Journal of Nutrition and Health

  • 제46권2호
  • /
  • Pages.156-165
  • /
  • 2013
  • /
  • 2288-3886(pISSN)
  • /
  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
권호 표지
DOI QR코드

DOI QR Code

실천지침 이행률에 따른 대사증후군 중재 효과 비교: 직장인 남성 대사증후군을 대상으로

Comparison of health outcomes according to intervention compliance in male Korean workers with metabolic syndrome

  • 남경희 (한국수력원자력(주) 방사선보건연구원) ;
  • 강지연 (한국수력원자력(주) 방사선보건연구원) ;
  • 이연주 (한국수력원자력(주) 방사선보건연구원) ;
  • 성숙희 (한국수력원자력(주) 방사선보건연구원) ;
  • 장윤균 (한국수력원자력(주) 방사선보건연구원) ;
  • 이지영 (한국수력원자력(주) 방사선보건연구원) ;
  • 박일근 (한국수력원자력(주) 방사선보건연구원) ;
  • 최태인 (한국수력원자력(주) 방사선보건연구원)
  • Nam, Kyung-Hui (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd.) ;
  • Kang, Ji-Yeon (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd.) ;
  • Lee, Yeon-Ju (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd.) ;
  • Sung, Sook-Hee (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd.) ;
  • Chang, Youn-Koun (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd.) ;
  • Lee, Ji-Young (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd.) ;
  • Park, Ill-Keun (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd.) ;
  • Choi, Tae-In (Radiation Health Research Institute, Korea Hydro & Nuclear Power Co., Ltd.)
  • 투고 : 2012.12.24
  • 심사 : 2013.02.22
  • 발행 : 2013.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

This study examined how achievement of session goals contributes to outcomes of subjects after participation in a 12-week lifestyle intervention program in men with metabolic syndrome (MetS). Thirty office workers with MetS, aged $47.2{\pm}6.6$ years, participated in this study, from March to July, 2011. The intervention program included face-to-face counseling five times during the 12-week period. Counselors and subjects designed session goals for each round. The average of the goal achievement rate was calculated based on compliance for each round. The subjects were divided into three groups according to their tertiles of achievement rate: Low-compliance group (LC, < 59%), medium-compliance group (MC, 59-70%), and high-compliance group (HC, > 70%). Anthropometry, biochemical index, and nutrient intake were examined at baseline and at the end of the 12-week intervention program. After the intervention, diastolic blood pressure (DBP) showed a significant decrease in the LC group, and waist circumference (WC) showed a significant decrease in the MC group. Systolic blood pressure (SBP), DBP, and low-density lipoprotein cholesterol (LDL) showed a significant decrease in the HI group. Changes in SBP and DBP were significantly lower in the HC group than in the MC group (p < 0.05, p < 0.01). Changes in LDL were significantly lower in the HC group than in the MC group (p < 0.05). Results for intake of total energy, protein, fat, and sodium, as well as rates of carbohydrate and fat intake, showed a significant decrease in all participants (p < 0.05). The change in fiber was significantly higher in the HC group than in the MC group (p < 0.05). The change of fruit serving size showed a significant increase in the HC group (p < 0.01). The number of risk factors for MetS showed a significant decrease in the LC and HC groups (p < 0.05), however, no significant mean differences were observed among the three groups. In conclusion, participation in this intervention program resulted in positive effects on risk factors for MetS, nutrient intake, and dietary habits, especially in the High-compliance group.

키워드

참고문헌

  1. Reaven G. The metabolic syndrome or the insulin resistance syndrome? Different names, different concepts, and different goals. Endocrinol Metab Clin North Am 2004; 33(2): 283-303 https://doi.org/10.1016/j.ecl.2004.03.002
  2. 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(17): 2735-2752 https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  3. Reaven GM. Banting lecture 1988. Role of insulin resistance in human disease. Diabetes 1988; 37(12): 1595-1607 https://doi.org/10.2337/diab.37.12.1595
  4. Shin JH, Kang SG, Kim MJ, Hwang YN, Song SW. The effect of regular aerobic exercise on health-related quality of life among metabolic syndrome patients. Korean J Obes 2008; 17(4): 182-187
  5. Lim S, Shin H, Song JH, Kwak SH, Kang SM, Yoon JW, Choi SH, Cho SI, Park KS, Lee HK, Jang HC, Koh KK. Increasing prevalence of metabolic syndrome in Korea: the Korean National Health and Nutrition Examination Survey for 1998-2007. Diabetes Care 2011; 34(6): 1323-1328 https://doi.org/10.2337/dc10-2109
  6. Moon HK, Kong JE. 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 2010; 43(1): 69-78 https://doi.org/10.4163/kjn.2010.43.1.69
  7. Wannamethee SG, Shaper AG, Alberti KG. Physical activity, metabolic factors, and the incidence of coronary heart disease and type 2 diabetes. Arch Intern Med 2000; 160(14): 2108-2116 https://doi.org/10.1001/archinte.160.14.2108
  8. Lee WY, Jung CH, Park JS, Rhee EJ, Kim SW. Effects of smoking, alcohol, exercise, education, and family history on the metabolic syndrome as defined by the ATP III. Diabetes Res Clin Pract 2005; 67(1): 70-77 https://doi.org/10.1016/j.diabres.2004.05.006
  9. Freiberg MS, Cabral HJ, Heeren TC, Vasan RS, Curtis Ellison R; Third National Health and Nutrition Examination Survey. 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 2004; 27(12): 2954-2959 https://doi.org/10.2337/diacare.27.12.2954
  10. Oh SW, Yoon YS, Lee ES, Kim WK, Park C, Lee S, Jeong EK, Yoo T; Korea National Health and Nutrition Examination Survey. Association between cigarette smoking and metabolic syndrome: the Korea National Health and Nutrition Examination Survey. Diabetes Care 2005; 28(8): 2064-2066 https://doi.org/10.2337/diacare.28.8.2064
  11. Havas S, Anliker J, Greenberg D, Block G, Block T, Blik C, Langenberg P, DiClemente C. Final results of the Maryland WIC food for life program. Prev Med 2003; 37(5): 406-416 https://doi.org/10.1016/S0091-7435(03)00160-9
  12. La Londe MA, Graffagnino CL, Falko JM, Snow RJ, Spencer K, Caulin-Glaser T. Effect of a weight management program on the determinants and prevalence of metabolic syndrome. Obesity (Silver Spring) 2008; 16(3): 637-642 https://doi.org/10.1038/oby.2007.86
  13. Park SY, Yang YJ, Kim Y. Effects of nutrition education using a ubiquitous healthcare (u-Health) service on metabolic syndrome in male workers. Korean J Nutr 2011; 44(3): 231-242 https://doi.org/10.4163/kjn.2011.44.3.231
  14. Kim MJ, Kwon S, Ly SY. Effects of low glycemic index nutrition education on the blood glucose control in patients with type 2 diabetes mellitus. Korean J Nutr 2010; 43(1): 46-56 https://doi.org/10.4163/kjn.2010.43.1.46
  15. Lee HS, Lee JW, Kim JM, Chang N. The effect of nutrition education and exercise program on body composition and dietary intakes, blood lipid and physical fitness in obese women(2)-relationship between participation rates and effectiveness of obesity management program. Korean J Nutr 2010; 43(3): 260-272 https://doi.org/10.4163/kjn.2010.43.3.260
  16. Kang JY, Cho SW, Lee JY, Sung SH, Park YK, Paek YM, Choi TI. The effects of a worksite on-line health education program on metabolic syndrome risk factors and nutrient intakes of male workers. Korean J Nutr 2010; 43(1): 57-68 https://doi.org/10.4163/kjn.2010.43.1.57
  17. World Health Organization, International Association for the Study of Obesity, International Obesity Task Force. The Asia-Pacific perspective: redefining obesity and its treatment. Sydney: Health Communications; 2000
  18. Son SM, Huh GY, Lee HS. Development and evaluation of validity of dish frequency questionnaire (DFQ) and short DFQ using Na index for estimation of habitual sodium intake. Korean J Community Nutr 2005; 10(5): 677-692
  19. Lee EH, Kim HK, Lee YH, Moon SY, Kwon EJ, Lee SH. Effectiveness of lifestyle intervention on the management of metabolic syndrome. J Korean Soc Health Educ Promot 2007; 24(3): 1-19
  20. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive Summary of The 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). JAMA 2001; 285(19): 2486-2497 https://doi.org/10.1001/jama.285.19.2486
  21. The Korean Nutrition Society. Dietary reference intakes for Koreans, 1st revision. Seoul: The Korean Nutrition Society; 2010
  22. Merriam PA, Persuitte G, Olendzki BC, Schneider K, Pagoto SL, Palken JL, Ockene IS, Ma Y. Dietary intervention targeting increased fiber consumption for metabolic syndrome. J Acad Nutr Diet 2012; 112(5): 621-623 https://doi.org/10.1016/j.jand.2012.01.024
  23. Esmaillzadeh A, Kimiagar M, Mehrabi Y, Azadbakht L, Hu FB, Willett WC. Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 2006; 84(6): 1489-1497 https://doi.org/10.1093/ajcn/84.6.1489
  24. Kim HS. A study on health behaviors and nutrient intakes in the Korean adult's with metabolic syndrome [dissertation]. Seoul: Catholic University of Korea; 2005
  25. Yoo S, Nicklas T, Baranowski T, Zakeri IF, Yang SJ, Srinivasan SR, Berenson GS. Comparison of dietary intakes associated with metabolic syndrome risk factors in young adults: the Bogalusa Heart Study. Am J Clin Nutr 2004; 80(4): 841-848 https://doi.org/10.1093/ajcn/80.4.841
  26. Kim M, Kim J, Bae W, Kim S, Lee Y, Na W, Sohn C. Relationship between nutrients intakes, dietary quality, and serum concentrations of inflammatory markers in metabolic syndrome patients. Korean J Community Nutr 2011; 16(1): 51-61 https://doi.org/10.5720/kjcn.2011.16.1.51
  27. Sohn C, Kim J, Bae W. The framingham risk score, diet, and inflammatory markers in Korean men with metabolic syndrome. Nutr Res Pract 2012; 6(3): 246-253 https://doi.org/10.4162/nrp.2012.6.3.246
  28. Anderson JW, Riddell-Mason S, Gustafson NJ, Smith SF, Mackey M. Cholesterol-lowering effects of psyllium-enriched cereal as an adjunct to a prudent diet in the treatment of mild to moderate hypercholesterolemia. Am J Clin Nutr 1992; 56(1): 93-98 https://doi.org/10.1093/ajcn/56.1.93
  29. Brown L, Rosner B, Willett WW, Sacks FM. Cholesterol-lowering effects of dietary fiber: a meta-analysis. Am J Clin Nutr 1999; 69(1): 30-42 https://doi.org/10.1093/ajcn/69.1.30
  30. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, Jones DW, Materson BJ, Oparil S, Wright JT Jr, Roccella EJ; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension 2003; 42(6): 1206-1252 https://doi.org/10.1161/01.HYP.0000107251.49515.c2
  31. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R; Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one million adults in 61 prospective studies. Lancet 2002; 360 (9349): 1903-1913 https://doi.org/10.1016/S0140-6736(02)11911-8
  32. Whelton PK, He J, Appel LJ, Cutler JA, Havas S, Kotchen TA, Roccella EJ, Stout R, Vallbona C, Winston MC, Karimbakas J, National High Blood Pressure Education Program Coordinating C. Primary prevention of hypertension: clinical and public health advisory from The National High Blood Pressure Education Program. JAMA 2002; 288(15): 1882-1888 https://doi.org/10.1001/jama.288.15.1882
  33. American Dietetic Association Staff, Office of Disease Prevention and Health Promotion. Worksite nutrition, 2nd edition. Washington, D.C.: Academy of Nutrition and Dietetics; 1993
  34. Titze S, Martin BW, Seiler R, Stronegger W, Marti B. Effects of a lifestyle physical activity intervention on stages of change and energy expenditure in sedentary employees. Psychol Sport Exerc 2001; 2(2): 103-116 https://doi.org/10.1016/S1469-0292(00)00016-9

피인용 문헌

  1. Moderating effect of Lifestyle and Type D personality on the Relationship between Metabolic Syndrome and Severity of Coronary Artery Disease vol.30, pp.3, 2018, https://doi.org/10.7475/kjan.2018.30.3.290
  2. 건강행위 이행율에 따른 대사증후군 발생 위험요인 변화 vol.28, pp.3, 2013, https://doi.org/10.7465/jkdi.2017.28.3.559