Study on White Rice Consumption and Metabolic Risk Factor in Korean Elderly: Focused on Muscle Mass

한국 노인의 쌀 섭취와 대사위험지표에 관한 연구: 근육량 중심으로

  • Oh, Chorong (Dept. of Hospitality & Tourism Management, Kyungsung University) ;
  • No, Jae-Kyung (Dept. of Food Science & Biotechnology, Kyungsung University)
  • 오초롱 (경성대학교 호텔관광.외식경영학과) ;
  • 노재경 (경성대학교 식품응용공학부)
  • Received : 2015.09.07
  • Accepted : 2015.10.20
  • Published : 2015.10.31

Abstract

White rice consumption, a staple food for the Korean influence the other food consumption and nutrition balance. The aim of this study was to investigate the association with rice consumption based dietary intake and muscle mass for the Korean elderly who are easily in mal-nutrition. A total of 1,433 subjects (658 male and 775 female) 60 years or older from the fifth Korea National Health and Nutritional Examination Survey 2010 participated in this study. One of the findings was that there was association white rice consumption and marital status (single/with/without spouse) as well as education for men. Other interesting finding was the member of highest white rice consumption group showed higher muscle mass in both sexes. The other finding was that the more white rice consumption group showed the less meat consumption as well as the less consumption of other grains, noodle & dumpling, and flours & bread in both sexes. We found the significant association between white rice consumption level and muscle mass and several metabolic syndrome related factors in the elderly. But the association with white rice consumption and glucose metabolism related factor had not shown consistently.

한국인의 주식인 쌀 중심의 식사패턴은 다양한 식품군의 섭취와 영양의 균형을 얻을 수 있는 장점을 가지고 있다. 따라서 본 연구에서는 노화과정에서 생리적 기능 저하에 따른 노인기 쉽게 야기될 수 있는 영양의 불균형으로 인한 영양결핍이 쌀을 중심으로 한 식사 패턴이 노인기 근육량에 미치는 영향에 대해 살펴보고자 하였다. 본 연구 대상자는 2010년 제5기 국민건강영양조사 자료를 이용한 60세 이상 노인 남녀 각각 658명, 775명을 대상으로 연구하였다. 연구 결과로 특히 남성의 경우, 결혼 및 배우자 유무 그리고 교육 수준에 따라 쌀의 섭취량에 유의적 차이가 있음을 알 수 있었다. 본 연구의 흥미로운 점은 노인기 남녀 모두 쌀 섭취량이 높을수록 더 높은 근육량을 보여주었다. 또한 쌀 섭취가 높을수록 육류 섭취가 낮았고, 다른 곡물, 면류, 만두류, 밀 및 빵에 대한 섭취가 남녀 모두 낮았다. 노인기의 식사패턴에서 쌀 섭취량의 증가가 근감소와 대사관련 위험 요인에 대한 위험도를 낮추어 주었다. 그러나 쌀 섭취량과 포도당 대사의 위험성에 대한 결과는 유의한 차이를 나타내지 않았다. 본 연구의 결과를 통해 노인기에 충분한 쌀 섭취를 통한 식사 패턴은 근감소와 대사증의 위험 지표에 영향을 미친다는 것을 살펴볼 수 있었다.

Keywords

References

  1. Ahn EM, Kang MS, Gong JE, Choe JS, Park YH, Lee JY, Kim HR (2011). The changes of energy nutrient intake, frequently consumed dishes and staple food consumption-based on the first to the forth (1998-2008) Korea National Health and Nutrition Examination Survey (KNHANES I-IV-2)-. The Korean Journal of Community Living Science 22(4):669-678. https://doi.org/10.7856/kjcls.2011.22.4.669
  2. Ahn, JY, Ha TY (2010). Nutritional superiority of rice. Food Preserv Process Ind 9(2):60-62.
  3. Azadbakht L, Fard NRP, Karimi M, Baghaei MH, Surkan PJ, Rahimi M, Willett WC (2011). Effects of the dietary approaches to stop hypertension (DASH) eating plan on cardiovascular risks among type 2 diabetic patients a randomized crossover clinical trial. Diabetes Care 34(1): 55-57. https://doi.org/10.2337/dc10-0676
  4. Batres-Marquez SP, Jensen HH, Upton J (2009). Rice consumption in the United States: Recent evidence from food consumption surveys. Journal of the American Dietetic Association 109(10):1719-1727. https://doi.org/10.1016/j.jada.2009.07.010
  5. Baxter AJ, Coyne T, McClintock C (2006). Dietary patterns and metabolic syndrome-a review of epidemiologic evidence. Asia Pacific Journal of Clinical Nutrition 15(2):134.
  6. Choe JS, Paik HY, Kwon SO (2004). Nutritional status and related factors of residents aged over 50 in longevity areas: I. Anthropometric and biochemical nutritional status. Korean Journal of Nutrition 37(9):825-837.
  7. Choe JS, Kwon SO, Paik HY (2006). Nutritional status and related factors of residents aged over 50 in longevity areas: II. Effect of dietary factors on bone ultrasound measurements in aged men. Korean Journal of Nutrition 39(2):171-183.
  8. Eshak, ES, Iso H, Date C, Yamagishi K, Kikuchi S, Watanabe Y, Tamakoshi A (2011). Rice intake is associated with reduced risk of mortality from cardiovascular disease in Japanese men but not women. The Journal of Nutrition 141(4):595-602. https://doi.org/10.3945/jn.110.132167
  9. Eshak ES, Iso H, Yamagishi K, Kokubo Y, Saito I, Yatsuya H, Tsugane S (2014). Rice consumption is not associated with risk of cardiovascular disease morbidity or mortality in Japanese men and women: A large population-based, prospective cohort study. The American Journal of Clinical Nutrition 100(1):199-207. https://doi.org/10.3945/ajcn.113.079038
  10. Food and Nutrient Database for Dietary Studies. (2009). U.S. Department of Agriculture. http://www.ars.usda.gov/Services.
  11. Gaudreau P, Morais JA, Shatenstein B, Gray-Donald K, Khalil A, Dionne I, Ferland G, Flp TJD, Kergoat MJ, Tessier D, Wagner R, Payette H (2007). Nutrition as a determinant of successful aging: description of the Quebec longitudinal study age and results from cross-sectional pilot studies. Rejuvenation Res 10(3):377-386. https://doi.org/10.1089/rej.2007.0596
  12. Graham I, Atar D, Borch-Johnsen K, Boysen G, Burell G, Cifkova R (2007). European Society of Cardiology (ESC) Committee for Practice Guidelines (CPG).: European guidelines on cardiovascular disease prevention in clinical practice: executive summary: Fourth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (Constituted by representatives of nine societies and by invited experts). Eur Heart J 28(19).
  13. Heymsfield SB, Smith R, Aulet M, Bensen, B, Lichtman S, Wang J, Pierson RN (1990). Appendicular skeletal muscle mass: measurement by dual-photon absorptiometry. The American Journal of Clinical Nutrition 52(2):214-218. https://doi.org/10.1093/ajcn/52.2.214
  14. Hausman DB, Fischer JG, Johnson MA (2011). Nutrition in centenarians. Maturitas 68(3): 203-209. https://doi.org/10.1016/j.maturitas.2011.01.003
  15. Izadi V, Azadbakht L (2015). Is there any association between rice consumption and some of the cardiovascular diseases risk factors? A systematic review. ARYA Atheroscler 109-115.
  16. Janssen I, Heymsfield SB, Ross R (2002). Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability. Journal of the American Geriatrics Society 50(5):889-896. https://doi.org/10.1046/j.1532-5415.2002.50216.x
  17. Jo N, Kim SY (2015). Factors affecting changes of individual rice intakes. 42(1):145-164.
  18. Kadowaki T, Yamauchi T (2005). Adiponectin and adiponectin receptors. Endocrine Reviews 26(3):439-451. https://doi.org/10.1210/er.2005-0005
  19. Kennedy E, Luo H (2015). Association between Rice consumption and selected indicators of dietary and nutritional status using National Health and Nutrition Examination Survey 2007-2008. Ecology of Food and Nutrition 54(3):224-239. https://doi.org/10.1080/03670244.2014.972391
  20. Khosravi-Boroujeni H, Sarrafzadegan N, Mohammadifard N, Sajjadi F, Maghroun M, Asgari S, Azadbakht L (2013). White rice consumption and CVD risk factors among Iranian population. Journal of Health, Population, and Nutrition 31 (2):252.
  21. Lee GL, Kim MJ (2003). An analysis of rice consumption behavior in Korea. Korea Rural Economic institute. Report of Research, p 134.
  22. Lim S, Kim JH, Yoon JW, Kang SM, Choi SH, Park YJ, Jang HC (2010). Sarcopenic obesity: prevalence and association with metabolic syndrome in the Korean Longitudinal Study on Health and Aging (KLoSHA). Diabetes Care 33(7):1652-1654. https://doi.org/10.2337/dc10-0107
  23. Muraki I, Wu H, Imamura F, Laden F, Rimm EB, Hu FB, Sun Q (2015). Rice consumption and risk of cardiovascular disease: results from a pooled analysis of 3 US cohorts. The American Journal of Clinical Nutrition 101(1):164-172. https://doi.org/10.3945/ajcn.114.087551
  24. Oh C, Kim HS, No JK (2015). Impact of dining out on nutritional intake and metabolic syndrome risk factors: data from the 2011 Korean National Health and Nutrition Examination Survey. British Journal of Nutrition 113(03):473-478. https://doi.org/10.1017/S0007114514003870
  25. Oh C, Jho S, No JK, Kim HS (2015). Body composition changes were related to nutrient intakes in elderly men but elderly women had a higher prevalence of sarcopenic obesity in a population of Korean adults. Nutrition Research 35(1):1-6. https://doi.org/10.1016/j.nutres.2014.07.018
  26. Oh C, No JK, Kim HS (2014). Dietary pattern classifications with nutrient intake and body composition changes in Korean elderly. Nutrition Research and Practice 8(2):192-197. https://doi.org/10.4162/nrp.2014.8.2.192
  27. Oh SW (2011). Obesity and metabolic syndrome in Korea. Diabetes & Metabolism Journal 35(6):561-566. https://doi.org/10.4093/dmj.2011.35.6.561
  28. Ozaki A, Uchiyama M, Tagaya H, Ohida T, Ogihara R (2007). The Japanese Centenarian Study: autonomy was associated with health practices as well as physical status. Journal of the American Geriatrics Society 55(1):95-101. https://doi.org/10.1111/j.1532-5415.2006.01019.x
  29. Park MY, Kim GR, Lee DJ, Kim JM, Park PS (2006). A survey of food and nutrient intakes of the eged people in rural area, Gyeongbuk Yecheon. Korean Journal of Nutrition 39(1):58-73.
  30. Roubenoff R (2000). Sarcopenic obesity: Does muscle loss cause fat gain?: Lessons from Rheumatoid Arthritis and Osteoarthritisa. Annals of the New York Academy of Sciences 904(1):553- 557. https://doi.org/10.1111/j.1749-6632.2000.tb06515.x
  31. Ryu HK (2003). A survey on the number of meals skipped and the types of main meals in Miryang and Daegue. Korean Journal of Community Living Science.
  32. Statistics Korea (2009). The report of grain consumption survey per household. http:// kostat.go.kr
  33. Statistics Korea (2011). The report of grain consumption survey per household. http:// kostat.go.kr
  34. Shimizu K, Takeda S, Noji H, Hirose N, Ebihara Y, Arai Y, Konishi K (2003). Dietary patterns and further survival in Japanese centenarians. Journal of Nutritional Science and Vitaminology 49(2):133-138. https://doi.org/10.3177/jnsv.49.133
  35. Song Y, Joung H, Engelhardt K, Yoo SY, Paik HY (2005). Traditional v. modified dietary patterns and their influence on adolescents' nutritional profile. British Journal of Nutrition 93(06):943-949. https://doi.org/10.1079/BJN20051435
  36. Sun Q, Spiegelman D, van Dam RM, Holmes MD, Malik VS, Willett WC, Hu FB (2010). White rice, brown rice, and risk of type 2 diabetes in US men and women. Archives of Internal Medicine 170(11):961-969. https://doi.org/10.1001/archinternmed.2010.109
  37. Takeda S, Noji H, Hirose N, Arai Y, Yamamura K, Shimizu K, Takayama M (1998). [Nutritional intake by the oldest elderly Japanese. Tokyo Centenarian Study 6]. Nihon Ronen Igakkai zasshi. Japanese Journal of geriatrics 35(7):548-558. https://doi.org/10.3143/geriatrics.35.548
  38. Warr P (2013). Food Security in Asia and the Pacific. ISBN 978-92-9254-224-5 (Print), Publication Stock No. RPT135848-2.
  39. Watanabe Y, Saito I, Asada Y, Kishida T, Matsuo T, Yamaizumi M, Kato T (2013). Daily Rice Intake strongly influences the incidence of metabolic syndrome in Japanese men aged 40-59 years. Journal of Rural Medicine. JRM 8(1):161. https://doi.org/10.2185/jrm.8.161
  40. Yoon HS, Lee MJ, Yang HL, Lee KH (2005). A study on elementary schoolchildren's knowledge, one's value and consumption pattern for rice foods in Changwon and Gimhae city. Journal of the Korean Dietetic Association 11(3):353-364.
  41. Zamboni M, Mazzali G, Fantin F, Rossi A, Di FV (2008). Sarcopenic obesity: a new category of obesity in the elderly. Nutrition, Metabolism and Cardiovascular Diseases 18(5):388-39. https://doi.org/10.1016/j.numecd.2007.10.002