023. Association between dietary protein intake and overweight and obesity among Korean children and adolescents: data from the 2014-2019 Korea National Health and Nutrition Examination Survey. J. Nutr. Health, 56(1):54-69
  15. Korea Disease Control and Prevention Agency. 2023. User Guide for the Seventh Korea National Health and Nutrition Examination Survey (KNHANES VIII). Chungcheongbuk-do: Korea Disease Control and Prevention Agency, pp 3-36
  16. Kwon HS. 2023. Prevalence and treatment status of diabetes mellitus in Korea. J. Korean Med. Assoc., 66(7):404-407
  17. Lee HS. 2021. Diagnosis and treatment of pediatric type 2 diabetes mellitus. J. Korean Med. Assoc., 64(6):432-437
  18. Lee KA. 2020. Management of type 2 diabetes mellitus in adolescents and young adults. J. Korean Diabetes, 21(6):6-10
  19. Lee S, Lee KW, Oh JE, Cho MS. 2015. Nutritional and health consequences are associated with food insecurity among Korean elderly: based on the fifth (2010) Korea National Health and Nutrition Examination Survey (KNHANES V-1). J. Nutr. Health, 48(6):519-52.
  20. Lee Y, Kim JH. 2022. A study analyzing the relationship among impaired fasting glucose (IFG), obesity index, physical activity, and beverage and alcohol consumption frequency in 20s and 30s: the Korea National Health and Nutrition Examination Survey (KNHANES) 2013-2015. Korean J. Community Living Sci., 33(1):19-38
  21. Lee YJ, Lee HJ, Lee KH. 2014. Effects of 16-class nutrition education on middle school students' dietary behavior and nutritional knowledge. Korean J. Food Nutr., 27(5): 826-836
  22. Mekary RA, Giovannucci E, Willett WC, Van Dam RM, Hu FB. 2012. Eating patterns and type 2 diabetes risk in men: Breakfast omission, eating frequency, and snacking. Am. J. Clin. Nutr., 95(5): 1182-1189
  23. Ministry of food and drug safety. 2020. Labeling standards for food. Cheongju: Ministry of food and drug safety, pp 3-5
  24. Ministry of Health and Welfare, The Korean Nutrition Society. 2020. Dietary Reference Intakes for Koreans 2020. Sejong, pp 58-59, 116-118, 171-175
  25. Moon WJ. 2019. The relation among adolescents metabolic syndrome, dietary life, physical activity and mental health- Using 7th National Nutrition Survey of 1st Year (2016)-. J. Korea Acad.-Ind. Coop. Soc., 20(6):158-168
  26. Nakajima K, Suwa K. 2015. Association of hyperglycemia in a general Japanese population with late-night-dinner eating alone, but not breakfast skipping alone. J. Diabetes Metab. Disord., 14(16):1-5
  27. Na Y, Lee KW. 2023. Association of household types with healthy dietary practices in Korean adults: Findings from the 2017-2021 Korea National Health and Nutrition Examination Survey. J. Korean Soc. Food Cult., 38(5): 293-303
  28. Park SY, Choi MJ. 2014. Recognition and utilization of food nutrition labeling of high school students in the Daegu. J. Living Sci. Res., 40, 15-24
  29. Scharf RJ, DeBoer MD. 2016. Sugar-sweetened beverages and children's health. Annu. Rev. Public Health, 37:273-293
  30. Singh GM, Micha R, Khatibzadeh S, Lim S, Ezzati M, Mozaffarian D, Chronic Diseases Expert G. 2015. Estimated global, regional, and national disease burdens related to sugar-sweetened beverage consumption in 2010. Circ.. 132(8):639-666
  31. Won GJ. 2022. Korean Diabetes Fact Sheet 2022. Korean Diabetes Association, Korea, pp 56
  32. Yoo L, Baik D, Lee M. 2023. Relationship between age-specific practicing of a healthy diet and dyslipidemia in Korean Adults: A study of Korean adults without diagnosed cardiovascular disease. J. Korea Acad.-Ind. Coop. Soc.. 24(10):387-397
  33. Korea Disease Control and Prevention Agency. 2022. Korea Health Statistics 2022: Korea National Health and Nutrition Examination Survey (KNHANES) IX-1. Available from: https://knhanes.kdca.go.kr/knhanes/sub04/sub04_04_01.do, [accessed on 2024.1.2]
  34. Korea Health Promotion Institute. 2022. The 5th National Health Plan (HP2030). Available from: https://www.khepi.or.kr/hpn/hpnIdx/selectIdxDetailList2030.do?menuId=MENU01422, [accessed on 2023.12.26]
  35. Ministry of Health and Welfare. 2021. The 5th National Health Plan (2021-2030); 2021. Seoul: Korea Health Promotion Institute. Available from: https://www.khepi.or.kr/board/view?pageNum=1&rowCnt=8&no1=30&linkId=1004341&menuId=MENU01320&schType=0&schText=&searchType=&boardStyle=Gallery&categoryId=&continent=&country=&contents1=, [accessed on 2023.12.08]