Browse > Article
http://dx.doi.org/10.7730/JSCM.2022.34.1.46

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

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)
Publication Information
Journal of Sasang Constitutional Medicine / v.34, no.1, 2022 , pp. 46-57 More about this Journal
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
Body composition; Constitution type; Korean Healthy Eating Index; Korean medicine Daejeon Citizen Cohort study; Sarcopenic obesity;
Citations & Related Records
Times Cited By KSCI : 11  (Citation Analysis)
연도 인용수 순위
1 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   DOI
2 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   DOI
3 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)   DOI
4 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   DOI
5 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   DOI
6 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)   DOI
7 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   DOI
8 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)   DOI
9 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   DOI
10 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   DOI
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   DOI
12 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   DOI
13 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   DOI
14 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   DOI
15 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)   DOI
16 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   DOI
17 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   DOI
18 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   DOI
19 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   DOI
20 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   DOI
21 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   DOI
22 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)   DOI
23 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   DOI
24 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   DOI
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   DOI
26 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   DOI
27 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)   DOI
28 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   DOI
29 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   DOI
30 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)   DOI
31 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)   DOI
32 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)   DOI
33 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)   DOI
34 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   DOI
35 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   DOI