DOI QR코드

DOI QR Code

Evaluation of Nutrient Intake and Food Variety in Korean Male Adults according to Framingham Risk Score

Framingham Risk Score에 의한 한국 성인 남성의 영양소 및 식품 섭취의 다양성 평가

  • Choi, Mi-Kyeong (Division of Food Science, Kongju National University) ;
  • Bae, Yun-Jung (Food and Nutrition Major, Division of Food Science and Culinary Arts, Shinhan University)
  • 최미경 (공주대학교 식품영양학과) ;
  • 배윤정 (신한대학교 식품조리과학부 식품영양전공)
  • Received : 2014.04.04
  • Accepted : 2014.06.13
  • Published : 2014.06.30

Abstract

The purpose of this study was to evaluate dietary intake according to the risk of coronary heart disease (less than 10% = low-risk group; 10~20% = middle-risk group) based on Framingham risk score (FRS), on 122 male adult subjects. The body weight and body mass index were not significantly different between the groups, while height of the low-risk group was shown to be significantly high compared to that of the middle-risk group. The daily energy intake was shown to be significantly high in the low-risk group with 1,910.88 kcal, compared to 1,606.63 kcal of the middle-risk group. As a result of analyzing nutrient intake per 1,000 kcal of energy, while the low-risk group had significantly high intake of animal protein, fat, and animal fat compared to the middle-risk group, the intake of plant protein, carbohydrate, and plant iron was found to be significantly low. The daily food intake was shown to be significantly high in the low-risk group (1,445.16 g), compared to the middle-risk group (1,075.12 g). The low-risk group was found to have significantly high intake of sugars, eggs, and beverages compared to the middle-risk group, while mushrooms intake was significantly high in the middle-risk group. Dietary variety score (DVS) was significantly high in the low-risk group with 26.42, compared to 22.66 of the middle-risk group. Dietary diversity score (DDS) was indicated to be significantly high in the low-risk group with 3.70, compared to 3.27 of the middle-risk group. The low-risk group was indicated to have significantly high score in DDS of dairy products and fruit group, compared to the middle-risk group. In the correlation between diversity index of food intake (DVS and DDS) and FRS, DDS was shown to have significantly negatively correlation with FRS after adjusting for confounding factors. To sum up these results, the adult males with low-risk of coronary heart disease had more various consumptions of fruits and milk, compared to the subjects with the middle-risk. The proportion of consuming major food groups such as cereals, meat group, milk, fruits, and vegetables more than a fixed quantity was indicated to be high. Accordingly, dietary habit for intake of various food seems to be necessary, to prevent coronary heart disease.

Keywords

References

  1. Atkins JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG. 2014. High diet quality is associated with a lower risk of cardiovascular disease and all-cause mortality in older men. J Nutr 144:673-680 https://doi.org/10.3945/jn.113.186486
  2. Azadbakht L, Mirmiran P, Azizi F. 2005. Dietary diversity score is favorably associated with the metabolic syndrome in Tehranian adults. Int J Obes (Lond) 29:1361-1367 https://doi.org/10.1038/sj.ijo.0803029
  3. Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi F. 2006. Dietary diversity score and cardiovascular risk factors in Tehranian adults. Public Health Nutr 9:728-736
  4. Baik I, Lee M, Jun NR, Lee JY, Shin C. 2013. A healthy dietary pattern consisting of a variety of food choices is inversely associated with the development of metabolic syndrome. Nutr Res Pract 7:233-241 https://doi.org/10.4162/nrp.2013.7.3.233
  5. Bhupathiraju SN, Tucker KL. 2011a. Coronary heart disease prevention: nutrients, foods, and dietary patterns. Clin Chim Acta 412:1493-1514 https://doi.org/10.1016/j.cca.2011.04.038
  6. Bhupathiraju SN, Tucker KL. 2011b. Greater variety in fruit and vegetable intake is associated with lower inflammation in Puerto Rican adults. Am J Clin Nutr 93:37-46 https://doi.org/10.3945/ajcn.2010.29913
  7. Clark ML, Butler LM, Koh WP, Wang R, Yuan JM. 2013. Dietary fiber intake modifies the association between secondhand smoke exposure and coronary heart disease mortality among Chinese non-smokers in Singapore. Nutrition 29:1304-1309 https://doi.org/10.1016/j.nut.2013.04.003
  8. Ford ES, Giles WH, Mokdad AH. 2004. The distribution of 10-year risk for coronary heart disease among US adults: findings from the National Health and Nutrition Examination Survey III. J Am Coll Cardiol 43:1791-1796 https://doi.org/10.1016/j.jacc.2003.11.061
  9. Gordon DJ, Probstfield JL, Garrison RJ, Neaton JD, Castelli WP, Knoke JD, Jacobs DR Jr, Bangdiwala S, Tyroler HA. 1989. High-density lipoprotein cholesterol and cardiovascular disease. Four prospective American studies. Circulation 79:8-15 https://doi.org/10.1161/01.CIR.79.1.8
  10. Guallar-Castillon P, Rodriguez-Artalejo F, Tormo MJ, Sanchez MJ, Rodriguez L, Quiros JR, Navarro C, Molina E, Martinez C, Marin P, Lopez-Garcia E, Larranaga N, Huerta JM, Dorronsoro M, Chirlaque MD, Buckland G, Barricarte A, Banegas JR, Arriola L, Ardanaz E, Gonzalez CA, Moreno-Iribas C. 2012. Major dietary patterns and risk of coronary heart disease in middle-aged persons from a Mediterranean country: the EPIC-Spain cohort study. Nutr Metab Cardiovasc Dis 22:192-199 https://doi.org/10.1016/j.numecd.2010.06.004
  11. Haghighatdoost F, Sarrafzadegan N, Mohammadifard N, Sajjadi F, Maghroon M, Boshtam M, Alikhasi H, Azadbakht L. 2013. Healthy eating index and cardiovascular risk factors among Iranians. J Am Coll Nutr 32:111-121 https://doi.org/10.1080/07315724.2013.767590
  12. Kafatos A, Diacatou A, Voukiklaris G, Nikolakakis N, Vlachonikolis J, Kounali D, Mamalakis G, Dontas AS. 1997. Heart disease risk-factor status and dietary changes in the Cretan population over the past 30 y: the seven countries study. Am J Clin Nutr 65:1882-1886 https://doi.org/10.1093/ajcn/65.6.1882
  13. Kang HM, Kim DJ. 2012. Metabolic syndrome versus Framingham risk score for association of self-reported coronary heart disease: The 2005 Korean Health and Nutrition Examination Survey. Diabetes Metab J 36:237-244 https://doi.org/10.4093/dmj.2012.36.3.237
  14. Kant AK, Block G, Schatzkin A, Ziegler RG, Nestle M. 1991. Dietary diversity in the US population, NHANES II, 1976-1980. J Am Diet Assoc 91:1526-1531
  15. Kant AK, Graubard B. 2005. A comparison of three dietary pattern indexes for predicting biomarkers of diet and disease. J Am Coll Nutr 24:294-303 https://doi.org/10.1080/07315724.2005.10719477
  16. Keys A, Menotti A, Karvonen MJ, Aravanis C, Blackburn H, Buzina R, Djordjevic BS, Dontas AS, Fidanza F, Keys MH, Kromhout D, Nedeljkovic S, Punsar S, Seccareccia F, Toshima H. 1986. The diet and 15-year death rate in the seven countries study. Am J Epidemiol 124:903-915 https://doi.org/10.1093/oxfordjournals.aje.a114480
  17. Kim KM, Kim BT, Park SB, Cho DY, Je SH, Kim KN. 2012. Serum total bilirubin concentration is inversely correlated with Framingham risk score in Koreans. Arch Med Res 43:288-293 https://doi.org/10.1016/j.arcmed.2012.05.003
  18. Kim KN, Kim KM, Lee DJ, Joo NS. 2011. Serum gamma-glutamyltransferase concentration correlates with Framingham risk score in Koreans. J Korean Med Sci 26:1305-1309 https://doi.org/10.3346/jkms.2011.26.10.1305
  19. Korea Centers for Disease Control and Prevention. 2013 The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V-3)
  20. Krebs-Smith SM, Smiciklas-Wright H, Guthrie HA, Krebs-Smith J. 1987. The effects of variety in food choices on dietary quality. J Am Diet Assoc 87:897-903
  21. Larsson SC, Akesson A, Wolk A. 2014. Overall diet quality and risk of stroke: A prospective cohort study in women. Atherosclerosis 233:27-29 https://doi.org/10.1016/j.atherosclerosis.2013.11.072
  22. Lee JE, Ahn Y, Kimm K, Park C. 2004. Study on the associations of dietary variety and nutrition intake level by the number of survey days. Korean J Nutr 37:908-916
  23. McBride PE. 1992. The health consequences of smoking. Cardiovascular diseases. Med Clin North Am 76:333-353 https://doi.org/10.1016/S0025-7125(16)30356-X
  24. Nam GE, Lee KS, Park YG, Cho KH, Lee SH, Ko BJ, Kim DH. 2011. An increase in serum uric acid concentrations is associated with an increase in the Framingham risk score in Korean adults. Clin Chem Lab Med 49:909-914
  25. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). 2002. 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
  26. Oliveira EP, Camargo KF, Castanho GK, Nicola M, Portero-McLellan KC, Burini RC. 2012. Dietary variety is a protective factor for elevated systolic blood pressure. Arq Bras Cardiol 98:338-343 https://doi.org/10.1590/S0066-782X2012005000024
  27. Ryoo JH, Cho SH, Kim SW. 2012. Prediction of risk factors for coronary heart disease using Framingham risk score in Korean men. PLoS One 7:e45030 https://doi.org/10.1371/journal.pone.0045030
  28. Seo SM, Baek SH, Jeon HK, Kang SM, Kim DS, Kim WS, Kim HS, Rha SW, Park JS, Seong IW, Ahn YK, Yoon JH, Cha TJ. 2013. Correlations between the level of high-sensitivity C-reactive protein and cardiovascular risk factors in Korean adults with cardiovascular disease or diabetes mellitus: the CALLISTO study. J Atheroscler Thromb 20:616-622 https://doi.org/10.5551/jat.16089
  29. Shin JH, Kang JI, Jung Y, Choi YM, Park HJ, So JH, Kim JH, Kim SY, Bae HY. 2013. Hemoglobin a1c is positively correlated with Framingham risk score in older, apparently healthy nondiabetic Korean adults. Endocrinol Metab (Seoul) 28:103-109 https://doi.org/10.3803/EnM.2013.28.2.103
  30. Simila ME, Kontto JP, Mannisto S, Valsta LM, Virtamo J. 2013. Glycaemic index, carbohydrate substitution for fat and risk of CHD in men. Br J Nutr 110:1704-1711 https://doi.org/10.1017/S0007114513000858
  31. Sohn C, Kim J, Bae W. 2012. The Framingham risk score, diet, and inflammatory markers in Korean men with metabolic syndrome. Nutr Res Pract 6:246-53 https://doi.org/10.4162/nrp.2012.6.3.246
  32. Stamler J, Daviglus ML, Garside DB, Dyer AR, Greenland P, Neaton JD. 2000. Relationship of baseline serum cholesterol levels in 3 large cohorts of younger men to long-term coronary, cardiovascular, and all-cause mortality and to longevity. JAMA 284:311-318 https://doi.org/10.1001/jama.284.3.311
  33. Stamler J, Stamler R, Neaton JD. 1993. Blood pressure, systolic and diastolic, and cardiovascular risks. US population data. Arch Intern Med 153:598-615 https://doi.org/10.1001/archinte.1993.00410050036006
  34. Statistics Korea. 2013. A statistical table of the cause of death, 2012. Statistics Korea
  35. Steffen LM. 2009. A variety of food and drink improves CVD profile. Br J Nutr 101:305-306 https://doi.org/10.1017/S0007114508076319
  36. The Korean Nutrition Society. 2010. Dietary Reference Intakes For Koreans
  37. Yu D, Shu XO, Li H, Xiang YB, Yang G, Gao YT, Zheng W, Zhang X. 2013. Dietary carbohydrates, refined grains, glycemic load, and risk of coronary heart disease in Chinese adults. Am J Epidemiol 178:1542-1549 https://doi.org/10.1093/aje/kwt178

Cited by

  1. Relationship between Dietary Patterns and Cardiovascular Disease Risk in Korean Older Adults vol.18, pp.7, 2014, https://doi.org/10.3390/ijerph18073703