Journal of Nutrition and Health

The Korean Nutrition Society (한국영양학회)
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Relationship between dairy products, fish and shellfish intake and metabolic syndrome risk factors in prediabetes: based on the sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3) 2015

전당뇨병 대상자의 유제품 및 어패류 섭취와 대사증후군 위험인자와의 관련성 연구 : 2015년 제 6기 국민건강영양조사 자료를 바탕으로

  • Received : 2017.06.30
  • Accepted : 2017.08.31
  • Published : 2017.10.31
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Abstract

Purpose: Metabolic Syndrome (MetS) is defined as a cluster of inter-connected metabolic disorders involving the glucose metabolism, dyslipidaemia, high blood pressure, and abdominal obesity. The worldwide prevalence has been rapidly increasing to approximately 20~25%, and the prevalence in Korea as of 2012 was reported to be 31.3%. The association of MetS with various diseases needs to be analyzed by conducting an investigation of frequently consumed foods, such as dairy products, fish, and shellfish in prediabetic subjects. Methods: The dietary intake of subjects who met the criteria of the study from January to December 2015 was assessed using the 24-hour recall method. After adjusting the age, sex, BMI, and total energy intake, which are confounding factors that may affect the dietary intake of the subjects, the associations of dairy products, fish, and shellfish intake with the MetS risk factors was analyzed. Results: In prediabetes, the intake of subjects who consumed more than the dairy products median (187.0 g) and the elevation risk of TC [OR, 2.369; 95% CI, 1.057 to 5.312] showed a significant positive association. In prediabetes, the intake of subjects who consumed more than the fish and shellfish median (44.0 g) and the elevation risk of BP showed a significantly weak negative association [OR, 0.073; 95% CI, 0.010 to 0.520]. The probability that the blood LDL cholesterol was ${\geq}100mg/dL$ decreased 0.397 times [95% CI, 0.189 to 0.832]. Conclusion: To control the metabolic risk factors of pre-diabetic and vascular disease subjects, proper dairy, fish and shellfish intake will be important.

본 연구는 2015년 KNHANES 자료를 이용하여 30~64세 전당뇨병 대상자들의 유제품 및 어패류의 식품섭취와 대사증후군 위험인자와의 관련성을 분석하였다. 전당뇨병군과 혈당 정상군의 일반적인 특성에서 대사증후군 위험인자 관련 생화학적 지표가 유의적 차이를 보였다. 전당뇨병군의 유제품 섭취량에 따라 분석한 결과, 유제품 섭취 중앙값 (187.0 g) 이상 대상자의 대사증후군 위험인자 중 혈중 TC 수준과 양의 연관성을 보였다. 총 에너지 섭취량, 탄수화물, 단백질, 지방, MUFAs 및 무기질 섭취량은 중앙값 이상 대상자에서 유의적으로 높았으나, 대사증후군 위험인자에 대한 보호효과는 유의적이지 않았다. 어패류 섭취량에 따른 대사증후군 위험인자와의 연관성을 분석한 결과 BP와 혈중 LDL-C 수준은 중앙값 이상 섭취하였을 때 상승할 확률이 유의적으로 감소하였다. 따라서 섭취 유제품의 유형과 함유성분을 고려한 연구 수행이 필요할 것으로 보이며, 어패류는 식사의 반찬으로 제공되는 경우가 많기 때문에 적절한 섭취량 뿐 아니라 조리방법과 함께 섭취하는 식품에 대한 추가 분석을 수행하여 건강에 미치는 효과를 명확하게 규명할 연구수행이 수반되어야 할 것이다.

Keywords

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