- Volume 5 Issue 6
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Association between adherence to the Korean Food Guidance System and the risk of metabolic abnormalities in Koreans
- Jung, Hyun-Ju (Department of Food and Nutrition, Seoul National University) ;
- Han, Sung-Nim (Department of Food and Nutrition, Seoul National University) ;
- Song, Su-Jin (Department of Food and Nutrition, Seoul National University) ;
- Paik, Hee-Young (Research Institute of Human Ecology, Seoul National University) ;
- Baik, Hyun-Wook (Department of Internal Medicine, Division of Gastroenterology & Clinical Nutrition, DMC Bundang Jesaeng Hospital) ;
- Joung, Hyo-Jee (Graduate School of Public Health, Seoul National University)
- Received : 2011.08.02
- Accepted : 2011.12.12
- Published : 2011.12.31
Consumption of a diet consistent with dietary guidelines is believed to have a beneficial effect on the prevention of chronic diseases and the promotion of general health. This study was conducted to explore the relationship between adherence to the Korean Food Guidance System (KFGS), which was based on the 2010 revised KDRIs, and the risk of metabolic abnormalities. Five hundred and ninety-six Korean adults between 30 and 59 years of age were recruited by advertisement to the Bundang Jesaeng General Hospital (BJGH), and those not taking regular medications and without diagnoses of fulminant disease were included. Data were collected on anthropometric measurements, diagnostic parameters for metabolic syndrome (MetS), and 3-day dietary intakes from individuals in the study. The number of servings consumed from each food group was compared to the KFGS recommended servings for each of the 6 food groups. Poor adherence to the recommendations for servings of milk and dairy products (OR: 2.038, 1.128-3.682) was associated with a higher risk of MetS, and poor adherence to the guidelines for fruit consumption (OR: 1.849, 1.027-3.329) was associated with a higher risk for the existence an elevated waist circumference. Conversely, the consumption of meat, fish, eggs, and beans above the recommended number of servings was associated with a lower risk of having an elevated waist circumference (OR: 0.523, 0.288-0.950), and the consumption of vegetables above the recommended number of servings was associated with a reduced risk of having elevated fasting glucose (OR: 0.533, 0.298-0.954). These results suggest that adherence to the KFGS guidelines helps to prevent the development of MetS, but this association needs to be confirmed by prospective studies.
Supported by : Rural Development Administration
- National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). 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) final report. Circulation 2002;106:3143-421.
- Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC Jr, Spertus JA, Costa F; American Heart Association; National Heart, Lung, and Blood Institute. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 2005;112:2735-52. https://doi.org/10.1161/CIRCULATIONAHA.105.169404
- Korea Centers for Disease Control & Prevention. In-depth Analysis Report on the Examination Part of the Third National Health and Nutrition Examination Survey. Cheongwon: Korea Centers for Disease Control & Prevention; 2007.
- Statistics Korea. Causes of Death Statistics in 2009, Korea. Daejeon: Statistics Korea; 2010.
- Song Y, Joung H. A traditional Korean dietary pattern and metabolic syndrome abnormalities. Nutr Metab Cardiovasc Dis 2011 Jan 5. [Epub ahead of print]
- Millen BE, Pencina MJ, Kimokoti RW, Zhu L, Meigs JB, Ordovas JM, D'Agostino RB. Nutritional risk and the metabolic syndrome in women: opportunities for preventive intervention from the Framingham Nutrition Study. Am J Clin Nutr 2006;84:434-41.
- Fogli-Cawley JJ, Dwyer JT, Saltzman E, McCullough ML, Troy LM, Meigs JB, Jacques PF. The 2005 Dietary Guidelines for Americans and risk of the metabolic syndrome. Am J Clin Nutr 2007;86:1193-201. https://doi.org/10.1093/ajcn/86.4.1193
- Hoffmann K, Schulze MB, Schienkiewitz A, Nöthlings U, Boeing H. Application of a new statistical method to derive dietary patterns in nutritional epidemiology. Am J Epidemiol 2004;159:935-44. https://doi.org/10.1093/aje/kwh134
- Imamura F, Jacques PF, Herrington DM, Dallal GE, Lichtenstein AH. Adherence to 2005 Dietary Guidelines for Americans is associated with a reduced progression of coronary artery atherosclerosis in women with established coronary artery disease. Am J Clin Nutr 2009;90:193-201. https://doi.org/10.3945/ajcn.2009.27576
- Fogli-Cawley JJ, Dwyer JT, Saltzman E, McCullough ML, Troy LM, Jacques PF. The 2005 Dietary Guidelines for Americans Adherence Index: development and application. J Nutr 2006;136: 2908-15. https://doi.org/10.1093/jn/136.11.2908
- The Korean Nutrition Society. Dietary Reference Intakes for Koreans. 1st revision. Seoul: The Korean Nutrition Society; 2010.
- Bradlee ML, Singer MR, Qureshi MM, Moore LL. Food group intake and central obesity among children and adolescents in the Third National Health and Nutrition Examination Survey (NHANES III). Public Health Nutr 2010;13:797-805. https://doi.org/10.1017/S1368980009991546
- Kwon HT, Lee CM, Park JH, Ko JA, Seong EJ, Park MS, Cho B. Milk intake and its association with metabolic syndrome in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). J Korean Med Sci 2010; 25:1473-9.
- Fumeron F, Lamri A, Abi Khalil C, Jaziri R, Porchay-Baldérelli I, Lantieri O, Vol S, Balkau B, Marre M; Data from the Epidemiological Study on the Insulin Resistance Syndrome (DESIR) Study Group. Dairy consumption and the incidence of hyperglycemia and the metabolic syndrome: results from a French prospective study, Data from the Epidemiological Study on the Insulin Resistance Syndrome (DESIR). Diabetes Care 2011;34:813-7. https://doi.org/10.2337/dc10-1772
- Lutsey PL, Steffen LM, Stevens J. Dietary intake and the development of the metabolic syndrome: the Atherosclerosis Risk in Communities study. Circulation 2008;117:754-61. https://doi.org/10.1161/CIRCULATIONAHA.107.716159
- Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi T, Azizi F. Beneficial effects of a Dietary Approaches to Stop Hypertension eating plan on features of the metabolic syndrome. Diabetes Care 2005;28:2823-31. https://doi.org/10.2337/diacare.28.12.2823
- Rizzo NS, Sabate J, Jaceldo-Siegl K, Fraser GE. Vegetarian dietary patterns are associated with a lower risk of metabolic syndrome: the adventist health study 2. Diabetes Care 2011;34: 1225-7. https://doi.org/10.2337/dc10-1221
- Babio N, Sorli M, Bullo M, Basora J, Ibarrola-Jurado N, Fernández-Ballart J, Martinez-Gonzalez MA, Serra-Majem L, Gonzalez-Pérez R, Salas-Salvado J; on behalf of the Nureta- PREDIMED investigators. Association between red meat consumption and metabolic syndrome in a Mediterranean population at high cardiovascular risk: Cross-sectional and 1-year follow-up assessment. Nutr Metab Cardiovasc Dis 2010 Sep 26. [Epub ahead of print]
- Austin GL, Ogden LG, Hill JO. Trends in carbohydrate, fat, and protein intakes and association with energy intake in normalweight, overweight, and obese individuals: 1971-2006. Am J Clin Nutr 2011;93:836-43. https://doi.org/10.3945/ajcn.110.000141
- Noel SE, Newby PK, Ordovas JM, Tucker KL. Adherence to an (n-3) fatty acid/fish intake pattern is inversely associated with metabolic syndrome among Puerto Rican adults in the Greater Boston area. J Nutr 2010;140:1846-54. https://doi.org/10.3945/jn.110.124297
- Park MH, Kim DN, Park MS, Kim MY, Paik HY, Kim OS, Oh SY, Lee SS, Ok SW. Cultural Life in Korea: Scenes from Everyday Life. Seoul: Kyomunsa; 2003. p.84-9.
- The Center for Nutrition Policy and Promotion [Internet]. Washington DC: United States Department of Agriculture. ChooseMy-Plate.gov [cited 2011 Jun 10]. Available from: http://www.choosemyplate.gov.
- Bingham CM, Jallinoja P, Lahti-Koski M, Absetz P, Paturi M, Pihlajamäki H, Sahi T, Uutela A. Quality of diet and food choices of Finnish young men: a sociodemographic and health behaviour approach. Public Health Nutr 2010;13:980-6. https://doi.org/10.1017/S1368980010001187
- The relationship between intake of nutrients and food groups and insulin resistance in Korean adults: Using the Fourth Korea National Health and Nutrition Examination Survey (KNHANES IV, 2007-2009) vol.46, pp.1, 2013, https://doi.org/10.4163/kjn.2013.46.1.61
- Dairy consumption and risk of metabolic syndrome: a meta-analysis vol.33, pp.4, 2015, https://doi.org/10.1111/dme.12970
- Low consumption of fruits and dairy foods is associated with metabolic syndrome in Korean adults from outpatient clinics in and near Seoul vol.9, pp.5, 2015, https://doi.org/10.4162/nrp.2015.9.5.554
- Estimation of dietary flavonoid intake and major food sources of Korean adults vol.115, pp.03, 2016, https://doi.org/10.1017/S0007114515004006
- Association between Picky Eating Behaviors and Nutritional Status in Early Childhood: Performance of a Picky Eating Behavior Questionnaire vol.9, pp.5, 2017, https://doi.org/10.3390/nu9050463
- Fruit and vegetable consumption and risk of the metabolic syndrome: a meta-analysis pp.1475-2727, 2017, https://doi.org/10.1017/S136898001700310X
- The Nutrient Profile of Foods Consumed Using the British Food Standards Agency Nutrient Profiling System Is Associated with Metabolic Syndrome in the SU.VI.MAX Cohort vol.145, pp.10, 2015, https://doi.org/10.3945/jn.115.213629
- Association of Metabolic Syndrome with Whole Milk and Low Fat Milk: Using Data from the Korean National Health and Nutrition Examination Survey 2013–2015 vol.17, pp.4, 2017, https://doi.org/10.15384/kjhp.2017.17.4.234
- Associations of vegetable and fruit consumption with metabolic syndrome. A meta-analysis of observational studies vol.21, pp.09, 2018, https://doi.org/10.1017/S1368980018000381
- Fish consumption and its possible preventive role on the development and prevalence of metabolic syndrome - a systematic review vol.6, pp.1, 2014, https://doi.org/10.1186/1758-5996-6-112