Characteristics of Nutrient Intake According to Metabolic Syndrome in Korean Elderly - Using Data from the Korea National Health and Nutrition Examination Survey 2010 -

노인의 대사증후군 유병에 따른 영양소 섭취 특성 - 국민건강영양조사 제5기 1차년도(2010) 자료를 이용하여 -

  • 김미현 (경일대학교 식품과학부)
  • Received : 2013.07.24
  • Accepted : 2013.09.09
  • Published : 2013.09.30


This study was performed to investigate the characteristics of nutrient intake according to metabolic syndrome in Korean elderly. Data on 1,200 elderly (men 545, women 655) over 65 years was obtained from the Korea National Health and Nutrition Examination Survey 2010. The subjects were divided into metabolic syndrome (MetS) and normal groups based on NCEP-ATP III guidelines and by applying the Asia-Pacific definition with waist circumference. The prevalence of MetS was 48.9% in all subjects, 35.6% in men and 58.9% in women, respectively. All nutrient intake was significantly lower in MetS than normal subjects, except iron, vitamin A, carotene, and retinol. In the carbohydrate: protein: fat (C:P:F) ratio, MetS showed a higher rate for carbohydrate, but a lower rate for protein and fat than normal. MetS was lower in calcium, vitamin B1, and vitamin C by the nutrient adequacy ratio than normal. Mean adequacy ratio of MetS (0.69) was lower than that of the normal group (0.72). These results demonstrated that undernutrition, not excess intake of specific nutrients - energy, fat, or cholesterol was associated with the risk for MetS in Korean elderly with MetS. Therefore, it is recommended to have a healthy dietary pattern with diverse nutrients for the prevention of MetS.


metabolic syndrome;Korean elderly;nutrient intake;health survey


Supported by : 경일대학교


  1. Chen CM, Zhao W, Yang Z, Zhai Y, Wu Y, Kong L. 2008. The role of dietary factors in chronic disease in China. Obes Rev 1:100-103
  2. Dallongeville J, Cottel D, Ferrieres J, Arveiler D, Bingham A, Ruidavets JB, Haas B, Ducimetiere P, Amouyel P. 2005. Household income is associated with the risk of metabolic syndrome in a sex-specific manner. Diabetes Care 28:409-415
  3. Ford ES, Files WH, Dietz WH. 2002. Prevalence of the metabolic syndrome among US adults: Findings from the Third National Health and Nutrition Examination Survey. JAMA 287:356-359
  4. Ford ES, Mokdad AJ, Giles WH, Brown DW. 2003. The metabolic syndrome and antioxidant concentrations: findings from the Third National Health and Nutrition Examination Survey. Diabetes 52:2346-2352
  5. Giugliano D, Ceriello A, Esposito K. 2006. The effects of diet on inflammation: Emphasis on the metabolic syndrome. J Am College Cardiol 48:677-685
  6. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC Jr, Spertus JA, Fernando C. 2005. Diagnosis and management of the metabolic syndrome: and American Heart Association/ National Heart, Lung, and Blood Institute Scientific Statement: Executive summary. Circulation 112:2735-2752
  7. Hodgson JM, Burke V, Beilin IJ, Puddey IB. 2007. Partial substitution of carbohydrate intake with protein from lean red meat lowers blood pressure in hypertension persons. Am J Clin Nutr 83:780-787
  8. Hong Y, Pedersen NL, Brismar K, de Faire U. 1997. Genetic and environmental architecture of the features of the insulinresistance syndrome. Am J Hum Fenet 60:143-152
  9. Jebb SA, Lovegrove JA, Griffin BA, Frost GS, Moore CS, Chatfield MD, Bluck LJ, Williams CM, Sanders TA. 2010. Effect of changing the amount and type of fat and carbohydrate on insulin sensitivity and cardiovascular risk. the RIS CK (Reading, Imperial, Cambridge, and Kings) trial. Am J Clin Nutr 92:748-758
  10. Jung HJ, Song WO, Paik HY, Joung HJ. 2011. Dietary characteristics of macro-nutrient intake and the status of metabolic syndrome among Koreans. Korean J Nutr 44:119-130
  11. Kang HM, Kim DJ. 2012. Gender differences in the association of socioeconomic status with metabolic syndrome in middleaged Koreans. Korean J Med 82:569-575
  12. Kim J, Jo I. 2011. Grains, vegetables, and fish dietary pattern is inversely associated with the risk of metabolic syndrome in South Korean adults. J Am Diet Assoc 111:1141-1149
  13. Appel LJ, Sacks FM, Carey VJ, Obarzanek E, Swaim JF, Miller ER, Conlin PR, Erlinger TP, Rosner BA, Laranjo NM, Charleston J, McCarron P, Bishop LM. 2005. Effects of protein, monounsaturated fat, and carbohydrate intake in blood pressure and serum lipids: results of the OmniHeart randomized trial. J Am Med Assoc 294:2455-2464
  14. Boraita PA. 2008. Exercise as the cornerstone of cardiovascular prevention. Revista Espanola de Cardiologia 1:514-528
  15. Kim MH, Lee HS, Park HJ, Kim WY. 2008. Risk factors associated with metabolic syndrome in Korean elderly. Annals Nutr & Metabol 51:533-540
  16. Kim OS, Ryu HS. 2009. The study on blood lipid levels according to the food habits and food intake patterns in Korean elderly. Korean J Food & Nutr 22:421-429
  17. Kirkendall WM, Burton AC, Epstein FH, Freis ED. 1967. Recommendations for human blood pressure determination by sphygmomanometers. Subcommittee of the AHA Postgraduate Education Committee. Circulation 36:980-988
  18. Korea Centers for Disease Control & Prevention, Ministry of Health and Welfare. 2009. 2008 National health statistics: National health and nutrition examination survey, the 4th period the second year. Seoul.
  19. Lee EH, Cho S, Kwon EJ, Park JY, Hyun SM, Kim M. 2009. Prevalence and related factors of metabolic syndrome among Korean older adults. Korean J Health Education & Prom 26:129-143
  20. Lee JA, Lee JS, Park JH. 2012. Metabolic syndrome perception and exercise behaviors in the elderly. Korean J Health Educ Promot 29:61-75
  21. Lim S, Shin H, Song JH, Kwak SH, Kang SM, Won YJ, Choi SH, Cho SI, Park KS, Lee HK, Jang HC, Koh KK. 2011. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care 34:1323-1328
  22. Lopez-Candales A. 2001. Metabolic syndrome X: a comprehensive review of the pathophysiology and recommended therapy. J Med 32:283-300
  23. Loucks EB, Magnusson KT, Cook S, Rehkopf DH, Ford ES, Berkman LF. 2007. Socioeconomic position and the metabolic syndromke in early, middle, and late life: evidence from NHANES 1999-2002. Ann Epidemiol 17:782-790
  24. McNeil AM, Rosamond WD, Girman CJ, Golden SH, Schmidt MI, East HE, Ballantyne CM, Heiss G. 2005. The metabolic syndrome and 11-year risk of incident cardiovascular disease in the atherosclerosis risk in communities study. Diabetes Care 28:385-390
  25. Ministry of Health and Welfare. 2005. Korea National Health and Nutrition Examination Survey Report (KNHANES III). Seoul
  26. Moon HK, Kong JE. 2010. Assessment of nutrient intake for middle aged with and without metabolic syndrome using 2005 and 2007 Korean National Health and Nutrition Survey. Korean J Nutr 43:69-78
  27. National Cholesterol Education Program. 2002. National Heat, Lung, and Blood Institute, National Institute of Health. 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 106:3143-3421
  28. Park HJ, Hwang YJ, Kim WY. 2006. Inflammatory cytokines and dietary factors in Korean elderly with chronic disease. Korean J Nutr 39:372-380
  29. Park MJ, Yun KE, Lee GE, Cho HJ, Park HS. 2006. The relationship between socioeconomic status and metabolic syndrome among Korean adults. Korean J Obes 15:10-17
  30. Riccardi G, Giacco R, Rivellese AA. 2004. Dietary fat, insulin sensitivity and the MS. Clin Nutr 23:447-456
  31. Rumawas ME, Meigs JB, Dwyer JT, McKeown NM, Jacques PF. 2009. Mediterranea-style dietary pattern, reduced risk of metabolic syndrome traits, and incidence in the Framingham Offspring Cohort. Am J Clin Nutr 90:1608-1614
  32. Skilton MR, Laville M, Cust AE, Moulin P, Bonnet F. 2008. The association between dietary macronutrient intake and the prevalence of the metabolic syndrome. Br J Nutr 100:400-407
  33. Statistics Korea. 2012. Causes of death statistics in 2011. http:// cited 2013 Jul 10
  34. Suh HJ, Kim BH. 2009. Comparison of self-living ability, obesity indices and nutrient intake according to physical fitness among the elderly in rural area. Korean J Food & Nutr 22:577-586
  35. Sung KW, Lee JH. 2010. The effects of regular walking exercise on metabolic syndrome, cardiovascular risk factors, and depressive symptoms in the elderly with diabetic mellitus. J Korean Academic Community Health Nursing 21:409-418
  36. The Korean Nutrition Society. 2010. Dietary Reference Intakes for Koreans. Seoul
  37. WHO West Pacific Region. 2000. The Asia-Pacific perspective: refining obesity and its treatment. International Obesity Task Force
  38. Willet W. 1995. Nutritional Epidemiology. 2nd ed. New York: Oxford University Press
  39. Yang EJ, Bang HM. 2008. Nutritional status and health risks of low income elderly women in Gwangju area. Korean J Nutr 41:65-76
  40. Yang EJ, Kim WY. 2005. Nutritional status of Korean elderly. Kor J Gerontol 15:1-10

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