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Gender Differences in the Relationship between Alcohol Use Behaviors and Metabolic Syndrome - Korean National Health and Nutrition Examination Survey (KNHANES) V 2010 -

성별에 따른 알코올사용행태와 대사증후군과의 관계 - 제5기 2010년 국민건강영양조사 자료를 이용하여 -

  • Ryu, Ji Young (Department of Occupational and Environmental Medicine, Inje University Haeundae Paik Hospital) ;
  • Kim, Dae-Hwan (Department of Occupational and Environmental Medicine, Inje University Haeundae Paik Hospital)
  • 류지영 (인제대학교 해운대백병원 직업환경의학과) ;
  • 김대환 (인제대학교 해운대백병원 직업환경의학과)
  • Received : 2013.01.31
  • Accepted : 2013.03.13
  • Published : 2013.03.31

Abstract

Objectives: The objective of this study was to assess the gender differences in the relationship between alcohol use behaviors and the risk of metabolic syndrome among Korean adult population. Methods: Data from the Korean National Health and Nutrition Examination Survey (5th, 2010) was analyzed. Using the Alcohol Use Disorders Identification Test, subjects were classified into 4 groups including non-drinking, low-risk drinking, medium-level alcohol problem, and high-level alcohol problem group. Metabolic syndrome and its components were compared among the alcohol behavior groups by gender. Results: The odds ratio vs. non-drinking group for metabolic syndrome was significantly higher in male medium and high-level alcohol problem group. In female, high-level alcohol problem group showed significantly higher odds ratio for metabolic syndrome. Blood pressure and HDL-cholesterol were likely to be higher with the excessive drinking behaviors in both men and woman. Triglyceride level in men was significantly higher in the medium and high-level alcohol problem group than non-drinking group. Although fasting glucose level did not show differences among drinking groups, the odd ratios vs. non-drinking group for the hyperglycemia (${\geq}$ 100mg/dl) were significantly higher in female drinking groups. Conclusions: Problematic alcohol drinking is likely to increase the risk of metabolic syndrome in Korean adults.

Keywords

References

  1. Alberti, K. G., Zimmet, P., & Shaw, J. (2005). The metabolic syndrome--a new worldwide definition. Lancet, 366(9491), 1059-1062. https://doi.org/10.1016/S0140-6736(05)67402-8
  2. Alkerwi, A., Boutsen, M., Vaillant, M., Barre, J., Lair, M. L., Albert, A., . . . Dramaix, M. (2009). Alcohol consumption and the prevalence of metabolic syndrome: a meta-analysis of observational studies. Atherosclerosis, 204(2), 624-635. https://doi.org/10.1016/j.atherosclerosis.2008.10.036
  3. Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT - The Alcohol Use Disorders Identification Test: Guidelines for Use in Primary Care (2nd ed.). Retrieved from http://whqlibdoc.who.int/hq/2001/WHO_MSD_MSB_01.6a.pdf
  4. Baik, I., & Shin, C. (2008). Prospective study of alcohol consumption and metabolic syndrome. American Journal for Clinical Nutrition, 87(5), 1455-1463. https://doi.org/10.1093/ajcn/87.5.1455
  5. Carlsson, S., Hammar, N., Efendic, S., Persson, P. G., Ostenson, C. G., & Grill, V. (2000). Alcohol consumption, Type 2 diabetes mellitus and impaired glucose tolerance in middle-aged Swedish men. Diabetic Medicine : a journal of the British Diabetic Association, 17(11), 776-781. https://doi.org/10.1046/j.1464-5491.2000.00387.x
  6. Carnethon, M. R., Loria, C. M., Hill, J. O., Sidney, S., Savage, P. J., & Liu, K. (2004). Risk factors for the metabolic syndrome: the Coronary Artery Risk Development in Young Adults (CARDIA) study, 1985-2001. Diabetes Care, 27(11), 2707-2715. https://doi.org/10.2337/diacare.27.11.2707
  7. Corrao, G., Rubbiati, L., Bagnardi, V., Zambon, A., & Poikolainen, K. (2000). Alcohol and coronary heart disease: a meta-analysis. Addiction, 95(10), 1505-1523. https://doi.org/10.1046/j.1360-0443.2000.951015056.x
  8. Cullmann, M., Hilding, A., & Ostenson, C. G. (2012). Alcohol consumption and risk of pre-diabetes and type 2 diabetes development in a Swedish population. [Research Support, Non-U.S. Govt]. Diabetic Medicine: 29(4), 441-452. https://doi.org/10.1111/j.1464-5491.2011.03450.x
  9. Fan, A. Z., Russell, M., Dorn, J., Freudenheim, J. L., Nochajski, T., Hovey, K., & Trevisan, M. (2006). Lifetime alcohol drinking pattern is related to the prevalence of metabolic syndrome. The Western New York Health Study (WNYHS). European Journal of Epidemiology, 21(2), 129-138. https://doi.org/10.1007/s10654-005-5457-y
  10. Fan, A. Z., Russell, M., Naimi, T., Li, Y., Liao, Y., Jiles, R., & Mokdad, A. H. (2008). Patterns of alcohol consumption and the metabolic syndrome. Journal of Clinical Endocrinology Metabolism, 93(10), 3833-3838. https://doi.org/10.1210/jc.2007-2788
  11. Freiberg, M. S., Cabral, H. J., Heeren, T. C., Vasan, R. S., & Curtis Ellison, R. (2004). Alcohol consumption and the prevalence of the Metabolic Syndrome in the US.: a cross-sectional analysis of data from the Third National Health and Nutrition Examination Survey. Diabetes Care, 27(12), 2954-2959. https://doi.org/10.2337/diacare.27.12.2954
  12. Haffner, S. M., Valdez, R. A., Hazuda, H. P., Mitchell, B. D., Morales, P. A., & Stern, M. P. (1992). Prospective analysis of the insulin-resistance syndrome (syndrome X). Diabetes, 41(6), 715-722. https://doi.org/10.2337/diab.41.6.715
  13. Hong, A. R., Lee, K. S., Lee, S. Y., & Yu, J. H. (2009). Association of current and past smoking with metabolic syndrome in men. Journal of Preventive Medicine and Public Health, 42(3), 160-164. https://doi.org/10.3961/jpmph.2009.42.3.160
  14. Kassi, E., Pervanidou, P., Kaltsas, G., & Chrousos, G. (2011). Metabolic syndrome: definitions and controversies. BMC Medicine, 9, 48. https://doi.org/10.1186/1741-7015-9-48
  15. Kim, J., Chu, S. K., Kim, K., & Moon, J. R. (2011). Alcohol use behaviors and risk of metabolic syndrome in South Korean middle-aged men. BMC Public Health, 11, 489. https://doi.org/10.1186/1471-2458-11-489
  16. Langer, R. D., Criqui, M. H., & Reed, D. M. (1992). Lipoproteins and blood pressure as biological pathways for effect of moderate alcohol consumption on coronary heart disease. Circulation, 85(3), 910-915. https://doi.org/10.1161/01.CIR.85.3.910
  17. Lee, K. W., Park, B. J., Kang, H. T., & Lee, Y. J. (2011). Alcohol-drinking patterns and metabolic syndrome risk: the 2007 Korean National Health and Nutrition Examination Survey. Alcohol, 45(5), 499-505. https://doi.org/10.1016/j.alcohol.2011.01.001
  18. Lee, W. Y., Jung, C. H., Park, J. S., Rhee, E. J., & Kim, S. W. (2005). Effects of smoking, alcohol, exercise, education, and family history on the metabolic syndrome as defined by the ATP III. Diabetes Research and Clinical Practice, 67(1), 70-77. https://doi.org/10.1016/j.diabres.2004.05.006
  19. Lidfeldt, J., Nyberg, P., Nerbrand, C., Samsioe, G., Schersten, B., & Agardh, C. D. (2003). Socio-demographic and psychosocial factors are associated with features of the metabolic syndrome. The Women's Health in the Lund Area (WHILA) study. Diabetes Obesity and Metabolism, 5(2), 106-112. https://doi.org/10.1046/j.1463-1326.2003.00250.x
  20. Lim, S., Shin, H., Song, J. H., Kwak, S. H., Kang, S. M., Won Yoon, J., . . . Koh, K. K. (2011). Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care, 34(6), 1323-1328. https://doi.org/10.2337/dc10-2109
  21. Mukamal, K. J., Conigrave, K. M., Mittleman, M. A., Stampfer, M. J., Willett, W. C., & Rimm, E. B. (2003). Roles of Drinking Pattern and type of alcohol consumed in coronary heart disease in men, The New England Journal of Medicine, 348(2), 109-118. https://doi.org/10.1056/NEJMoa022095
  22. Neira, C. P., Hartig, M., Cowan, P. A., & Velasquez-Mieyer, P. A. (2009). The prevalence of impaired glucose metabolism in Hispanics with two or more risk factors for metabolic syndrome in the primary care setting. Journal of the American Academy of Nurse Practitioners, 21(3), 173-178. https://doi.org/10.1111/j.1745-7599.2008.00380.x
  23. Park, H. S., Kim, S. M., Lee, J. S., Lee, J., Han, J. H., Yoon, D. K., . . . Choi, K. M. (2007). Prevalence and trends of metabolic syndrome in Korea: Korean National Health and Nutrition Survey 1998-2001. Diabetes, obesity & metabolism, 9(1), 50-58. https://doi.org/10.1111/j.1463-1326.2005.00569.x
  24. Park, H. S., Park, C. Y., Oh, S. W., & Yoo, H. J. (2008). Prevalence of obesity and metabolic syndrome in Korean adults. Obesity Reviews, 9(2), 104-107.
  25. Park, Y. W., Zhu, S., Palaniappan, L., Heshka, S., Carnethon, M. R., & Heymsfield, S. B. (2003). The metabolic syndrome: prevalence and associated risk factor findings in the US population from the Third National Health and Nutrition Examination Survey, 1988-1994. Archives of Internal Medicine, 163(4), 427-436. https://doi.org/10.1001/archinte.163.4.427
  26. Pascual Fuster, V., & Meco Lopez, J. F. (2006). New concepts in dietary treatment of metabolic syndrome. Revista clinica espanola, 206(2), 100-102. https://doi.org/10.1157/13085362
  27. Poikolainen, K. (1998). It Can be bad for the heart, too--drink patterns and coronary heart disease. Addiction, 93(12), 1757-1759. https://doi.org/10.1046/j.1360-0443.1998.931217571.x
  28. Reynolds, K., Lewis, B., Nolen, J. D., Kinney, G. L., Sathya, B., & He, J. (2003). Alcohol consumption and risk of stroke: a meta-analysis. JAMA, 289(5), 579-588. https://doi.org/10.1001/jama.289.5.579
  29. Schafer, C., Parlesak, A., Eckoldt, J., Bode, C., Bode, J. C., Marz, W., & Winkler, K. (2007). Beyond HDL-cholesterol increase: phospholipid enrichment and shift from HDL3 to HDL2 in alcohol consumers. Journal of Lipid Research, 48(7), 1550-1558. https://doi.org/10.1194/jlr.M600513-JLR200
  30. Villegas, R., Creagh, D., Hinchion, R., O'Halloran, D., & Perry, I. J. (2004). Prevalence and lifestyle determinants of the metabolic syndrome. Irish Medical Journal, 97(10), 300-303.
  31. Wakabayashi, I. (2010). Cross-sectional relationship between alcohol consumption and prevalence of metabolic syndrome in Japanese men and women. Journal of Atherosclerosis and Thrombosis, 17(7), 695-704. https://doi.org/10.5551/jat.3517
  32. Wilsgaard, T., & Jacobsen, B. K. (2007). Lifestyle factors and incident metabolic syndrome. The Tromso Study 1979-2001. Diabetes Research and Clinical Practice, 78(2), 217-224. https://doi.org/10.1016/j.diabres.2007.03.006
  33. Yoon, Y. S., Oh, S. W., Baik, H. W., Park, H. S., & Kim, W. Y. (2004). Alcohol consumption and the metabolic syndrome in Korean adults: the 1998 Korean National Health and Nutrition Examination Survey. American Journal for Clinical Nutrition, 80(1), 217-224. https://doi.org/10.1093/ajcn/80.1.217
  34. Zhu, S., St-Onge, M. P., Heshka, S., & Heymsfield, S. B. (2004). Lifestyle behaviors associated with lower risk of having the metabolic syndrome. Metabolism: clinical and experimental, 53(11), 1503-1511. https://doi.org/10.1016/j.metabol.2004.04.017

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