Journal of Korean Home Economics Education Association (한국가정과교육학회지)

Korea Home Economics Education Association (한국가정과교육학회)
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The Relationship between Sugar Intake and Metabolic Syndrome in Korean Adults: Using Data from the Korean National Health and Nutrition Examination Survey 2013-2016

한국인의 당류 섭취와 대사증후군간의 관련성: 2013-2016년 국민건강영양조사 자료를 이용하여

  • Kang, Young-Eun (Department of Home Economics Education, Dongguk University_Seoul) ;
  • Lee, Sim-Yeol (Department of Home Economics Education, Dongguk University_Seoul)
  • 강영은 (동국대학교_서울 가정교육과) ;
  • 이심열 (동국대학교_서울 가정교육과)
  • Received : 2022.09.23
  • Accepted : 2022.10.04
  • Published : 2022.09.30
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Abstract

The purpose of this study was to examine the relationship between metabolic syndrome and sugar intake. This study was conducted on adults aged over 19 who participated in the 2013-2016 Korea National Health and Nutrition Examination Survey. Subjects were classified according to the ratio of sugar intake to total energy. We used 24-hour recall survey data to investigate the daily sugar intake. The energy intake ratio from the sugar <20% group had higher % KDRI's of calcium, iron, potassium, vitamin A, riboflavin, and vitamin C than the energy intake ratio from the sugar ≥20% group. The risk of blood pressure level was higher in the ≥20% group than in the <20% group. The highest tertile of sugar intake showed an increased risk of elevated blood pressure level. This study found that increased sugar intake was associated with the risk of metabolic syndrome. It is expected that these results can be used as useful information to prepare basic data for establishing and managing sugar-reducing nutrition policies for the prevention of chronic diseases.

본 연구는 국민건강영양조사 제6기(2013-2015년), 제7기(2016년) 자료를 활용하여, 만 19세 이상 한국인 10,187명을 대상으로 당류 섭취량에 따른 대사증후군과의 관련성을 연구하여 당류 섭취로 인해 발생할 수 있는 만성질환의 발생 위험도를 확인하고 만성질환 예방을 위한 당류 저감화 영양 정책 수립과 관리를 위한 과학적인 근거자료로 사용하고자 하였다. 본 연구 결과 당류 에너지섭취비가 20% 미만인군은 남성 53.03%, 20% 이상인 군은 여성 63.29%로 나타났다. 흡연과 음주는 20% 미만인군이 더 높게 나타났으며, 소득과 운동은 20% 이상인군이 더 높게 나타났다. 영양소 섭취량의 경우 에너지, 단백질, 지방, 나트륨의 섭취량은 20% 미만인군에서 높게 나타났으며, 탄수화물, 칼슘, 칼륨, 비타민A, 리보플라빈, 비타민C의 섭취량은 20% 이상인군에서 높게 나타났다. 또한 20% 이상인 군에서 칼슘, 철, 칼륨, 비타민A, 리보플라빈, 비타민C의 섭취기준 비율이 20% 미만인군에 비해 높게 나타났다. 모든 혼란 변수 보정 시 혈압 이상의 발생 위험도는 당류 에너지섭취비가 20% 이상인군이 20% 미만인군에 비해 높게 나타났으며, 당류 섭취량이 가장 높은 그룹의 경우 가장 낮은 군에 비해 혈압 이상의 발병위험도가 높아지는 것으로 나타났다. 이상의 연구 결과 당류 섭취의 증가는 대사증후군 관련 인자와 양의 상관관계를 보이는 것으로 나타났다. 따라서 본 연구는 한국인의 만성질환 예방을 위한 당류 저감화 영양 정책 수립과 관리를 위한 기초자료를 마련하는데 유용한 정보로 활용될 수 있을 것으로 기대된다.

Keywords

References

  1. Burt, B. A., Eklund, S. A., Morgan, K. J., Larkin, F. E., Guire, K. E., Brown, L. O., & Weintraub, J. A. (1988). The effects of sugars intake and frequency of ingestion on dental caries increment in a three-year longitudinal study. Journal of Dental Research, 67(11), 1422-1429. doi:10.1177/00220345880670111201
  2. Carwile, J. L., Willett, W. C., Spiegelman, D., Hertzmark, E., Rich-Edwards, J., Frazier, A. L., & Michels, K. B. (2015). Sugarsweetened beverage consumption and age at menarchein a prospective study of US girls. Human Reproduction, 30(3), 675-683. doi:10.1093/humrep/deu349
  3. Choi, K. S., Shin, K. O., Huh, S. M., & Chung, K. H. (2010). Comparison of nutritional and physical status according to the residental type among college women in Seoul women's university and Sahmyook university. The Korean Journal of Nutrition, 43(1), 86-96. doi:10.4163/kjn.2010.43.1.86
  4. Chung, C. E. (2007). Association of total sugar intakes and metabolic syndrome from Korean National Health and Nutrition Examination Survey 2001-2002. Journal of Nutrition and Health, 40(sup), 29-38.
  5. Chung, H.-C., & Kim, C.-W. (2020). A study on the meal kit product selection attributes on purchasing behavior and satisfaction. The Journal of the Korea Contents Association, 20(6), 381-391. doi:10.5392/JKCA.2020.20.06.381
  6. Chung, S., Ha, K., Lee, H.-S., Kim, C.-I., Joung, H., Paik, H.-Y., & Song, Y. (2015). Soft drink consumption is positively associated with metabolic syndrome risk factors only in Korean women: Data from the 2007-2011 Korea National Health and Nutrition Examination Survey. Metabolism, 64(11), 1477-1484. doi:10.1016/j.metabol.2015.07.012
  7. Della Torre, S. B., Keller, A., Depeyre, J. L., & Kruseman, M. (2016). Sugar-sweetened beverages and obesity risk in children and adolescents: A systematic analysis on how methodological quality may influence conclusions. Journal of the Academy of Nutrition and Dietetics, 116(4), 638-659. doi:10.1016/j.jand.2015.05.020
  8. Dinicolantonio, J. J., & Okeefe, J. H. (2017). Added sugars drive coronary heart disease via insulin resistance and hyperinsulinaemia: A new paradigm. Open Heart, 4(2), e000729. doi:10.1136/openhrt-2017-000729
  9. Dubois, L., Farmer, A., Girard, M., & Peterson, K. (2007). Regular sugar-sweetened beverage consumption between meals increases risk of overweight among preschool-aged children. Journal of the American Dietetic Association, 107(6), 924-934. doi:10.1016/j.jada.2007.03.004
  10. Feig, D. I. (2010). Sugar-sweetened beverages and hypertension. Future Cardiology, 6(6), 773-776. doi:10.2217/fca.10.92
  11. Food and Agriculture Organization & World Health Organization (1998). The role of carbohydrates in nutrition. Italy: Author.
  12. Frary, C. D., Johnson, R. K., & Wang, M. Q. (2004). Children and adolescents' choices of foods and beverages high in added sugars are associated with intakes of key nutrients and food groups. Journal of Adolescent Health, 34(1), 56-63. doi:10.1016/S1054-139X(03)00248-9
  13. Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Ecke, R. H., Franklin, B. A.,.. Costa, F. (2005). Diagnosis and management of the metabolic syndrome: An American heart association/national heart, lung, and blood institute scientific statement. Circulation, 112(17), 2735-2752. https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  14. Ha, K., Joung, H., & Song, Y. (2016). Intake of dietary sugar and its influence on chronic disease in the Korean population. Food Science and Industry, 49(3), 2-11. doi:10.23093/FSI.2016.49.3.2
  15. He, M., Tucker, P., Gilliland, J., Irwin, J. D., Larsen, K., & Hess, P. (2012). The influence of local food environments on adolescents' food purchasing behaviors. International Journal of Environmental Research and Public Health, 9(4), 1458-1471. doi:10.3390/ijerph9041458
  16. Hess, J., Latulippe, M. E., Ayoob, K., & Slavin, J. (2012). The confusing world of dietary sugars: Definitions, intakes, food sources and international dietary recommendations. Food & Function, 3(5), 477-486. doi:10.1039/C2FO10250A
  17. Hu, F. B., & Malik, V. S. (2010). Sugar-sweetend beverages and risk of obesity and type 2 diabets: Epidemiologic evidence. Physiology & Behavior, 100(1), 47-54. doi:10.1016/j.physbeh.2010.01.036
  18. Jung, J. (2016). Action plan for sugars reduction. Food Science and Industry, 49(3), 12-16. https://doi.org/10.23093/FSI.2016.49.3.12
  19. Kang, J. H., Kim, M. K., Kim, O. H., Park, H. S., Song, H. J., Her, Y. I.,...Seo, S. H. (2013). The correlation analysis of sugars excess-intake and obesity or chronic diseases and the development of sugar reduction model. Cheongwon: National Institute of Food and Drug Safety Evaluation.
  20. Kim, S.-Y., Kim, M.-H., Kang, M.-H., & Choi, M.-K. (2017). Association of total sugars intake with nutrient density and obesity degree in elementary school students in Chungnam. Journal of the East Asian Society of Dietary Life, 27(2), 176-184. doi:10.17495/easdl.2017.4.27.2.176
  21. Ko, Y. S., Kim, E. M., & Lee, H. S. (2015). A study of dietary intake of total sugars by elementary students in Jeju province. Journal of Nutrition and Health, 48(1), 81-93. doi:10.4163/jnh.2015.48.1.81
  22. Korea Disease Control and Prevention Agency (2022). Korea health statistics 2020-Korea National Health and Nutrition Examination Survey. Cheongju: Author.
  23. Kosova, E. C., Auinger, P., & Bremer, A. A. (2013). The relationships between sugar-sweetened beverage intake and cardiometabolic markers in young children. Journal of the Academy of Nutrition and Dietetics, 113(2), 219-227. doi:10.1016/j.jand.2012.10.020
  24. Laguna, J. C., Alegret, M., Cofan, M., Sanchez, M., Diaz, A., Martinez, M.,...Ros, E. (2021). Simple sugar intake and cancer incidence, cancer mortality and allcause mortality: A cohort study from the PREDIMED trial. Clinical Nutrition, 40(10), 5269-5277. doi:10.1016/j.clnu.2021.07.031
  25. Langlois, K., & Garriguet, D. (2011). Sugar consumption among Canadians of all ages. Health Reports, 22(3), 23-28. doi:10.1016/j.clnu.2017.05.030
  26. Lee, H.-S., Kwon, S.-O., Yon, M., Kim, D., Lee, J.-Y., Nam, J.,...Kim, C.-I. (2014). Dietary total sugar intake of Koreans: Based on the Korea National Health and Nutrition Examination Survey (KNHANES), 2008-2011. Journal of Nutrition and Health, 47(4), 268-276. doi:10.4163/jnh.2014.47.4.268
  27. Lee, K.-A., Cho, E.-J., & Yoon, H.-S. (2010). A study on consumption of convenience foods of university students by residing types in Changwon and Masan area. Journal of the Korean Dietetic Association, 16(3), 279-290.
  28. Lee, S. Y., Park, H. S., Kim, D. J., Han, J. H., Kim, M. S., Cho, G. J.,...Yoo, H. J. (2007). Appropriate waist circumference cutoff points for central obesity on Korea adults. Diabetes Research and Clinical Practice, 75(1), 72-80. doi:10.1016/j.diabres.2006.04.013
  29. Lim, S., Zoellner, J. M., Lee, J. M., Burt, B. A., Sandretto, A. M., Sohn, W.,...Lepkowski, J. M. (2009). Obesity and sugar-sweetened beverages in African-American preschool children: A longitudinal study. Obesity, 17(6), 1262-1268. doi:10.1038/oby.2008.656
  30. Lusting, R. H. (2010). Fructose: Metabolic, hedonic, ana societal parallels with ethanol. Journal of the American Dietetic Association, 110(9), 1307-1321. doi:10.1016/j.jada.2010.06.008
  31. Lustig, R. H., Schmidt, L. A., & Brindis, C. D. (2012). Public health: The toxic truth about sugar. Nature, 482(7383), 27-29. https://doi.org/10.1038/482027a
  32. Mann, J., Cummings, J. H., Englyst, H. N., Key, T., Liu, S., Riccardi, G.,...Wiseman, M. (2007). FAO/WHO scientific update on carbohydrates in human nutrition: Conclusions. European Journal of Clinical Nutrition, 61(Suppl), s132-s137. https://doi.org/10.1038/sj.ejcn.1602943
  33. Ministry of Food and Drug Safety (2015). Sugar database compilation for commonly consumed foods. Cheongju: Author.
  34. Ministry of Food and Drug Safety (2016). The first comprehensive plan for the sugar reduction ('16-'20). Retrieved from https://impfood.mfds.go.kr/CFBBB02F02/getCntntsDetail?cntntsSn=281921
  35. Ministry of Food and Drug Safety (2017). Food sanitation act. Retrieved from https://elaw.klri.re.kr/kor_service/lawView.do?hseq=54823&lang=ENG
  36. Ministry of Health and Welfare.Korea Nutrition Society (2015). Dietary referenceintakes for Koreans. Ministry of Health and Welfare. Seoul: Author.
  37. Paik, H. Y., Lee, S. Y., Ahn, Y. J., Shim, J. E., Jung, J. Y., Song, Y. J.,...Kim, D. W. (2016). 건강을 위한 식생활과 영양[Nutrition and diet for health]. Goyang: Power Book.
  38. Rural Development Administration (2015). 9th revision Korean Food Composition Table. Wanjoo: Author.
  39. Seo, E. H., Kim, H. S., & Kwon, O. (2019). Association between total sugar intake and metabolic syndrome in middle-aged Korean men and women. Nutrients, 11(9), 2042. doi:10.3390/nu11092042
  40. Seo, H. C. (2013). The relationship between sugar intake and emotional function of adolescent. Journal of Brain Education, 11(1), 75-97.
  41. Shin, S., Kim, S.-A., Ha, J., & Lim, K. (2018). Sugar-sweetened beverage consumption in relationto obesity and metabolic syndrome among Korean adults: A cross-sectional study from the 2012-2016 Korean National Health and Nutrition Examination Survey (KNHANES). Nutrients, 10(10), 1467. doi:10.3390/nu10101467
  42. Te Morenga, L. A., Howatson, A. J., Jones, R. M., & Mann, J. (2014). Dietary sugars and cardiometabolic risk: Systematic review and metaanalyses of randomized controlled trials of the effects on blood pressure and lipids. The American Journal of Clinical Nutrition, 100(1), 65-79. doi:10.3945/ajcn.113.081521
  43. United States Department of Agriculture (2015). USDA national nutrient database for standard reference (release 28). Retrieved from https://ndb.nal.usda.gov/ndb/
  44. Walker, A. R., & Woodward, M. (1994). Sugar consumption and dental caries: Evidence from 90 countries. British Dental Journal, 176(8), 297-302. https://doi.org/10.1038/sj.bdj.4808437
  45. Welsh, J. A., & Cunningham, S. A. (2011). The role of added sugars in pediatric obesity. Pediatric Clinics of North America, 58(6), 1455-1466. doi:10.1016/j.pcl.2011.09.009
  46. Welsh, J. A., Sharma, A. J., Cunningham, S. A., & Vos, M. B. (2011a). Consumption of added sugars and indicators of cardiovascular disease risk among US adolescents. Circulation, 123(3), 249-257. doi:10.1161/CIRCULATIONAHA.110.972166
  47. Welsh, J. A., Sharma, A. J., Grellinger, L., & Vos, M. B. (2011b). Consumption of added sugars is decreasing in the United States. American Journal of Clinical Nutrition, 94(3), 726-734. doi:10.3945/ajcn.111.018366
  48. World Health Organization (2015). Guideline: Sugars intake for adults and children. Geneva: Author.
  49. Yang, J., & Shon, C.-M. (2009). Nutritional status and dietary quality by their residing types in college students. Korean Journal of Human Ecology, 18(4), 959-970. doi:10.5934/KJHE.2009.18.4.959
  50. Yang, Q., Zhang, Z., Gregg, E. W., Flanders, W. D., Merritt, R., & Hu, F. B. (2014). Added sugar intake and cardiovascular diseases mortality among US adults. JAMA, 174(4), 516-524. doi:10.1001/jamainternmed.2013.13563
  51. Yoon, M. O., Lee, H. S., Kim, K., Shim, J. E., & Hwang, J.-Y. (2017). Development of processed food database using Korea National Health and Nutrition Examination Survey data. Journal of Nutrition and Health, 50(5), 504-518. doi:10.4163/jnh.2017.50.5.504