Journal of the East Asian Society of Dietary Life (동아시아식생활학회지)

The East Asian Society of Dietary Life (동아시아식생활학회)
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A Study on Nutrient Intakes, Glycemic Index, and Glycemic Load according to Obesity Index in Elementary School Students

남녀 초등학생의 비만도에 따른 영양소 섭취 및 Glycemic Index, Glycemic Load에 관한 연구

  • Bae, Yun-Jung (Dept. of Food and Nutritional Sciences, Hanbuk University) ;
  • Choi, Mi-Kyeong (Dept. of Food and Nutrition, Kongju National University)
  • 배윤정 (한북대학교 식품영양학과) ;
  • 최미경 (공주대학교 식품영양학과)
  • Received : 2011.01.07
  • Accepted : 2011.04.12
  • Published : 2011.04.30
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Abstract

The purpose of this study was to evaluate nutrients intakes, glycemic index (GI), glycemic load (GL) according to obesity index in elementary school students. The study subjects included 229 elementary school students (boys=108, girls=121) who were divided into 3 groups consisting of an underweight group (obesity index<-10%, n=58), a normal weight group (10%${\leq}$ obesity index<10%, n=130) and an overweight group (obesity index${\geq}$10%, n=41) by their obesity index. The nutrient and food intakes data obtained by a 3-day food record were analyzed. Daily dietary GI and GL values were calculated from the 3-day food record. The average age of the subjects was 11.9 years. The mean daily energy intake was 2,186.8 kcal in the underweight group, 2,123.5 kcal in the normal weight group, and 2,174.2 kcal in the overweight group. The intakes of calcium and animal calcium per 1,000 kcal in the overweight group were significantly lower than in the underweight and normal weight groups (p<0.01, p<0.05), and fruit, egg and milk intakes in the overweight group were lower than those in the underweight group (p<0.05, p<0.05, p<0.05). The mean daily dietary GI of the underweight, normal weight, and overweight groups were 67.7, 68.4 and 69.5, respectively (p<0.05). The mean daily dietary GL of the underweight, normal weight, and overweight groups were 212.8, 208.1 and 213.3, respectively. The major food source of dietary GI and GL in the three groups was rice. Other major food sources of dietary GI were croquettes, hand-rolled noddle soups, instant noddles, milk, and rice cake. Dietary GI was not significantly correlated with weight, obesity or body mass index, when adjusted for energy, carbohydrate, and dietary fiber. However, GL adjusted to energy, carbohydrate and dietary fiber tended to correlate with obesity index (r=0.126, p=0.059). These results suggest that dietary GI and GL have possibility affecting obesity-related indicators in elementary school students.

Keywords

References

  1. Bae YJ, Kim EY, Cho HK, Kim MH, Choi MK, Sung MK, Sung CJ (2006) Relation among dietary habits, nutrient intakes and bone mineral density in Korean normal and obese elementary students. Korean J Comm Nutr 11: 14-24.
  2. Barba G, Sieri S, Dello Russo M, Donatiello E, Formisano A, Lauria F, Sparano S, Nappo A, Russo P, Brighenti F, Krogh V, Siani A; on behalf of the ARCA Project Study Group (2010) Glycaemic index and body fat distribution in children: The results of the ARCA project. Nutr Metab Cardiovasc Dis. 2010 Jul 29. [Epub ahead of print] [doi: 10.1016/ j.numecd.2010.03.007]
  3. Barba G, Troiano E, Russo P, Venezia A, Siani A (2005) Inverse association between body mass and frequency of milk consumption in children. Br J Nutr 93: 15-19. https://doi.org/10.1079/BJN20041300
  4. Barclay AW, Petocz P, McMillan-Price J, Flood VM, Prvan T, Mitchell P, Brand-Miller JC (2008) Glycemic index, glycemic load, and chronic disease risk-A meta-analysis of observational studies. Am J Clin Nutr 87: 627-637. https://doi.org/10.1093/ajcn/87.3.627
  5. Carter P, Gray LJ, Troughton J, Khunti K, Davies MJ (2010) Fruit and vegetable intake and incidence of type 2 diabetes mellitus: Systematic review and meta-analysis. BMJ 341: c4229. https://doi.org/10.1136/bmj.c4229
  6. Chai HJ, Hong H, Kim HS, Lee JS, Yu CH (2008) Relationship between food intakes, glycemic index, glycemic load, and body weight among high school boys in Seoul. Korean J Nutr 41: 645-657.
  7. Cheng G, Karaolis-Danckert N, Libuda L, Bolzenius K, Remer T, Buyken AE (2009) Relation of dietary glycemic index, glycemic load, and fiber and whole-grain intakes during puberty to the concurrent development of percent body fat and body mass index. Am J Epidemiol 169: 667-677. https://doi.org/10.1093/aje/kwn375
  8. Choi HJ, Seo JS (2003) Nutrient intakes and obesity-related factors of obese children and the effect of nutrition education program. Korean J Comm Nutr 8: 477-484.
  9. Du H, Van der A DL, Feskens EJ (2006) Dietary glycaemic index: A review of the physiological mechanisms and observed health impacts. Acta Cardiol 61: 383-397. https://doi.org/10.2143/AC.61.4.2017298
  10. Fajcsak Z, Gabor A, Kovacs V, Martos E (2008) The effects of 6-week low glycemic load diet based on low glycemic index foods in overweight/obese children pilot study. J Am Coll Nutr 27: 12-21. https://doi.org/10.1080/07315724.2008.10719670
  11. Foster-Powell K, Holt SH, Brand-Miller JC (2002) International table of glycemic index and glycemic load values. Am J Clin Nutr 76: 5-56. https://doi.org/10.1093/ajcn/76.1.5
  12. Harding AH, Wareham NJ, Bingham SA, Khaw K, Luben R, Welch A, Forouhi NG (2008) Plasma vitamin C level, fruit and vegetable consumption, and the risk of new-onset type 2 diabetes mellitus: the European prospective investigation of cancer-Norfolk prospective study. Arch Intern Med 168: 1493-1499. https://doi.org/10.1001/archinte.168.14.1493
  13. Hare-Bruun H, Flint A, Heitmann BL (2006) Glycemic index and glycemic load in relation to changes in body weight, body fat distribution, and body composition in adult Danes. Am J Clin Nutr 84: 871-879. https://doi.org/10.1093/ajcn/84.4.871
  14. Higgins JA, Brand Miller JC, Denyer GS (1996) Development of insulin resistance in the rat is dependent on the rate of glucose absorption from the diet. J Nutr 126: 596-602. https://doi.org/10.1093/jn/126.3.596
  15. Hong HO, Lee JS (2010) The relationship between food and nutrient intakes, glyemic index, glyemic load, and body mass index among high school girls in Seoul. Korean J Nutr 43: 500-512. https://doi.org/10.4163/kjn.2010.43.5.500
  16. Hui LL, Nelson EA (2006) Meal glycemic load of normal-weight and overweight Hong Kong children. Eur J Clin Nutr 60: 220-227. https://doi.org/10.1038/sj.ejcn.1602305
  17. Jang HS, Hwang IJ (2006) Nutrient intakes and physical activity self-efficacy of high-grade elementary school students according to obesity index. Journal of Korean Home Economics Education Association 18: 67-84.
  18. Jenkins DJ, Wolever TM, Jenkins AL (1988) Starchy foods and glycemic index. Diabetes Care 11: 149-159. https://doi.org/10.2337/diacare.11.2.149
  19. Jun YS, Choi MK, Bae YJ, Sung CJ (2006) Effect of meals variety on obesity index, blood pressure, and lipid profiles of Korean adults. Korean J Food Culture 21: 216-224.
  20. Kabir M, Rizkalla SW, Quignard-Boulange A, Guerre-Millo M, Boillot J, Ardouin B, Luo J, Slama G (1998) A high glycemic index starch diet affects lipid storage-related enzymes in normal and to a lesser extent in diabetic rats. J Nutr 128: 1878-1883. https://doi.org/10.1093/jn/128.11.1878
  21. Kempf K, Rose B, Herder C, Kleophas U, Martin S, Kolb H (2006) Inflammation in metabolic syndrome and type 2 diabetes: Impact of dietary glucose. Ann NY Acad Sci 1084: 30-48. https://doi.org/10.1196/annals.1372.012
  22. Kim HM, Park J, Kim HS, Kim DH, Park SH (2006) Obesity and cardiovascular risk factors in Korean children and adolescents aged 10-18 years from the Korean National Health and Nutrition Examination Survey, 1998 and 2001. Am J Epidemiol 164: 787-793. https://doi.org/10.1093/aje/kwj251
  23. Korea National Statistical Office (2009) http://www.nso.go.kr
  24. Korean Society of Pediatrics (2007) Body growth standard value of Korean pediatrics in 2007. Korean Society of Pediatrics, Seoul. Korea. pp 124.
  25. Ludwig DS (2000) Dietary glycemic index and obesity. J Nutr 130: 280S-283S. https://doi.org/10.1093/jn/130.2.280S
  26. Mendez MA, Covas MI, Marrugat J, Vila J, Schroder H (2009) Glycemic load, glycemic index, and body mass index in Spanish adults. Am J Clin Nutr 89: 316-322. https://doi.org/10.3945/ajcn.2008.26444
  27. Ministry of Health, Welfare and Family Affairs [MOHWFA] & Korea Center for Disease Control and Prevention [KCDCP] (2009a) 2008 National Health Statistics- The 4th Korea National Health and Nutrition Examination Survey, the second year(2008). Korea Center for Disease Control and Prevention, Seoul. Korea. p 353.
  28. Ministry of Health, Welfare and Family Affairs [MOHWFA] & Korea Center for Disease Control and Prevention [KCDCP] (2009b) 2008 National Health Statistics- The 4th Korea National Health and Nutrition Examination Survey, the second year(2008). Korea Center for Disease Control and Prevention, Seoul. Korea. p 105.
  29. Murakami K, Sasaki S, Okubo H, Takahashi Y, Hosoi Y, Itabashi M (2007) Dietary fiber intake, dietary glycemic index and load, and body mass index: a cross-sectional study of 3931 Japanese women aged 18-20 years. Eur J Clin Nutr 61: 986-995. https://doi.org/10.1038/sj.ejcn.1602610
  30. Nielsen BM, Bjornsbo KS, Tetens I, Heitmann BL (2005) Dietary glycaemic index and glycaemic load in Danish children in relation to body fatness. Br J Nutr 94: 992-997. https://doi.org/10.1079/BJN20051465
  31. Park SH, Lee KS, Park HY (2010) Dietary carbohydrate intake is associated with cardiovascular disease risk in Korean: Analysis of the Third Korea National Health and Nutrition Examination Survey (KNHANES III). Int J Cardiol 139: 234-240. https://doi.org/10.1016/j.ijcard.2008.10.011
  32. Rossi M, Bosetti C, Talamini R, Lagiou P, Negri E, Franceschi S, La Vecchia C (2010) Glycemic index and glycemic load in relation to body mass index and waist to hip ratio. Eur J Nutr 49: 459-464. https://doi.org/10.1007/s00394-010-0104-0
  33. Sluijs I, Van der Schouw YT, Van der A DL, Spijkerman AM, Hu FB, Grobbee DE, Beulens JW (2010) Carbohydrate quantity and quality and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition- Netherlands (EPIC-NL) study. Am J Clin Nutr 92: 905-911. https://doi.org/10.3945/ajcn.2010.29620
  34. Spieth LE, Harnish JD, Lenders CM, Raezer LB, Pereira MA, Hangen SJ, Ludwig DS (2000) A low-glycemic index diet in the treatment of pediatric obesity. Arch Pediatr Adolesc Med 154: 947-951. https://doi.org/10.1001/archpedi.154.9.947
  35. Warren JM, Henry CJ, Simonite V (2003) Low glycemic index breakfasts and reduced food intake in preadolescent children. Pediatrics 112: e414. https://doi.org/10.1542/peds.112.5.e414
  36. Xue B, Greenberg AG, Kraemer FB, Zemel MB (2001) Mechanism of intracellular calcium ([$Ca^{2+}$]i) inhibition of lipolysis in human adipocytes. FASEB J 15: 2527-2529. https://doi.org/10.1096/fj.01-0278fje
  37. Yoon CS, Bae YJ, Lee JC, Sung CJ (2006) A study on status of magnesium, iron, copper, zinc in Korean obese male elementary school students. J Korean Diet Assoc 12: 378-389.
  38. http://www.gitest.co.kr/
  39. http://www.glycemicindex.com