Journal of Nutrition and Health

  • 제57권1호
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  • Pages.105-119
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  • 2024
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  • 2288-3886(pISSN)
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  • 2288-3959(eISSN)
한국영양학회 (The Korean Nutrition Society)
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우리나라 성인에서 atherogenic index of plasma와 식품군 섭취의 관련성: 도시기반 코호트 자료를 활용하여

Atherogenic index of plasma and its association with food group intake in Korean adults: based on the baseline data of KoGES-HEXA study

  • 신혜란 (한남대학교 생명나노과학대학 식품영양학과) ;
  • 송수진 (한남대학교 생명나노과학대학 식품영양학과)
  • Hye Ran Shin (Department of Food and Nutrition, College of Life Science and Nano-Technology, Hannam University) ;
  • SuJin Song (Department of Food and Nutrition, College of Life Science and Nano-Technology, Hannam University)
  • 투고 : 2023.11.16
  • Accepted : 2024.01.22
  • Published : 2024.02.28
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Abstract

본 연구는 우리나라 성인 남녀에서 관상동맥질환의 주요 예측 지표인 AIP와 식품군 섭취의 관련성을 분석하였다. 본 연구에서는 40-79세의 성인 남녀 133,381명을 대상으로 AIP 5분위 그룹에 따른 식품군 섭취량을 제시하였으며, 그 결과 AIP가 높은 그룹에서 낮은 그룹에 비해 곡류, 김치/피클류의 섭취가 높았고, 콩류, 종실류, 육류, 난류, 생선류, 우유 및 유제품 등의 섭취가 낮은 경향을 보였다. 본 연구는 한국인의 식사와 관상동맥질환 위험도 간의 관계에 대한 중요한 정보를 제공하며, 관상동맥질환 예방을 위해 다양한 식품군이 포함된 균형 잡힌 식사가 중요함을 시사한다. 본 연구 결과는 관상동맥질환을 예방할 수 있는 식사지침 제시를 위한 기초자료로 활용될 수 있을 것이다. 추후 연구를 통해 한국인의 식사패턴을 분석하여 심혈관질환 발생 및 사망과의 관련성을 조사하고, 이를 통해 한국인의 심혈관질환 예방에 기여할 수 있을 것으로 기대한다.

Purpose: The atherogenic index of plasma (AIP) is gaining recognition as a superior predictor of coronary artery disease. This study examined the relationship between the AIP and the intake of various food groups in Korean adults, using the baseline data from the Korean Genome and Epidemiology Study-The Health Examinees (KoGES-HEXA) study. Methods: This study included 133,381 adults (46,288 men, 87,093 women) who completed the nutrition survey and biochemical tests of the KoGES-HEXA study. The AIP was calculated as the log (triglycerides/high-density lipoprotein-cholesterol) and was divided into quintiles according to sex for further analysis. Data on food group intake were obtained using the semi-quantitative food frequency questionnaire, and daily food group intake (g/d) was evaluated for each individual. The association between the food group intake and the AIP was examined using the linear regression analysis after adjusting for the confounding variables. Results: In this study population, there was a positive correlation between energy intake and the AIP in men whereas an inverse assocation was shown in women (p < 0.001). In women, a rise in the AIP significantly correlated with an increased percentage of energy intake derived from carbohydrates but decreased percentages of energy from protein and fat (p < 0.001). In men and women, the consumption of grains and kimchi/pickles increased as the AIP rose, while the intake of legumes, nuts, meat and its products, eggs, fish, and milk and dairy products decreased. Among men, individuals in the highest AIP group showed higher intake of wheat products than those in the lowest group of the AIP. In women, the AIP was inversely correlated with potatoes and beverages consumption. Conclusion: This study highlights the importance of a balanced diet, including various protein sources, milk and dairy products, legumes, and nuts, for preventing cardiovascular diseases. Further research into sex-specific dietary patterns is essential for tailoring appropriate dietary recommendations.

Keywords

Acknowledgement

This research was supported by the grant from National Research Foundation of Korea funded by the Korean government (Ministry of Science and ICT) (grant number 2022R1C1C1002905) and the 2023 Hannam University research fund.

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