Journal of Life Science (생명과학회지)

Korean Society of Life Science (한국생명과학회)
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The Influence of Breakfast Size to Metabolic Risk Factors

아침식사량이 대사위험요인에 미치는 영향

  • Kim, Yun-Jin (Department of Family Medicine, School of Medicine, Pusan National University Hospital) ;
  • Lee, Jeong-Gyu (Department of Family Medicine, School of Medicine, Pusan National University Hospital) ;
  • Yi, Yu-Hyeon (Department of Family Medicine, School of Medicine, Pusan National University Hospital) ;
  • Lee, Sang-Yeoup (Family Medicine Clinic, Pusan National University Yangsan Hospital) ;
  • Jung, Dong-Wook (Family Medicine Clinic, Pusan National University Yangsan Hospital) ;
  • Park, Seon-Ki (Family Medicine Clinic, Pusan National University Yangsan Hospital) ;
  • Cho, Young-Hye (Family Medicine Clinic, Pusan National University Yangsan Hospital)
  • 김윤진 (부산대학교 의학전문대학원 가정의학교실) ;
  • 이정규 (부산대학교 의학전문대학원 가정의학교실) ;
  • 이유현 (부산대학교 의학전문대학원 가정의학교실) ;
  • 이상엽 (양산부산대학교병원 가정의학클리닉) ;
  • 정동욱 (양산부산대학교병원 가정의학클리닉) ;
  • 박선기 (양산부산대학교병원 가정의학클리닉) ;
  • 조영혜 (양산부산대학교병원 가정의학클리닉)
  • Received : 2010.08.16
  • Accepted : 2010.10.28
  • Published : 2010.12.30
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Abstract

Skipping breakfast is a risk factor closely related to metabolic syndrome and obesity. We analyzed the relationship between breakfast size, metabolic syndrome and obesity. The study included 5,548 adults who visited a health promotion center at Pusan National University from January to November of 2006. Subjects were divided into four groups according to breakfast size - skipper group (no breakfast), small intake group, medium intake group and large intake group. 959 (17.3%) of the 5548 subjects were included in the Skipper group. Intake of daily calories, proteins, carbohydrates and fats was the lowest in the Skipper group. Breakfast size increased linearly with an increased intake of daily calories, proteins, carbohydrates and fats. Body mass index ($23.4\;kg/m^2$) and waist circumference (79.6 cm) were the lowest in the Small intake group. In the Small intake group, triglycerides, fasting plasma glucose, systolic blood pressure and diastolic blood pressure were the lowest, and high density lipoprotein cholesterol levels were the highest. The number of metabolic risk factors was the lowest in Small intake group. Odds ratio of metabolic syndrome (Odds ratio=0.612) was the lowest in Small intake group. Along with increasing breakfast size, the odds ratio also increased. In this study, breakfast size was found to influence metabolic risk factors. Skipping breakfast worsened metabolic risk factors, while a small breakfast size had a favorable effect on metabolic risk factors.

아침결식은 비만 및 대사증후군 항목과 밀접한 관계가 있다. 본 연구에서는 아침식사량과 비만 및 대사증후군의 관계를 분석하였다. 본 연구는 2006년 1월부터 12월까지 부산에 소재한 한 대학병원 건강검진센터를 방문한 수진자 5548명을 대상으로 하였다. 연구대상은 아침식사량에 따라 아침결식군, 소량섭취군, 중간섭취군, 과량섭취군의 4개 군으로 분류하였다. 대상자 5548명 중 959명(17.3%)이 아침식사를 하지 않는 아침결식군이었다. 아침결식군에서 일일섭취열량 및 단백질, 탄수화물, 지방섭취량이 가장 낮았으며, 아침식사군에서는 일일섭취열량 및 단백질, 탄수화물 섭취량이 아침식사량에 비례하여 증가하였다. 체질량지수($23.4\;kg/m^2$)와 허리둘레(79.6 cm)는 소량섭취군에서 가장 낮았다. 소량섭취군에서 중성지방, 공복혈당 및 수축기와 이완기 혈압이 가장 낮았으며, 고밀도지단백 콜레스테롤이 가장 높았다. 대사위험요인의 수는 소량섭취군에서 가장 적었고 아침식사량이 증가함에 따라 유의한 차이가 있었다. 대사증후군의 교차비(Odds ratio=0.612)는 소량섭취군에서 가장 낮았으며, 아침식사량이 증가함에 따라 교차비도 증가했고, 아침결식군에서 과량식사군보다 교차비가 높게 나타났으나 유의하지는 않았다. 본 연구 결과 아침식사량은 대사위험요인에 영향을 미치는 것으로 나타났다. 아침결식은 대사위험요인에 나쁜 영향을 미치는 것으로 나타났으며, 소량의 아침식사가 대사위험요인에 가장 좋은 영향을 미치는 것으로 나타났다.

Keywords

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