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Vitamin D deficiency and Metabolic Syndrome among Korean Adolescents: Based on Korea National Health and Nutrition Examination Survey V (KNHANES)

청소년의 비타민 D 결핍과 대사증후군 관련요인 분석: 2010년 제5기 1차 국민건강영양조사를 기반으로

  • Received : 2015.12.04
  • Accepted : 2016.03.31
  • Published : 2016.04.30

Abstract

Purpose: This study is intended to analyze factors of metabolic syndrome and vitamin D deficiency with resources obtained from the Korea National Health and Nutrition Examination Survey (KNHANES) V conducted in 2010. Methods: The subjects were 870 adolescents aged from 10 to 18 who participated in the first KNHANES V. Secondary data analysis was done by Chi-square, ANOVA, correlation analysis and simple linear regression. Results: The influencing factors of metabolic syndrome were vitamin D, systolic blood pressure and diastolic blood pressure, which were statistically significant. Simple linear regression was conducted to identify the influence of vitamin D on the factors related to metabolic syndrome, which showed that waist size (t=-1.97, p<.05), systolic blood pressure (t=-2.88, p<.01), and diastolic blood pressure (t=-5.72, p<.001) were influenced by vitamin D. In addition, each factor decreased by .131, .209, and .355, respectively, when vitamin D increased by one unit. Conclusion: Metabolic syndrome is a factor to be considered in order to improve adolescent health and form adolescent health behaviors. Schools, families, and local communities should cooperate with each other on the foundation of a regular health screening process and systematic health education programs. In addition, it is expected enhanced physical activities and sports club participation can prevent metabolic syndrome and increase vitamin D among adolescent.

Keywords

References

  1. Son YW, Lee KY, Jeon YB. The Relationship between relative BMI change and height growth among overweight children. Korean Journal of Family Medicine. 2009;30(9):688-689. http://dx.doi.org/10.4082/kjfm.2009.30.9.688
  2. Ministry of Health and Welfare. Korea Centers for Disease Control and Prevention. Korea Health Statistics 2010: Korea National Health and Nutrition Examination Survey (KNHANES V-1). Cheongwon. Korea: Korea Centers for Disease Control and Prevention. 2011.
  3. Holick MF. Vitamin D deficiency. New England Journal of Medicine. 2007;357(3):266-81. http://dx.doi.org/10.1056/nejmra070553
  4. Mitri J, Muraru MD, Pittas AG. Vitamin D and type 2 diabetes: A systematic review. European Journal of Clinical Nutrition. 2011;65(9):1005-15. http://dx.doi.org/10.1038/ejcn.2011.118
  5. Alberti KG, Zimmet P, Shaw J. The metabolic syndrome-a new worldwide definition. Lancet. 2005;366(9491):1059-62. http://dx.doi.org/10.1016/s0140-6736(05)67402-8
  6. Hirschler V, Calcagno ML, Aranda C, Maccallini G, Jadzinsky M. Can the metabolic syndrome identify children with insulin resistance? Pediatric Diabetes. 2007;8(5):272-7. http://dx.doi.org/10.1111/j.1399-5448.2007.00282.x
  7. Sung EJ. (A)Metabolic syndrome phenotype in Korean children & adolescents: prevalence and change in characteristics over the period 1998-2001 [dissertation]. Seoul: Seoul National University; 2006. p. 1-101.
  8. Zimmet P, Alberti KG, Kaufman F, Tajima N, Silink M, Arslanian S, et al. The metabolic syndrome in children and adolescents-an IDF consensus report. Pediatric Diabetes. 2007;8(5): 299-306. http://dx.doi.org/10.1111/j.1399-5448.2007.00271.x
  9. Rodgers A, Ezzati M, Vander Hoorn S, Lopez AD, Lin RB, Murray CJ. Distribution of major health risks: findings from the Global Burden of Disease study. PLoS Med. 2004;1(1):e27. http://dx.doi.org/10.1371/journal.pmed.0010027
  10. Yoo JS, Jeong JI, Park CG, Kang SW, Ahn JA. Impact of life style characteristics on prevalence risk of metabolic syndrome. J Korean Acad Nurs. 2009;39(4);594-601. http://dx.doi.org/10.4040/jkan.2009.39.4.594
  11. Schoenborn CA. Health habits of U.S. adults, 1985: the "Alameda 7" revisited, Public Health Reports. 1986;101(6):571-80.
  12. Devaraj S, Yun JM, Duncan-Staley CR, Jialal I. Low vitamin D levels correlate with the proinflammatory state in type 1 diabetic subjects with and without microvascular complications. American Journal of Clinical Pathology. 2011;135(3):429-33. http://dx.doi.org/10.1309/ajcpjgzqx42biaxl
  13. Park EJ. Metabolic syndrome and its association with physical activity in Korean children and adolescents: from the Korean NHANES survey, 1998-2008, [master's thesis]. Seoul: Yonse University; 2011. p. 1-60.
  14. Yoon YS, Trends of prevalence and associated factors of metabolic syndrome in Korean children and adolescents: Using the Korea National Health and Nutrition Examination Survey [dissertation]. Ulsan: University of Ulsan; 2008. p. 1-82.
  15. Reinehr T, Sousa GE, Toschke AM, Werner Andler W. Comparison of metabolic syndrome prevalence using eight different definitions: a critical approach. Archives of Disease in Childhood. 2007;92(12):1067-1072. http://dx.doi.org/10.1136/adc.2006.104588
  16. Park EJ. Metabolic syndrome and its association with physical activity in Korean children and adolescents: from the Korean NHANES survey, 1998-2008, [master's thesis]. Seoul: Yonse University; 2011. p. 1-118.
  17. Lee S1, Bacha F, Gungor N, Arslanian SA. Waist circumference is an independent predictor of insulin resistance in black and white youths. J Pediatr. 2006;148(2):188-194. http://dx.doi.org/10.1016/j.jpeds.2005.10.001
  18. Giovannucci E, Liu Y, Hollis BW, Rimm EB. 25-hydroxyvitamin D and risk of myocardial infarction in men: a prospective study. Archives of Internal Medicine. 2008;168(11):1174-1180. http://dx.doi.org/10.1001/archinte.168.11.1174
  19. Wang TJ, Pencina MJ, Booth SL, Jacques PF, Ingelsson E, Lanier K, et al. Vitamin D deficiency and risk of cardiovascular disease. Circulation. 2008; 117(4):503-511. http://dx.doi.org/10.1161/circulationaha.107.706127
  20. Krause R, Bühring M, Hopfenmüller W, Holick MF, Sharma AM. Ultraviolet B and blood pressure. Lancet. 1998;352(9129):709-710. http://dx.doi.org/10.1016/s0140-6736(05)60827-6
  21. Mathieu C, Badenhoop K. Vitamin D and type 1 diabetes mellitus: state of the art. Trends in Endocrinology Metabolism. 2005;16(6):261-266. http://dx.doi.org/10.1016/j.tem.2005.06.004
  22. Zipitis CS, Akobeng AK. Vitamin D supplementation in early childhood and risk of type 1 diabetes: a systematic review and meta-analysis. Archives of Disease in Childhood. 2008; 93(6):512-517. http://dx.doi.org/10.1136/adc.2007.128579
  23. Hyppoonen E, Laara E, Reunanen A, Jarvelin MR, Virtanen SM. Intake of Vitamin D and risk of type 1 diabetes: a birth-cohort study. Lancet. 2001;358(9292),1500-1503. http://dx.doi.org/10.1016/s0140-6736(01)06580-1
  24. Fung GJ, Steffen LM, Zhou X, Harnack L, Tang W, Lutsey PL. et al. Vitamin D intake is inversely related to risk of developing metabolic syndrome in African American and white men and women over 20 y: the Coronary Artery Risk Development in Young Adults study. Amertican Journal of Clinical Nutrition. 2001;96(1) 24-29. http://dx.doi.org/10.3945/ajcn.112.036863
  25. Sun SS, Liang R, Huang TT., Daniels SR, Arslanian S, Liu K, et al. Childhood obesity predicts adult metabolic syndrome: the Fels Longitudinal Study. Pediatrics. 2008;152(2):191-200. http://dx.doi.org/10.1016/j.jpeds.2007.07.055
  26. Cook S, Auinger P, Li C, Ford ES. Metabolic syndrome rates in United States adolescents, from the National Health and Nutrition Examination Survey. 1999-2002. Journal of Pediatrics. 2008; 152 (2):165-70. http://dx.doi.org/10.1016/j.jpeds.2007.06.004
  27. Kim KR. Retrospective cohort study for risk factors of metabolic syndrome in a periodic health examination, [dissertation]. Seoul: Hanyang University; 2012. p. 1-35.
  28. Parikh SJ, Edelman M, Uwaifo GI, Freedman RJ, Semega- Janneh M, Reynolds J, et al. The relationship between obesity and serum 1,25- Dihydroxy vitamin D concentrations in healthy adults. Journal of Clinical Endocrinology and Metabolism. 2004; 89(3):1196-9. http://dx.doi.org/10.1210/jc.2003-031398
  29. McGill AT, Stewart JM, Lithander FE, Strik CM, Poppit SD. Relationships of low serum vitamin D3 with anthropometry and markers of the metabolic syndrome and diabetes in overweight and obesity. Nutrition Journal. 2008;7:4-5. http://dx.doi.org/10.1186/1475-2891-7-4
  30. Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance, N Engl J Med. 2001;344(18);1343-1350. http://dx.doi.org/10.1056/nejm200105033441801

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