DOI QR코드

DOI QR Code

Association of Dietary Intake with 10-Year Risk for Coronary Heart Disease Predicted from Framingham Risk Score in the Korean Adults: Korea National Health and Nutrition Examination Survey 2019-2020

한국 30세 이상 성인에서 식사 섭취와 Framingham risk score에 의한 10년 관상심장질환 위험과의 연관성: 2019-2020년 국민건강영양조사 자료 활용

  • Kim, Mi Hyun (Department of Food and Development, Kyungil University)
  • Received : 2022.08.29
  • Accepted : 2022.09.21
  • Published : 2022.10.30

Abstract

This study investigated the association between dietary intake and 10-year risk for CHD predicted from Framingham risk score in Korean adults using the Korea National Health and Nutrition Examination Survey 2019-2020. Eight thousand subjects (3,382 men and 4,618 women) aged 30 years or older were classified into three groups according to the 10-year CHD risk (%). The sociodemographics, anthropometrics indices, blood profiles, and dietary intake were collected. After adjusting for confounding variables, the mean adequacy ratio (MAR) decreased for both men and women as the disease risk increased. The high-risk group was below the MAR criteria, indicating that the overall quality of the meal was not good. The highest consumers of legumes (OR 0.56, 95% CI 0.37-0.84), fruits (OR 0.67, 95% CI 0.48-0.93), and fish (OR 0.60, 95% CI 0.42-0.87) had a 44%, 33%, and 40% lower 10-year CHD risk than lowest consumers in men, respectively. In women, there is no significant relationship between food groups and disease risk. Therefore, improving lifestyle habits such as weight control, increased activity, and adequate food intake, especially legumes, fruits, and fish rich in antioxidant nutrients and bioactive substances, appears to have a potential association with preventing coronary heart disease in Korean adults.

Keywords

Acknowledgement

본 연구는 2022년도 경일대학교 교내일반연구과제의 지원으로 이루어졌으며 이에 감사드립니다.

References

  1. AlQuaiz AM, Siddiqui AR, Kazi A, Batais MA, Al-Hazi AM. 2019. Sedentary lifestyle and framingham risk scores: a population-based study in Riyadh city, Saudi Arabia. BMC Cardiovasc. Disord., 19: 88 https://doi.org/10.1186/s12872-019-1048-9
  2. Anderson JW, Bush HM. 2011. Soy protein effects on serum lipoproteins: a quality assessment and meta-analysis of randomized, controlled studies. J. Am. Coll. Nutr., 30: 79-91 https://doi.org/10.1080/07315724.2011.10719947
  3. Aune D, Keum NN, Giovannucci E, Fadnes LT, Boffetta P, Greenwood DC, Tonstad S, Vatten LJ, Riboli E, Norat T. 2018. Dietary intake and blood concentrations of antioxidants and the risk of cardiovascular disease, total cancer, and all-cause mortality: a systematic review and dose-response meta-analysis of prospective studies. Am. J. Clin. Nutr., 108: 1069-1091 https://doi.org/10.1093/ajcn/nqy097
  4. Bechthold A, Boeing H, Schwedhelm C, Hoffmann G, Knuppel S, Iqbal K, Henauw SD, Michels N, Devleesschauwer B, Schlesinger S, Schwingshackl L. 2019. Food groups and risk of coronary heart disease, stroke and heart failure: a systematic review and dose-response meta-analysis of prospective studies. Crit. Rev. Food Sci. Nutr., 59: 1071-1090 https://doi.org/10.1080/10408398.2017.1392288
  5. Boeing H, Bechthold A, Bub A, Ellinger S, Haller D, Kroke A, Leschik-Bonnet E, Muller MJ, Oberritter H, Schulze M, Stehle P, Watzl B. 2012. Critical review: vegetables and fruit in the prevention of chronic diseases. Eur. J. Nutr., 51: 637-663 https://doi.org/10.1007/s00394-012-0380-y
  6. Carey VJ, Bishop L, Laranjo N, Harshfield BJ, Kwiat C, Sacks FM. 2010. Contribution of high plasma triglycerides and low high-density lipoprotein cholesterol to residual risk of coronary heart disease after establishment of low-density lipoprotein cholesterol control. Am. J. Cardiol., 106: 757-763 https://doi.org/10.1016/j.amjcard.2010.05.002
  7. Choi MC, Song YH, Rhee SY, Woo JT. 2009. Framingham risk scores by occupational group: Based on the 3rd Korean National Health and Nutrition Examination Survey. Korean J. Occup. Environ. Med., 21: 63-75 https://doi.org/10.35371/kjoem.2009.21.1.63
  8. Choi MK, Bae YJ. 2014. Evaluation of nutrient intake and food variety in Korean male adults according to framingham risk score. Korean J. Food & Nutr., 27: 484-494 https://doi.org/10.9799/ksfan.2014.27.3.484
  9. Fang X, An P, Wang H, Wang X, Shen X, Li X, Min J, Liu S, Wang F. 2015. Dietary intake of heme iron and risk of cardiovascular disease: a dose-response meta-analysis of prospective cohort studies. Nutr. Metab. Cardiovasc. Dis., 25: 24-35 https://doi.org/10.1016/j.numecd.2014.09.002
  10. Feener EP, King GL. 1997. Vascular dysfunction in diabetes mellitus. Lancet, 350: S9-S13 https://doi.org/10.1016/S0140-6736(97)90022-2
  11. Fernandez-Macias JC, Ochoa-Martinez AC, Varela-silva JA, Perez-Maldonado IN. 2019. Atherogenic index of plasma: novel predictive biomarker for cardiovascular illnesses. Arch. Med. Res., 50: 285-294 https://doi.org/10.1016/j.arcmed.2019.08.009
  12. Health Insurance Service. 2020. National health insurance statistical yearbook. Health Insurance Service. Wonju. Korea, pp 409-650
  13. Jackson R, Lawes CM, Bennett DA, Milne RJ, Rodgers A. 2005. Treatment with drugs to lower blood pressure and blood cholesterol based on an individual's absolute cardiovascular risk. Lancet, 365: 434-441 https://doi.org/10.1016/S0140-6736(05)70240-3
  14. Khera AV, Emdin CA, Drake I, Natarajan P, Bick AG, Cook NR, Chasman DI, Baber U, Mehran R, Rader DJ, Fuster V, Boerwinkle E, Melander O, Orho-Melander M, Ridker PM, Kathiresan S. 2016. Genetic risk, adherence to healthy life style, and coronary disease. N. Engl. J. Med., 375: 2349-2358 https://doi.org/10.1056/NEJMoa1605086
  15. Kim DY, Song SJ, Bae JH, Park CY, Rhee EJ. 2016. The association between diabetic retinopathy and framingham risk score in Korean with Type II diabetes. J. Korean Ophthalmol. Soc., 57: 779-785 https://doi.org/10.3341/jkos.2016.57.5.779
  16. Kim HJ, Kim YN, Cho YM, Jun BY, Oh KW. 2014. Trends in the prevalence of major cardiovascular disease risk factors among Korean adults: Results from Korea National Health and Nutrition Examination Survey, 1998-2012. Int. J. Cardiol., 174: 64-72 https://doi.org/10.1016/j.ijcard.2014.03.163
  17. Kim MA. 2013. Triglyceride and cardiovascular disease. J. Lipid Atheroscler., 2: 1-8 https://doi.org/10.12997/jla.2013.2.1.1
  18. Kim SY. 2018. Factors related to coronary artery disease in Korean adults: Based on the Korean National Health and Nutritional Examination Survey 2013-2015. Korean J. Rehabil. Nurs., 21: 33-42 https://doi.org/10.7587/kjrehn.2018.33
  19. Korea Disease Control and Prevention Agency. 2019. The Eighth Korea National Health and Nutrition Examination Survey (KNHANES VIII-1). Korea Disease Control and Prevention Agency, Osong, Korea
  20. Korea Disease Control and Prevention Agency. 2020a. Korea Health Statistics 2019: Korea National Health and Nutrition Examination Survey (KNHANES VIII-1). Korea Disease Control and Prevention Agency, Osong, Korea, pp 107-146
  21. Korea Disease Control and Prevention Agency. 2020b. The Eighth Korea National Health and Nutrition Examination Survey (KNHANES VIII-2). Korea Disease Control and Prevention Agency, Osong, Korea
  22. Lee KH, Lee SB. 2018. Effects of lifestyle on cardiovascular risk in 10 years according to framingham risk score of middle-aged women. J. Wellness, 13: 277-288
  23. Mallaina P, Lionis C, Rol H, Imperiali R, Burgess A, Nixon M, Malvestiti FM. 2013. Smoking cessation and the risk of cardiovascular disease outcomes predicted from established risk scores: Results of the cardiovascular risk assessment among smokers in primary care in Europe (CV-ASPIRE) study. BMC Public Health, 13: 362-372 https://doi.org/10.1186/1471-2458-13-362
  24. Mayr HL, Itsiopoulos C, Tierney AC, Ruiz-Canela M, Hebert JR, Shivappa N, Thomas CJ. 2018. Improvement in dietary inflammatory index score after-6 month dietary intervention is associated with reduction in interleukin-6 in patients with coronary heart disease: The AUSMED heart trial. Nutr. Res., 55: 108-121 https://doi.org/10.1016/j.nutres.2018.04.007
  25. Miller PE, Van Elswyk M, Alexander DD. 2014. Long-chain omega-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid and blood pressure: a meta-analysis of randomized controlled trials. Am. J. Hypertens., 27: 885-896 https://doi.org/10.1093/ajh/hpu024
  26. Ministry of Health and Welfare. 2020. Dietary reference intakes for Koreans 2020. Sejong, Korea, pp iv-xviii
  27. Murray CJL. 2015. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet, 385: 117-171 https://doi.org/10.1016/S0140-6736(14)61682-2
  28. Musa-Veloso K, Binns MA, Kocenas AC, Poon T, Elliot JA, Rice H, Oppedal-Olsen H, Lloyd H, Lemke S. 2010. Long-chain omega-3 fatty acids eicosapentaenoic acid and docosahexaenoic acid dose-dependently reduce fasting serum triglycerides. Nutr. Rev., 68: 155-167 https://doi.org/10.1111/j.1753-4887.2010.00272.x
  29. National Cholesterol Education Program 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 Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 106: 3143-3421 https://doi.org/10.1161/circ.106.25.3143
  30. Rizos EC, Ntzani EE, Bika E, Kostapanos M, Elisaf MS. 2012. Association between omega-3 fatty acid supplementation and risk of major cardiovascular disease events: a systematic review and meta-analysis. J. Am. Med. Assoc., 308: 1024-1033 https://doi.org/10.1001/2012.jama.11374
  31. Smith SC. 2007. Multiple risk factors for cardiovascular disease and diabetes mellitus. Am. J. Med., 120: S3-S11 https://doi.org/10.1016/j.amjmed.2007.01.002
  32. Statistics Korea. 2021. Cause of death statistics 2020. Statistics Korea. Daejeon, Korea, pp 1-11
  33. Wijendran V, Hayes KC. 2004. Dietary n-6 and n-3 fatty acid balance and cardiovascular health. Annu. Rev. Nutr., 24: 597-615 https://doi.org/10.1146/annurev.nutr.24.012003.132106
  34. Wilson PW, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. 1998. Prediction of coronary heart disease using risk factor categories. Circulation, 97: 1837-1847 https://doi.org/10.1161/01.CIR.97.18.1837
  35. Wu Y, Qian Y, Pan Y, Li P, Yang J, Ye X, Xu G. 2015. Association between dietary fiber intake and risk of coronary heart disease: A meta-analysis. Clin. Nutr., 34: 603-611 https://doi.org/10.1016/j.clnu.2014.05.009
  36. Zhang XH, Lu ZI, Liu L. 2008. Coronary heart disease in China. Heart, 94: 1126-1131 https://doi.org/10.1136/hrt.2007.132423
  37. Zock PL, Blom WAM, Nettleton JA, Hornstra G. 2016. Progressing insights into the role of dietary fats in the prevention of cardiovascular disease. Curr. Cardiol. Rep., 18: 111 https://doi.org/10.1007/s11886-016-0793-y