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http://dx.doi.org/10.3746/jkfn.2017.46.7.868

Intake of Antioxidant Nutrients and Risk of Metabolic Syndrome according to Degree of Stress in Rural Korean Women  

Yoon, Jungwon (Department of Clinical Nutrition, Ewha Graduate School of Converging Clinical & Public Health)
Shin, Yoonjin (Department of Nutritional Science and Food Management, Ewha Womans University)
Kang, Bori (Department of Nutritional Science and Food Management, Ewha Womans University)
Byeon, Suji (Department of Clinical Nutrition, Ewha Graduate School of Converging Clinical & Public Health)
Kim, Soo A (Department of Clinical Nutrition, Ewha Graduate School of Converging Clinical & Public Health)
Kim, Yangha (Department of Nutritional Science and Food Management, Ewha Womans University)
Publication Information
Journal of the Korean Society of Food Science and Nutrition / v.46, no.7, 2017 , pp. 868-875 More about this Journal
Abstract
The aim of the present study was to investigate antioxidant nutrient intake and risk of metabolic syndrome based on stress level in rural Korean women. Subject were participants from the Multi-Rural Communities Cohort Study, which was a part of the Korean Genome and Epidemiology Study. According to scores of the Psychosocial Well-Being Index Short-Form, a total of 10,111 subjects were classified into 'low stress group (n=8,015)' from 0 to 26 points and 'high stress group (n=2,096)' above 27 points. Data were collected using self-administered questionnaires, anthropometric measurements, and blood chemical analysis. Dietary nutrient consumption was assessed by a semi-quantitative food frequency questionnaire. High stress group showed lower intake of antioxidant nutrients, such as vitamin A, vitamin C, vitamin E, folate, zinc, and carotene compared to the low stress group. Intake of fruits and vegetable was lower in the high stress group compared to the low stress group. Subjects with high stress showed higher risk of hypertension [odd ratio (OR), 95% confidence interval (CI)=1.226 (1.112~1.351)] and hypertriglyceridemia [OR, 95% CI=1.227 (1.110~1.356)] than subjects with low stress. High stress group had a significantly greater odds ratio for metabolic syndrome compared with the low stress group [OR, 95% CI=1.216 (1.101~1.342]). Thus, the present study suggests that high stress might be associated with low intake of antioxidant nutrients and high risk of metabolic syndrome in rural Korean women.
Keywords
stress; antioxidant nutrients; metabolic syndrome; fruit; vegetable;
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1 Grattagliano I, Palmieri VO, Portincasa P, Moschetta A, Palasciano G. 2008. Oxidative stress-induced risk factors associated with the metabolic syndrome: a unifying hypothesis. J Nutr Biochem 19: 491-504.   DOI
2 Frei B. 2004. Efficacy of dietary antioxidants to prevent oxidative damage and inhibit chronic disease. J Nutr 134: 3196S-3198S.   DOI
3 Paolisso G, D'Amore A, Balbi V, Volpe C, Galzerano D, Giugliano D, Sgambato S, Varricchio M, D'Onofrio F. 1994. Plasma vitamin C affects glucose homeostasis in healthy subjects and in non-insulin-dependent diabetics. Am J Physiol 266: E261-E268.
4 Paolisso G, D’Amore A, Giugliano D, Ceriello A, Varricchio M, D’Onofrio F. 1993. Pharmacologic doses of vitamin E improve insulin action in healthy subjects and non-insulindependent diabetic patients. Am J Clin Nutr 57: 650-656.   DOI
5 McCain NL, Smith JC. 1994. Stress and coping in the context of psychoneuroimmunology: A holistic framework for nursing practice and research. Arch Psychiatr Nurs 8: 221-227.   DOI
6 Jung J, Kim C, Shin H, Park Y, Cheong S, Sung E. 2004. The relationship between metabolic syndrome, stress and depression. Korean J Health Promot Dis Prev 4: 10-17.
7 Bjorntorp P. 2001. Do stress reactions cause abdominal obesity and comorbidities? Obes Rev 2: 73-86.   DOI
8 Chang YS. 2006. Stress and allergy. Korean J Stress Res 14: 293-297.
9 Koh KB. 2008. Stress and immunity. Korean J Stress Res 16: 151-159.
10 Won R. 2013. Effects of sex differences to incidence rate of major depressive disorder. Korean J Stress Res 21: 167-174.
11 Posner I, Leitner LA, Lester D. 1994. Diet, cigarette smoking, stressful life events, and subjective feelings of stress. Psychol Rep 74: 841-842.   DOI
12 Bangasser DA, Wiersielis KR, Khantsis S. 2016. Sex differences in the locus coeruleus-norepinephrine system and its regulation by stress. Brain Res 1641: 177-188.   DOI
13 Hong JH, Kim SY. 2014. Correlation between eating behavior and stress level in high school students. J Korean Soc Food Sci Nutr 43: 459-470.   DOI
14 Kim KH. 1999. A survey on the relation between stress and nutrient intake in adults. Korean J Diet Cult 14: 507-515.
15 Limón-Pacheco J, Gonsebatt ME. 2009. The role of antioxidants and antioxidant-related enzymes in protective responses to environmentally induced oxidative stress. Mutat Res Genet Toxicol Environ Mutagen 674: 137-147.   DOI
16 Haglund O, Luostarinen R, Wallin R, Wibell L, Saldeen T. 1991. The effects of fish oil on triglycerides, cholesterol, fibrinogen and malondialdehyde in humans supplemented with vitamin E. J Nutr 121: 165-169.   DOI
17 Pounis G, Costanzo S, di Giuseppe R, de Lucia F, Santimone I, Sciarretta A, Barisciano P, Persichillo M, de Curtis A, Zito F, Di Castelnuovo AF, Sieri S, Benedetta Donati M, de Gaetano G, Iacoviello L. 2013. Consumption of healthy foods at different content of antioxidant vitamins and phytochemicals and metabolic risk factors for cardiovascular disease in men and women of the Moli-sani study. Eur J Clin Nutr 67: 207-213.   DOI
18 Puchau B, Zulet MA, de Echavarri AG, Hermsdorff HH, Martinez JA. 2010. Dietary total antioxidant capacity is negatively associated with some metabolic syndrome features in healthy young adults. Nutrition 26: 534-541.   DOI
19 Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. 2006. Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 84: 1489-1497.   DOI
20 Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. 1985. Homeostasis model assessment: Insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 28: 412-419.   DOI
21 Friedewald WT, Levy RI, Fredrickson DS. 1972. Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge. Clin Chem 18: 499-502.
22 Ahn Y, Lee JE, Cho NH, Shin C, Park C, Oh BS, Kimm K. 2004. Validation and calibration of semi-quantitative food frequency questionnaire: With participants of the Korean Health and Genome Study. Korean J Community Nutr 9: 173-182.
23 Korean Nutrition Society. 2000. Appendix III. Food composition table. In Korean Nutrition Society, Recommended Dietary Allowances for Koreans. 7th ed. Korean Nutrition Society, Seoul, Korea. p 259-464.
24 Lee SY, Park HS, Kim DJ, Han JH, Kim SM, Cho GJ, Kim DY, Kwon HS, Kim SR, Lee CB, Oh SJ, Park CY, Yoo HJ. 2007. Appropriate waist circumference cutoff points for central obesity in Korean adults. Diabetes Res Clin Pract 75: 72-80.   DOI
25 Chang SJ, Koh SB, Kang D, Kim SA, Kang MG, Lee CG, Chung JJ, Cho JJ, Son M, Chae CH, Kim JW, Kim JI, Kim HS, Roh SC, Park JB, Woo JM, Kim SY, Kim JY, Ha M, Park J, Rhee KY, Kim HR, Kong JO, Kim IA, Kim JS, Park JH, Hyun SJ, Son DK. 2005. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med 17: 297-317.
26 Shin YS, Lee YJ, Ham JO, Jang EC, Park CH, Kang MS, Park SK. 2012. A study of psychosocial stress of residents near asbestos mines. Korean J Occup Environ Med 24: 375-383.
27 Jeon JH, Kim SH. 2012. Depression, stress and how they are related with health behaviors and metabolic syndrome among women over 40 years. J Korean Soc Matern Child Health 16: 263-273.   DOI
28 Yu KY, Lee KJ, Min KB, Park KC, Chai SK, Park JB. 2011. Association between job stress and mental health among workers in a large company. J Korean Soc Occup Environ Hyg 21: 146-155.
29 Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. 2001. Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Jama 285: 2486-2497.   DOI
30 Lee KH, Chung WJ, Lee SM. 2006. Association of stress level with smoking. Korean J Fam Med 27: 42-48.
31 Yoon SH, Bae JY, Lee SW, An KE, Kim SE. 2006. The effects of job stress on depression, drinking and smoking among Korean men. Health and Social Science 19: 31-50.
32 Jang BO, Lee JW. 1986. A study on stress recognition level and adaptation method of urban housewives. J Korean Home Economics 4: 15-31.
33 Fontes MA, Xavier CH, Marins FR, Limborco-Filho M, Vaz GC, Müller-Ribeiro FC, Nalivaiko E. 2014. Emotional stress and sympathetic activity: contribution of dorsomedial hypothalamus to cardiac arrhythmias. Brain Res 1554: 49-58.   DOI
34 Kim HY, Ha TY, Kim YJ. 1995. A survey on nutrition attitude and food habit of nationwide middle school students’ mothers. Korean J Nutr 28: 152-161.
35 Unusan N. 2006. Linkage between stress and fruit and vegetable intake among university students: an empirical analysis on Turkish students. Nutr Res 26: 385-390.   DOI
36 Lee JW, Kim SY, Kwak CS. 1997. Effects of excess vitamin C feeding on blood and liver lipid and its peroxidation levels and platelet thromboxane $A_2$ formation in rats. Korean J Nutr 30: 639-649.
37 Park HS, Lee YM. 2003. Effect of vitamin C supplementation on blood sugar and antioxidative status in types II diabetes mellitus patients. J Korean Acad Nurs 33: 170-178.   DOI
38 Kwon JH, Shim JE, Park MK, Paik HY 2009. Evaluation of fruits and vegetables intake for prevention of chronic disease in Korean adults aged 30 years and over: Using the third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005. Korean J Nutr 42: 146-157.   DOI
39 Anuurad E, Shiwaku K, Nogi A, Kitajima K, Enkhmaa B, Shimono K, Yamane Y. 2003. The new BMI criteria for Asians by the Regional Office for the Western Pacific Region of WHO are suitable for screening of overweight to prevent metabolic syndrome in elder Japanese workers. J Occup Health 45: 335-343.   DOI
40 Bjorntorp P, Rosmond R. 1999. Hypothalamic origin of the metabolic syndrome X. Ann N Y Acad Sci 892: 297-307.   DOI
41 Choi Y, Oh HJ, Joo IW. 2009. Biologic stress markers and components of metabolic syndrome in postmenopausal Korean women. Korean J Health Promot Dis Prev 9: 50-55.