Korean Journal of Community Nutrition (대한지역사회영양학회지)

The Korean Society of Community Nutrition (대한지역사회영양학회)
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Effects of a nutrition education program on metabolic syndrome risk factors in middle-aged Korean adults: an intervention study

  • Minji Kang (Department of Food and Nutrition, Duksung Women's University) ;
  • Young-Hee Park (Department of Agrofood Resources, National Institue of Agricultural Sciences, Rural Development Administration) ;
  • Subeen Kim (Department of Food and Nutrition, Duksung Women's University) ;
  • Eunyoung Tak (Department of Food and Nutrition, Duksung Women's University) ;
  • Hyun Wook Baik (Department of Health Promotion, National Center for Mental Health) ;
  • Hee Young Paik (Department of Food and Nutrition, Seoul National University) ;
  • Hyojee Joung (Graduate School of Public Health, Seoul National University)
  • Received : 2024.04.23
  • Accepted : 2024.07.22
  • Published : 2024.08.31
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Abstract

Objectives: This study was conducted to evaluate the effects of a nutrition education program on metabolic syndrome in middle-aged Korean adults. Methods: A total of 411 Korean adults 30-59 years of age were allocated randomly into three groups: the nutrition education group for promoting Han-sik consumption (HG), the nutrition education group for eating balanced diet (EG), and the control group (CG). The HG and EG received four face-to-face nutrition education sessions over 16 weeks to improve nutritional problems based on the individual's usual diet. Effectiveness of the program was evaluated with the differences of self-reported dietary behaviors, dietary intakes, anthropometric measurements and biochemical indices between the baseline and the end of the nutrition education program. The changes within groups were analyzed using paired t-test and McNemar test and effectiveness among three groups was analyzed by repeated analysis of variance. Results: After the nutrition education, the percentages of participants who achieved the recommended food group consumption in the Korean Food Guidance Systems significantly increased in HG (P = 0.022). Body weight (P = 0.007), body mass index (P = 0.002), and triglycerides (P = 0.002) significantly decreased in HG. Waist circumference and diastolic blood pressure decreased in all three groups (P < 0.05). Conclusions: This study found that tailored nutrition education program for middle aged Korean adults showed beneficial effects on improving dietary behaviors and metabolic syndrome risk factors. Further studies are needed to assess the long-term effects of the nutrition education programs on metabolic syndrome risks.

Keywords

Acknowledgement

This work is carried out with the support of 'Cooperative Research Program for Agricultural Science and Technology Development', National Academy of Agricultural Science, Rural Development Administration, Republic of Korea (Projects No. PJ007211).

References

  1. National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation 2002; 106(25): 3143-3421.  https://doi.org/10.1161/circ.106.25.3143
  2. Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, et al.; American Heart Association; National Heart, Lung, and Blood Institute. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation 2005; 112(17): 2735-2752.  https://doi.org/10.1161/CIRCULATIONAHA.105.169404
  3. Huh JH, Kang DR, Kim JY, Koh KK; on behalf of the Taskforce Team of the Metabolic Syndrome Fact Sheet of the Korean Society of Cardiometabolic Syndrome. Metabolic syndrome fact sheet 2021: executive report. Cardiometab Syndr J 2021; 1(2): 125-134.  https://doi.org/10.51789/cmsj.2021.1.e15
  4. Ham D, Cho Y, Park MS, Park YS, Kim SY, Seol HM, et al. Inverse association of improved adherence to dietary guidelines with metabolic syndrome: the Seoul Metabolic Syndrome Management program. Nutr Res Pract 2020; 14(6): 621-636.  https://doi.org/10.4162/nrp.2020.14.6.621
  5. Thuita AW, Kiage BN, Onyango AN, Makokha AO. Effect of a nutrition education programme on the metabolic syndrome in type 2 diabetes mellitus patients at a level 5 Hospital in Kenya: "a randomized controlled trial". BMC Nutr 2020; 6: 30. 
  6. Tejera C, Porca C, Rodriguez-Carnero G, Andujar P, Casanueva FF, Bellido D, et al. Reducing metabolic syndrome through a group educational intervention program in adults with obesity: IGOBE program. Nutrients 2022; 14(5): 1066. 
  7. Eyles HC, Mhurchu CN. Does tailoring make a difference? A systematic review of the long-term effectiveness of tailored nutrition education for adults. Nutr Rev 2009; 67(8): 464-480.  https://doi.org/10.1111/j.1753-4887.2009.00219.x
  8. Kim SH, Kim MS, Lee MS, Park YS, Lee HJ, Kang S, et al. Korean diet: characteristics and historical background. J Ethn Foods 2016; 3(1): 26-31.  https://doi.org/10.1016/j.jef.2016.03.002
  9. Kwon DY, Kim SH, Chung KR, Daily JW, Park S. Science and philosophy of Korea traditional foods (K-food). J Ethn Food 2023; 10: 26. 
  10. Moon HJ, Cha YS. Sustainability of K-Food: focused on the change in the health values of K-Food. J Ethn Food 2023; 10: 23. 
  11. Schroeder N, Park YH, Kang MS, Kim Y, Ha GK, Kim HR, et al. A randomized trial on the effects of 2010 Dietary Guidelines for Americans and Korean diet patterns on cardiovascular risk factors in overweight and obese adults. J Acad Nutr Diet 2015; 115(7): 1083-1092.  https://doi.org/10.1016/j.jand.2015.03.023
  12. Cena H, Calder PC. Defining a healthy diet: evidence for the role of contemporary dietary patterns in health and disease. Nutrients 2020; 12(2): 334. 
  13. Anderssen SA, Carroll S, Urdal P, Holme I. Combined diet and exercise intervention reverses the metabolic syndrome in middle-aged males: results from the Oslo Diet and Exercise Study. Scand J Med Sci Sports 2007; 17(6): 687-695.  https://doi.org/10.1111/j.1600-0838.2006.00631.x
  14. Lindahl B, Nilsson TK, Borch-Johnsen K, Roder ME, Soderberg S, Widman L, et al. A randomized lifestyle intervention with 5-year follow-up in subjects with impaired glucose tolerance: pronounced short-term impact but long-term adherence problems. Scand J Public Health 2009; 37(4): 434-442.  https://doi.org/10.1177/1403494808101373
  15. Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 2007; 39(2): 175-191.  https://doi.org/10.3758/BF03193146
  16. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 2009; 41(4): 1149-1160.  https://doi.org/10.3758/BRM.41.4.1149
  17. Lee S, Park HS, Kim SM, Kwon HS, Kim DY, Kim DJ, et al. Cut-off points of waist circumference for defining abdominal obesity in the Korean population. Korean J Obes 2006; 15(1): 1-9. 
  18. Kang M, Paik HY, Wie GA, Joung H. Development of healthy Han-sik nutrition education program featuring consumption of Korean foods for prevention of metabolic syndrome in Korean adults. Korean J Nutr 2012; 45(6): 552-561.  https://doi.org/10.4163/kjn.2012.45.6.552
  19. Kang M, Jung HJ, Joung H, Shim JE, Lee SE, Park YH, et al. Development of Han-sik database utilizing an expert focus group and assessment of Han-sik effects on diet quality. J Korean Soc Food Cult 2014; 29(1): 9-17.  https://doi.org/10.7318/KJFC/2014.29.1.009
  20. The Korean Nutrition Society. Dietary reference intakes for Koreans. 1st revision. The Korean Nutrition Society; 2010. 
  21. Jung HJ, Han SN, Song S, Paik HY, Baik HW, Joung H. Association between adherence to the Korean Food Guidance System and the risk of metabolic abnormalities in Koreans. Nutr Res Pract 2011; 5(6): 560-568.  https://doi.org/10.4162/nrp.2011.5.6.560
  22. Hoyas I, Leon-Sanz M. Nutritional challenges in metabolic syndrome. J Clin Med 2019; 8(9): 1301. 
  23. Park D, Shin MJ, Despres JP, Eckel RH, Tuomilehto J, Lim S. 20-year trends in metabolic syndrome among Korean adults from 2001 to 2020. JACC Asia 2023; 3(3): 491-502.  https://doi.org/10.1016/j.jacasi.2023.02.007
  24. Kwon HT, Lee CM, Park JH, Ko JA, Seong EJ, Park MS, et al. Milk intake and its association with metabolic syndrome in Korean: analysis of the third Korea National Health and Nutrition Examination Survey (KNHANES III). J Korean Med Sci 2010; 25(10): 1473-1479.  https://doi.org/10.3346/jkms.2010.25.10.1473
  25. Lee CJ, Joung H. Milk intake is associated with metabolic syndrome - using data from the Korea National Health and Nutrition Examination Survey 2007-2010. Korean J Community Nutr 2012; 17(6): 795-804.  https://doi.org/10.5720/kjcn.2012.17.6.795
  26. Kim J. Dairy food consumption is inversely associated with the risk of the metabolic syndrome in Korean adults. J Hum Nutr Diet 2013; 26 Suppl 1: 171-179.  https://doi.org/10.1111/jhn.12098
  27. Elwood PC, Pickering JE, Fehily AM. Milk and dairy consumption, diabetes and the metabolic syndrome: the Caerphilly prospective study. J Epidemiol Community Health 2007; 61(8): 695-698.  https://doi.org/10.1136/jech.2006.053157
  28. Beydoun MA, Gary TL, Caballero BH, Lawrence RS, Cheskin LJ, Wang Y. Ethnic differences in dairy and related nutrient consumption among US adults and their association with obesity, central obesity, and the metabolic syndrome. Am J Clin Nutr 2008; 87(6): 1914-1925.  https://doi.org/10.1093/ajcn/87.6.1914
  29. Azadbakht L, Mirmiran P, Esmaillzadeh A, Azizi F. Dairy consumption is inversely associated with the prevalence of the metabolic syndrome in Tehranian adults. Am J Clin Nutr 2005; 82(3): 523-530.  https://doi.org/10.1093/ajcn/82.3.523
  30. Shin PK, Kim MS, Park SJ, Kwon DY, Kim MJ, Yang HJ, et al. A traditional Korean diet alters the expression of circulating microRNAs linked to diabetes mellitus in a pilot trial. Nutrients 2020; 12(9): 2558. 
  31. Hur YI. Study of Korean food and obesity related to metabolic diseases. Food Ind Nutr 2011; 16(2): 34-44.